(Luận văn) thực hiện văn hoá chính trực trong ngành hàng không một số gợi ý cho hãng hàng không quốc gia vietnam airlines

83 1 0
(Luận văn) thực hiện văn hoá chính trực trong ngành hàng không   một số gợi ý cho hãng hàng không quốc gia vietnam airlines

Đang tải... (xem toàn văn)

Tài liệu hạn chế xem trước, để xem đầy đủ mời bạn chọn Tải xuống

Thông tin tài liệu

ĐẠI HỌC QUỐC GIA HÀ NỘI KHOA QUẢN TRỊ VÀ KINH DOANH - NGUYỄN HẢI ANH lu an va n JUST CULTURE PRACTICE IN THE AVIATION INDUSTRY: to p ie gh tn RECOMMENDATIONS FOR VIETNAM AIRLINES w THỰC HIỆN VĂN HỐ CHÍNH TRỰC TRONG NGÀNH HÀNG oa nl KHƠNG: MỘT SỐ GỢI Ý CHO HÃNG HÀNG KHÔNG QUỐC d GIA VIETNAM AIRLINES nf va an lu z at nh oi lm ul LUẬN VĂN THẠC SĨ QUẢN TRỊ KINH DOANH z m co l gm @ an Lu HÀ NỘI - 2020 n va ac th si ĐẠI HỌC QUỐC GIA HÀ NỘI KHOA QUẢN TRỊ VÀ KINH DOANH - NGUYỄN HẢI ANH lu an Just culture practice in the aviation industry: recommendations for va n vietnam airlines gh tn to p ie THỰC HIỆN VĂN HỐ CHÍNH TRỰC TRONG NGÀNH HÀNG w KHÔNG: MỘT SỐ GỢI Ý CHO HÃNG HÀNG KHÔNG QUỐC d oa nl GIA VIETNAM AIRLINES Mã số: 8340101.01 nf va an lu Chuyên ngành: Quản trị kinh doanh z at nh oi lm ul LUẬN VĂN THẠC SĨ QUẢN TRỊ KINH DOANH z gm @ m co l NGƯỜI HƯỚNG DẪN KHOA HỌC: PGS.TS NGUYỄN NGỌC THẮNG an Lu HÀ NỘI - 2020 n va ac th si DECLARATION The author confirms that the research outcome in the thesis is the result of author‟s independent work during study and research period and it is not yet published in other‟s research and article The other‟s research result and documentation (extraction, table, figure, formula, and other document) used in the thesis are cited properly and the permission (if required) is given The author is responsible in front of the Thesis Assessment lu Committee, Hanoi School of Business and Management, and the laws for an above-mentioned declaration n va p ie gh tn to d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th si TABLE OF CONTENTS LIST OF FIGURES LIST OF TABLES TITTLE CHAPTER 1 Rationale Literature review Research Aim 4 Research Objectives Research Scope Structure of the thesis CHAPTER I: THEORETICAL BACKGROUND an n va 1.2 A Just Culture definition 1.3 Benefits of Just Culture 1.4 Principles of Just Culture Distinguish acceptable and unacceptable behaviors 11 1.6 Just Culture decision tree 13 tn to Safety culture definition gh lu 1.1 1.5 p ie 1.7 Creating and implementing Just Culture 15 w oa nl CHAPTER II: METHODOLOGY 18 Research approach 18 2.2 Data collection 20 d 2.1 an lu Secondary data 20 2.2.2 Primary data: semi-structured interviews 20 ll u nf va 2.2.1 oi m 2.2.3 Interview preparation 21 2.2.4 Sampling 22 z at nh 2.2.5 Pilot test 22 Interview implementation 23 2.4 Method of analysis 23 2.5 Research ethics 24 z 2.3 l gm @ CHAPTER III: JUST CULTURE PRACTICE IN THE AVIATION INDUSTRY 25 m co History of Just Culture in the world aviation industry 25 3.2 Just Culture Practice in the world aviation 26 3.2.1 an Lu 3.1 Legal Aspects 26 n va ac th si 3.2.2 Reporting Policy and Procedures 27 3.2.3 Methods of Reporting 29 3.2.4 Determine roles and responsibilities 33 3.2.5 Developing and Maintaining Just Culture 33 3.3 Just Culture implementation in Vietnam Airlines 35 3.3.1 Vietnam Airlines introduction 35 3.3.2 Just Culture Policy and Documentation in Vietnam Airlines 37 3.3.3 Vietnam Airlines Safety Improvement Indicators 41 CHAPTER IV: RESEARCH FINDINGS AND RECOMMENDATIONS FOR VIETNAM AIRLINES 46 4.1 Research finding - Current situation of applying a Just Culture in Vietnam lu Airlines 46 an 4.1.1 Just Culture relating policies that put by Vietnam Airlines in encouraging va n everyone to raise safety related issues 46 non-punitive 47 gh tn to 4.1.2 Vietnam Airlines has a safety reporting system that is clear confidential and p ie 4.1.3 Vietnam Airlines‟ Just Culture implementation roadmap 48 Recommendations for Vietnam Airlines: A human factor training program 52 The necessity to establish a human factor training program 52 oa nl 4.2.1 w 4.2 Guidelines for establishing a human factor training program 53 4.2.3 Suggestions for human factors training contents 54 4.2.4 Recommendations 62 d 4.2.2 va an lu u nf CONCLUSION 64 Summary 64 Limitations and Direction for further researches 64 ll oi m z at nh REFERENCE 66 APPENDIX 1: INTERVIEW SCHEDULE 72 z m co l gm @ APPENDIX 2: INTERVIEW TRANSCRIPT 73 an Lu n va ac th si LIST OF FIGURES Name of figure Page Figure Safety culture components Figure Just Culture safety behavior definition model 14 Figure Reason‟s Decision Tree for determining the culpability of unsafe 16 acts lu an n va Thematic analysis‟s stages 25 Figure Safety and Quality policy of Vietnam Airlines in 2009 and 2010 38 Figure Safety and Quality Policy of Vietnam Airlines in 2016 39 Figure The „Just Culture line‟ 40 Figure Just Culture of Vietnam Airlines 41 Figure Vietnam Airlines incident rate 2010-2018 42 Figure 10 IATA Operations Safety Audit Results of Vietnam Airlines 43 Figure 11 IATA Operations Safety Audit Certificate of Vietnam Airlines 43 Figure 12 Vietnam Airlines Safety Reporting Statistics 44 Figure 13 Mandatory Occurrence Report to CAAV 45 Figure 14 Vietnam Airlines‟ Just Culture implementation roadmap 49 p ie gh tn to Figure d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th si LIST OF TABLES Name of table Table Page Main features of inductive and deductive approach (Adopted from 20 Sauders et al 2011) Table The main features, advantages and disadvantages of qualitative and 21 quantitative research method (Adopted from Sauders et al 2011) lu Table Different types of interview (adopted from Sauders et al.2011) 23 Table Steps to build a Just Culture Reporting System 33 Table Main ideas to develop and maintain a Just Culture 35 Table The development process of Vietnam Airlines in 2006-2019 38 Table Acceptable & Unacceptable Behaviours 41 an n va p ie gh tn to d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th si TITTLE CHAPTER Rationale Through hundreds year of formation and development, the aviation industry has been considered as one of the most complex, dynamic and safety critical environment As a fact that the aviation history witnesses cases where millions of dollars and people's lives can be costed due to a single unsafe act of individuals (Filn et al., 2000) It could easily be proven by researches and experience that no matter how well-trained or motivated an individual is, due to the physiological, cognitive and sensory limits on the human condition, this individual will end up making errors in analysis or misjudgement of a situation, which finally causes unsafe acts (Reuter 2016) And all this might lead to situations where safety is impaired or perceived to be impaired Leaders in the aviation industry need to accept this lu an and need to be aware that in order to continuously improve their imperfect system and n va need to learn from these “unsafe” events and deviations from the norm to analyze them, and improve on what to and how to As an investigation of the Global Aviation to gh tn Information Network (GAIN) in 2018, by adhering to Just Culture principles, airlines industry members are trying to change that deeply engrained behavior of hiding mistakes ie p and rather, encourage people to actively, honestly report these events without needing to nl w fear undue retribution With the introduction of the Occurrence Reporting Regulation oa 376/2014, the European aviation industry finally received a legally binding definition of d „Just Culture‟ (GAIN, 2018) While obviously, a binding regulation is what really counts, lu an there were several initiatives not only to define what Just Culture is, but also to outline u nf va how it should work The efforts of EUROCONTROL Just Culture Task Force or the Just Culture Declaration - signed by most European Aviation stakeholders on 1st October 2015 ll oi m - are just two of such initiatives (GAIN, 2018) However, regardless of all intentions, most organizations still struggle with the z at nh concept of Just Culture, how to introduce it in their operation system and more importantly, how to make fully use of it The reasons for this are manifold But one of the z gm @ most typical reasons is that, Just Culture requires more than just a regulatory compliance and copy-pasting the definition in the manuals Just Culture requires a far-reaching l paradigm shift, which is a long and challenging journey for airlines to enhance Just Culture m co implementation In Vietnam, Aviation brands gradually realize the importance of a Just an Lu Culture in generating a more effective safety and operational management On May 12th 2018, the CEO of Vietnam Airlines - the most typical Vietnamese airlines brand, Mr n va ac th si Duong Tri Thanh had a session discussing problems relating Just Culture practice; and he also underlined the obligations and responsibilities of aviation stakeholders towards implementing Just Culture in all aspects of the working environment Thus, this thesis will not only try to clarify current situation of Just Culture practice in the aviation industry, but also give some recommendations for Vietnam Airlines in particular Literature review Before the 21st century, very few people had heard about Just culture Currently, almost every organization in the aviation industry has implemented the Just Culture in all their activities Recent findings have suggested that; the Just Culture has become the foundation for safety in the aviation industry (Frazier, 2012) The research “Achieving a safe culture: theory and practice” of Reason (1998) lu an introduced the concept of Just Culture as one of five components of Safety Culture along n va with Informed culture, Reporting Culture, Flexible Culture and Learning Culture This paper considered why it is that an unsafe culture is more likely to be involved in the to gh tn causation of organizational rather than individual accidents And this investigation also concerned with the practical question of whether a safety culture can be engineered It is ie p argued that a safe culture is an Informed Culture and this, in turn, depends upon creating an nl w effective Reporting Culture that is underpinned by a Just Culture in which the line between oa acceptable and unacceptable behavior is clearly drawn and understood d Walulik (2011) with the paper “Just Culture Principles and the Investigation of lu an Air Accidents and Incidents” is one of the most typical air accident investigations The u nf va article discusses the issue of the proper balance between ensuring aviation safety and executing responsibility The article concentrates on Just culture Principles aimed at ll oi m balancing safety and responsibility in aviation This includes a discussion of z at nh EUROCONTROL heritage in this respect and of the implementation of Just principles in Annex 13 to the Chicago Convention, Regulation 966/2010/EU and Polish aviation law z The analysis also focuses on relations between safety investigations and Just Culture @ before concluding some with recommendations for the lawmaker gm l The investigation of McCall, J.R and Pruchnicki, S., (2017) about “Just culture: A m co case study of accountability relationship boundaries influence on safety in highconsequence industries” indicate a barrier to advancing meaningful safety agendas, which an Lu is the desire of many managers to “hold someone accountable” for errors The ac th n va misconception that clear lines of accountability can and exist, and that employees who si cross the line between acceptable and unacceptable behavior should be punished, fails to recognize the different types of accountability relationships negotiated by employees every day Such judgments run counter to the concept and practice of a Just Culture This opaqueness is seen in numerous accidents which reveal the conflicting effects employees in high-consequence industries face as they move between and across these accountability boundaries This germane example is the crash of Swissair Flight 111, near Halifax, Nova Scotia, in 1998 Here we offer dialogue to aid in understanding the influence accountability relationships have on safety, and how employee behavioral expectations shift in accordance The authors proposed that this examination would help redefine accountability boundaries that support a Just Culture within dynamic high-consequence industries Global Aviation Information Network in a report in 2018 also proposed “A lu an Roadmap to a Just Culture: Enhancing the Safety Environment”, which provide some n va preliminary guidance on how to create a just reporting culture and some insights on how to tn to plan the implementation of such a system This report also indicated principles of a Just Culture and benefits of an organization applying a Just Culture Especially, eight steps to gh p ie implement Just Culture in operation and management were introduced, which are legal aspects, (2) Reporting Policy and Procedures; (3) Method of reporting; (4) Determine nl w Roles and Responsibilities, Tasks and Timescale; (5) Develop Reporting Form; (6) d oa Develop Template for Feedback to Potential Users; (7) Develop a Plan for Educating the an lu Users and Implementing the System; (8) Developing and Maintaining the Right Culture The eight-step implementation is developed and applied by a lot of airlines brand u nf va nowadays ll In terms of ground services, a product of Air Transport Safety Institution (2011) in m oi cooperation with the Civil Aviation Authority of the Netherlands named “Just culture and z at nh human factors training in ground service providers”, investigated what elements are required to establish and maintain a Just Culture, and what elements are required to z establish a human factors training program The results of the research on Just Culture @ gm have been tested by means of a practical application of a Just Culture self-audit at six l ground service providers in the Netherlands This may raise ideas of creating and m co implementing a Just Culture self-audit for other players in the aviation market in order to an Lu to manage human errors and promote safe behavior Besides, this report also gave specific recommendations to service providers to improve their Just Culture, a Just Culture audit n ac th va template to be used by ground service providers and auditing organizations si workload that is experienced Airlines staff have to take care that their capacity is not exceeded Should this occur, unsafe conditions are potentially ignored or shortcuts are taken Scheduling of airlines staff should be sufficiently flexible to decrease the workload during peak hours and to compensate for times when no operation and maintenance activities can be performed Otherwise, risks of boredom, fatigue and loss of motivation are introduced It is noticed that this describes an ideal situation in which sufficient resources are available As a practical measure to manage workload, manpower schedules may be developed proactively, taking into account historical data of actual aircraft arrival times This way, standard delays are incorporated in the schedules, making them more efficient lu Workplace distractions and interruptions an Workplace distractions and interruptions may cause a loss of awareness of what is n va happening or may cause a shift or loss of alertness This, in turn, may cause airlines staff to to tn forget to perform certain procedures or process steps Even worse, distractions during ie gh operation and maintenance may result in severe damages or injuries p 4.2.4 Recommendations nl w Based on the suggestions for human factors training contents as provided, with oa regards to the size, needs, local circumstances of Vietnamese aviation industry and d resources available Vietnam Airlines should consider the following recommendations lu an regarding to human factors training: u nf va  Establish a human factor training program tailored to the various target groups (flight crew, cabin crew, engineers, ramp workers…); ll training programs; oi m  Incorporate human factors training in already established safety initiatives and z at nh  Establish obligatory rule to carry out regular medical checks for physical fitness for employees in all positions (particularly eyesight and hearing); z gm @  Standardize the procedures, equipment and communication toward safety goal;  Build up good relationship in workplace so that employees can share their l personal events which might affect work performance m co  Introduce human factors aspects in scheduling of both flight crew and cabin crew; an Lu  Establish a rewarding system for good and safe team performance;  Establish an official way to regularly communicate work-related issues; n va ac th 62 si  Provide sufficient time/overlap for shift handovers;  Include team aspects (e.g group decision making, interpersonal skills) in human factors training;  Establish a mature safety culture which disseminates to the teams;  Provide leadership courses to supervisors;  Establish a code of conduct to respectfully approach colleagues of different cultural or ethnic backgrounds;  Use historical data (actual aircraft departure/arrival time) in scheduling of pilots and pursers lu an n va p ie gh tn to d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th 63 si CONCLUSION Summary In summary, this research project has discussed some of the ways in which the top- down nature of safety management systems may be used to create a Just Culture within organizations in the aviation industry Research data gathered in this paper has considered several aspects of a safety culture in aviation management The research has also suggested some of the strategies for a Just Culture that can be designed and implemented In the aviation industry, safety is regarded as the reduction of overall risk levels Organizations in the aviation industry aim at having the lowest levels of risk In this research paper, Just Culture is a new development in management theory especially in corporate workplaces In the past, workplaces operated under the mutual lu an understanding that employees will not inform or report to authorities, as well as, n va management about situations and conditions that required improvement This research paper has showed that, in some cases, these conditions and situations may be irritating to to gh tn workers However, in other cases, these conditions at the workplace may be actively dangerous to employees and the public Reporting of errors will ensure that they are ie p addressed accordingly and prevented from taking place in the future nl w The researcher has used a semi-structured interview approval by Vietnam Airlines top oa managers and tried to analyze those data to go deep inside the Just Culture and its d characteristics; and use the answers of Vietnam Airlines particpipants as fundamental lu va an materials for discussions and findings Limitations and Direction for further researches u nf ll This study has been investigated under tight control; however, it still has some oi m limitations need to adjusted in the further research Firstly, there is a lack of previous z at nh researches on this subject in Vietnam The reason is that Just Culture is rapidly emerging in aviation organizations; hence, it is quite new topic for researchers While the studies about z the Just Culture in other Western countries are not really well adopted in the Vietnam @ aviation context Secondly, this study has some limits in which the findings can be apply gm Given that, purposive sample technique was utilised for collecting survey sampling in this l m co study some bias may be present in the research results As the author and most of his acquaintances are come from Hanoi – the North of Vietnam, 90% of interview participants an Lu are from Hanoi or the immediate surrounding districts Recognising the culture differences n va ac th 64 si internationally or even within this country, the finding maybe only appropriate for only the North of Vietnam rather than the South of Vietnam or other parts of the world Based on the research finding and above limitations, some recommendations for further research are raised Firstly, the limit about the sample could be solved by applying mixed technique As qualitative data collection methods such as interview or group focus requires a small number of participants, the author is possible of choosing equal participant groups between region Qualitative data collection also effectively help author to understand participant insight more precisely and comprehensively While quantitative techique with questionaire study could help author to collect a large sample in a scale of the whole organization Thus, future research could be undertaken with quantitative methods or mixed method to measure the success of a Just Culture program under the view lu of all organization staffs Secondly, as this research confirms the role of Just Cuture in an enhancing safety culture in an aviation industry, future research is proposed to focus on n va how Vietnam Airlines educates their staff about Just Culture and how effective is human to tn factor training program in building a strong Just Culture in such a big aviation p ie gh organization d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th 65 si REFERENCE Adjekum, D.K., 2014 Safety culture perceptions in a collegiate aviation program: A systematic assessment Journal of Aviation Technology and Engineering, 3(2), p.44 Akselsson, R., Koornneef, F., Stewart, S and Ward, M., 2009 Resilience safety culture in aviation organisations HILAS (Human Integration into the Lifecycle of Aviation Systems) 2009: Chapter 2; draft version Alasuutari, P., Bickman, L and Brannen, J., 2008 The SAGE handbook of social research methods Sage Asia Pacific Just Culture Introduction Best Practices (AAPA Flight Operations & Safety Working Group (FOSWG) 2012) Balk AD, Bossenbroek JW Aircraft ground handling and human factors National lu Aerospace Laboratory NLR, report NLR-CR-2010-125, April 2010 an Balk AD Safety of ground handling National Aerospace Laboratory NLR, report va n NLR-CR-2007-961, 2007 to Balk, A.D., Stroeve, S.H and Bossenbroek, J.W., (2010) Just culture and human factors training in ground service providers [online] NLR Air Transport Safety ie gh tn p Institute Available at: https://www.easa.europa.eu/sites/default/files/dfu/Just-culture- w and-human-factors-training-in-ground-service-providers-NLR-TR-2010-431.pdf oa nl [Accessed 15 Oct 2019] Barnhart, C and Smith, B., 2012 Quantitative problem solving methods in the d Barnsteiner, J and Disch, J., 2012 A Just Culture for nurses and nursing va an lu airline industry Springer Bell, E and Bryman, A., 2007 The ethics of management research: an exploratory ll 10 u nf students Nursing Clinics, 47(3), pp.407-416 m oi content analysis British Journal of Management, 18(1), pp.63-77 z at nh 11 Bell, E and Bryman, A., 2007 The ethics of management research: an exploratory content analysis British Journal of Management, 18(1), pp.63-77 z Bernard, H.R., 2017 Research methods in anthropology: Qualitative and Bernard, H.R., 2017 Research methods in anthropology: Qualitative and quantitative approaches Rowman & Littlefield Bowen, G A., 2009 Document analysis as a qualitative research method Qualitative an Lu 14 m co l 13 gm quantitative approaches Rowman & Littlefield @ 12 research journal,9 (2), 27-40 n va ac th 66 si 15 Boysen, P.G., 2013 Just culture: a foundation for balanced accountability and patient safety Ochsner Journal, 13(3), pp.400-406 16 Braun, V and Clarke, V., 2006 Using thematic analysis in psychology Qualitative Research in Psychology, (2), 77-101 17 Bryman, A and Bell, E., 2015 Business research methods Oxford University Press, USA 18 Chen, C.F and Chen, S.C., 2012 Scale development of safety management system evaluation for the airline industry Accident Analysis & Prevention, 47, pp.177-181 19 Churchill, D (2003) Just Culture in Aviation Safety Management IFATCA/ Professional and the Controller Magazine lu 20 Cooper, M (2000) Towards the Model of Safety Culture 36 111-136 21 d‟Agincourt-Canning, L.G., Kissoon, N., Singal, M and Pitfield, A.F., 2011 an Culture, communication and safety: lessons from the airline industry The Indian va n Journal of Pediatrics, 78(6), pp.703-708 to Dekker, S., 2018 Just culture: restoring trust and accountability in your organization CRC Press ECAST Ground Safety Training Working Group Proposal for a Ground Handling p 23 ie gh tn 22 Eiff, G and Mattson, M., 1998 Moving toward an organizational safety culture SAE oa nl 24 w Training Guideline First edition, 2009 transactions, pp.1310-1327 d Eurocontrol Safety Regulation Commission Establishment of „Just Culture‟ an lu 25 Frankel, A S., Leonard, M W., & Denham, C R., 2006 Fair and Just Culture, team u nf 26 va principles in ATM safety data reporting and assessment Version 1.0, 31 March 2006 ll behavior, and leadership engagement: The tools to achieve high reliability Health m oi services research, 41(4p2), 1690-1709 z at nh 27 Gain Working Group E (2004) A Roadmap To A Just Culture: Enhancing The Safety Environment (1stEd.) Global Aviation Information Network: Flight Ops/ z GAIN Working Group (2004) Implementing the Global Aviation Safety Roadmap gm 28 @ ATC Ops Safety Information Sharing m co l [e-book] International Civil Aviation Organization Available through: International Civil Aviation Organization Gerede, E., 2015 A study of challenges to the success of the safety management an Lu 29 system in aircraft maintenance organizations in Turkey Safety science, 73, pp.106- n va 116 ac th 67 si 30 Glendon, A and Stanton, N (2000).Perspectives on safety culture Safety Science, 34 (1), pp 193 214 31 Global Aviation Information Network (2004) A Roadmap to a Just Culture: Enhancing the Safety Environment (2004) [online] Available at: https://flightsafety.org/files/just_culture.pdf [Accessed 15 Oct 2019] 32 Guldenmund, F., (2000) The nature of safety culture: a review of theory and research Safety Science 34, 215–257 33 Hinthorne, T., 1996 Predatory capitalism, pragmatism, and legal positivism in the airlines industry Strategic Management Journal, 17(4), pp.251-270 34 Holloway, I and Todres, L., 2003 The status of method: flexibility, consistency and coherence Qualitative Research, (3), 345-357 lu an 35 https://www.caa.co.uk/home/ 36 Hudson, P., 2003 Achieving a safety culture for aviation Journal of Aviation va n Management, 2003, pp.27-47 to Hudson, P.T.W., Bryden, R., Vuijk, M., Biela, D and Cowley, C., 2008, January Meeting expectations: A new model for a just and fair culture In SPE International ie gh tn 37 p Conference on Health, Safety, and Environment in Oil and Gas Exploration and w Production Society of Petroleum Engineers ICAO (2016) Annex19: Safety Management (Second Edition) Montreal: ICAO 39 ICAO (2017) Doc 9859: Safety Management Manual (SMM) (4rd Edition) d oa nl 38 an lu Montreal: ICAO Vietnam Aviation Requirements of CAAV Advisory Circular AC- Liao, M.Y., 2015 Safety Culture in commercial aviation: Differences in perspective u nf 40 va 01-003 Preparation of an acceptable safety management system CAAV ll between Chinese and Western pilots Safety science, 79, pp.193-205 m Liou, J.J., Tzeng, G.H and Chang, H.C., 2007 Airline safety measurement using a oi 41 z at nh hybrid model Journal of air transport management, 13(4), pp.243-249 42 Marshall, B., Cardon, P., Poddar, A., & Fontenot, R (2013) Does sample size matter z Marx, D (2001) Patient safety and the “Just Culture”: A Primer for health care gm 43 @ in qualitative research?: A review of m co l executives, Report for Columbia University under a grant provided by the National Heart, Lung and Blood Institute McCall, J.R and Pruchnicki, S., 2017 Just culture: a case study of accountability an Lu 44 relationship boundaries influence on safety in high-consequence industries Safety n va science, 94, pp.143-151 ac th 68 si 45 McCarthy, D and Blumenthal, D., 2006 Stories from the sharp end: case studies in safety improvement The Milbank Quarterly, 84(1), pp.165-200 46 Mearns, K., Flin, R., Fleming, M., & Gordon, R (1997) Human and Organisational Factors in Offshore Safety (Offshore Technology Report OTH 543) London: UK Health and Safety Executive 47 Montijn C, Balk AD ASC-IT – An Aviation Safety Culture Inquiry Tool National Aerospace Laboratory NLR, report NLR- CR-2009-241, January 2010 48 Morgan, G and Smircich, L., 1980 The case for qualitative research Academy of management review, 5(4), pp.491-500 49 Mugenda, O M., 1999 Research methods: Quantitative and qualitative approaches African Centre for Technology Studies lu 50 Neuman, L W., 2002 Social research methods: Qualitative and quantitative an approaches [online] n va 51 Norbjerg P.M (2004) The creation of an Aviation safety reporting culture in Danish Workshop: Legal Impediments, held at EUROCONTROL, Brussels NZ p 52 ie gh tn to Air Traffic Control Paper presented at the Open Reporting and Just Culture CAA Personal correspondence with Max Stevens (and website: observations on safety culture In N McDonald & N Johnston & R Fuller (Eds.), oa nl 53 w http://www.caa.govt.nz/) Applications of Psychology to the Aviation System Aldershot, England: Avebury d an O'Leary, M (1995) Too bad we have to have confidential reporting programmes! O'Leary, Z., 2014 The essential guide to doing your research project Los Angeles: ll 55 oi m SAGE z at nh 56 u nf some va 54 lu Aviation Quick, J.C., 1992 Crafting an organizational culture: Herb's hand at Soutwest Airlines Organizational dynamics, 21(2), pp.45-56 z Reason J Managing the risk of organizational accidents Ashgate, Aldershot, UK, @ 57 Reason, J., 1998 Achieving a safe culture: theory and practice Work & Stress, 12(3), pp.293-306 m co l 58 gm 1997 Regulators: “AGAS and Just Culture” EAM2-GUI 60 Richards, L., 2015 Handling qualitative data : a practical guide [Non-fiction] Los n va Angeles : SAGE, 2015 an Lu 59 ac th 69 si 61 Ritchie, J., Lewis, J., McNaughton Nicholls, C and Ormston, R., 2013 Qualitative research practice : a guide for social science students and researchers [Non-fiction] Los Angeles, California : SAGE, 2013 62 Rodrigues, C and Cusick, S., 2011 Commercial aviation safety 5/e McGraw Hill Professional 63 Rodrigues, C and Cusick, S., 2011 Commercial aviation safety 5/e McGraw Hill Professional 64 Roelen, A.L.C and Klompstra, M.B., 2012 The challenges in defining aviation safety performance indicators Helsinki, Finland PSAM, 11 65 Roelen, A.L.C and Klompstra, M.B., 2012 The challenges in defining aviation safety performance indicators Helsinki, Finland PSAM, 11 lu 66 Ruchlin, H.S., Dubbs, N.L., Callahan, M.A and Fosina, M.J., 2004 The role of an leadership in instilling a culture of safety: lessons from the literature Journal of va n Healthcare Management, 49(1), p.47 to Ruitenberg, B (2001) Accepting Human Error as a Normal Component in Behavior Presentation-Aviation Safety and Juridical Actions, HIAS Symposium, Toulouse: ie gh tn 67 p France Saunders, M N., 2011 Research methods for business students, 5/e Pearson w 68 69 oa nl Education India Saunders, M., Lewis, P., & Thornhill, A (2009) Research methods for business d Shappel, S and Wiegmann, D (2000) The human factors analysis and classification SKYGUIDE (2003) Non-Punitive ATM Safety Occurrence Reporting High Level ll 71 u nf system HFACS va 70 an lu students Pearson education m oi European Action Group for ATM Safety (AGAS), 4th Meeting z at nh 72 Soeters, J L., and Boer, P C (2010) Culture and Flight Safety in Military Aviation The International Journal of Aviation Psychology, 10(2), 111-133 z SRU (2000) EUROCONTROL ESARR Workshops and Guidance to ATM Safety 74 Stirling, J., 2001 Thematic networks: An analytic tool for qualitative research l gm @ 73 Qualitative Research, (3), 385-405 m co 75 Turan, O., Kurt, R.E., Arslan, V., Silvagni, S., Ducci, M., Liston, P., Schraagen, an Lu J.M., Fang, I and Papadakis, G., 2016 Can we learn from aviation: safety n va ac th 70 si enhancements in transport by achieving human orientated resilient shipping environment Transportation research procedia, 14, pp.1669-1678 76 UK CAA (2003) The Mandatory Occurrence Reporting (MOR) Scheme Information and Guidance CAP 382, UK CAA, SIDD, Safety Regulatory Group, West Sussex (available at www.caa.co.uk) 77 Vecchio-Sadus, A.M., 2007 Enhancing safety culture through effective communication Safety Science Monitor, 11(3), pp.1-10 78 Wagner, M (2013) Just Culture Confidential Reporting Guarantees Active Learning 79 Walliman, N., 2011 Your research project: Designing and planning your work 3rd ed London: SAGE lu 80 Walulik, J., 2011 Zasady Just Culture w badaniu wypadków i incydentów lotniczych an (Just Culture Principles and the Investigation of Air Accidents and Incidents) va n Kontrola Państwowa, (6), pp.99-112 to Wang, M.K.H., 2011 Safety Culture and Safety Management Systems–Enhancing the Heartware of Managing Aviation Safety Journal of Aviation Management ie gh tn 81 p 2011, 59 Waring, J.J., 2005 Beyond blame: cultural barriers to medical incident w 82 83 oa nl reporting Social science & medicine, 60(9), pp.1927-1935 Weiner, B.J., Hobgood, C and Lewis, M.A., 2008 The meaning of justice in safety d Wiegmann, D.A., Zhang, H., Von Thaden, T.L., Sharma, G and Gibbons, A.M., va 84 an lu incident reporting Social science & medicine, 66(2), pp.403-413 u nf 2004 Safety culture: An integrative review The International Journal of Aviation ll Psychology, 14(2), pp.117-134 m Xuqun, Y., Ying, L., Xueyun, S and Lanjun, J., 2005 A factor analysis of the oi 85 z at nh evaluation method of safety culture in airlines flight PSYCHOLOGICAL SCIENCESHANGHAI-, 28(4), p.837 z www.vietnamairlines.com m co l gm @ 86 an Lu n va ac th 71 si APPENDIX 1: INTERVIEW SCHEDULE Thank the interviewee for participating Introduce the author and the project Answer any questions they may have prior to interview Ask for permission to record Emphasize the anonymous nature of research Remind they can stop and withdraw at any time General questions - Tell me about when you started your job at Vietnam Airlines and how it has grown to date lu an va - To which extent you would know about Just Culture? - To which extent you classify Vietnam Airlines as a good Just-Culture business? - If you class your business as a good Just-Culture business, to which extent your n business can maintain and strengthen Just Culture? to In-depth questions gh tn ie Policies encourage people to o raise safety-related issues p 1) How affective those Just-Culture-relating policies that put by Vietnam Airlines in nl w encouraging everyone to raise safety-related issues? oa 2) Have these been recognized by everyone that small proportion of unsafe acts were d indeed intentional and reckless and warrant punishment, but that the large majority lu va an of such acts are not intentional and should not attract punishment? u nf A confidential and non-punitive safety reporting system ll 3) Did Vietnam Airlines have a safety reporting system that is clear confidential and oi m non-punitive? process to handle these reports? z at nh 4) Which departments take responsibility to handle these reports? Indicate clearly the z @ A Just-culture implementation roadmap gm 5) Did Vietnam Airlines have a clear roadmap to implement and maintain Just Culture m co l in the long term? If have, please introduce Vietnam Airlines roadmap to implement Just-Culture an Lu 6) Defined potential obstacles to achieve a Just Culture at Vietnam Airlines n va ac th 72 si APPENDIX 2: INTERVIEW TRANSCRIPT Thank them for participation Introduce yourself and the project Answer any questions they may have prior to interview Ask for permission to record Emphasize the anonymous nature of research Remind they can stop and withdraw at any time General questions: - Tell me about when you started your job at Vietnam Airlines and how it has grown to date I worked as a member of human resource department at Vietnam Airlines 10 years ago and lu an now I am among the top management of Safety - Quality Department va n - To which extent you would know about Just Culture? to tn A “Just Culture” refers to a way of safety thinking that promotes a questioning attitude, is ie gh resistant to complacency, is committed to excellence, and fosters both personal p accountability and corporate self-regulation in safety matters nl w In my opinion, Just Culture is very important to build a strong aviation business in a long oa term because as a Just Culture supports learning from all safety events in order to improve d the level of safety awareness through improved recognition of safety situation and helps lu va an develop conscious articilation and sharing of safety ll u nf - To which extent you classify Vietnam Airlines as a good Just-Culture business? m The CEO of Vietnam Airlines, Mr Duong Tri Thanh has presented his idea of building a oi Just Culture in his organization, in which the Just Culture line is indicated as the balance z at nh between “blame-free culture” and punitive culture Behaviour definitions and implementation guide of Just Culture issued by the President & CEO is attached to the z @ Decision No 205/QD-TCTHK-ATCL dated February 25, 2019 with scope of application l gm in all activities of Vietnam Airlines; and subjects of application are all Employees, Departments/Divisions of Vietnam Airlines m co We have also built a road map to implement and maintain Just Culture, which require the an Lu participation of all departments in the company So I think we are on the way to become a good Just-Culture business n va ac th 73 si In-depth questions Policies encourage people to raise safety-related issues 1) How affective those Just-Culture-relating policies that put by Vietnam Airlines in encouraging everyone to raise safety-related issues?” It is significant that reporting or making policies that encourage everyone in the aviation industry to raise safety and report about safety issues should be prioritized Thus, I believe that Just-Culture-relating policies that put by Vietnam Airlines in encouraging everyone to raise safety-related issues 2) Did this recognize by everyone that small proportion of unsafe acts were indeed intentional and reckless and warrant punishment, but that the large majority of such acts are not intentional and should not attract punishment? lu an Departments such as the air traffic control, pilots or vehicle drivers are legally bound to n va report any occurrence or incident Several task forces have been created within the aviation industry Most of these tasks forces have found out that punishing air traffic controllers and to gh tn pilots with fines or suspending their licenses might have led to a reduction in the reporting of incidents and sharing of safety information Different tasks forces have recognized the ie p need for an active culture that encourages honest reporting and one that has not yet been reconciled with the legislative powers or the judicial system Thus, the CEO of Vietnam w oa nl Airlines, Mr Duong Tri Thanh has presented his idea of building a Just Culture in his d organization, in which the Just Culture line is indicated as the balance between “blame-free an lu culture” and punitive culture The shift from the traditional “Blame Culture” to a more u nf va constructive “Just Culture” can be expected to have tangible benefits that will contribute positively to the overall safety culture of an organization ll oi m A confidential and non-punitive safety reporting system punitive? z at nh 3) Did Vietnam Airlines have a safety reporting system that is clear confidential and non- z Vietnam Airlines has had a safety reporting system only because it is required by law The @ current Vietnam Airlines safety reporting process is cumbersome and that Operations gm personnel may be more willing to report if the process was simplified by the m co l implementation of an electronic, web‐ based, lodgment system 4) Which departments take responsibility to handle these reports? Indicate clearly the an Lu process to handle these reports? n va ac th 74 si Safety-Quality Department of Vietnam Airlines take responsibility to handle these reports They evaluate the occurrences, follow-up on open reports; disseminate occurrence information through a range of publications; record reports in a database (names and addresses of individuals are never recorded in the database); monitor incoming reports and store data to identify hazards/potential hazards; and carry out searches and analyzes in response to requests within the Vietnam Airlines and industry Confidential reports are directed to and reviewed by the Head of SQD, who initiates a dis-identified record The Head of SQD contacts the reporter to acknowledge receipt and to discuss further; after discussions the report is destroyed; and the record is be processed as an occurrence, but annotated as confidential (only accessible by restricted users) A Just-culture implementation roadmap lu an 5) Did Vietnam Airlines have a clear roadmap to implement and maintain Just Culture in va the long term? If have, please introduce Vietnam Airlines roadmap to implement Just- n Culture to gh tn Vietnam Airlines‟ Just Culture implementation roadmap can be simplified as the fivephase circle process Phase 1: Effects of Just Culture implemented p - ie - Phase 2: Analytics of results & review of Just Culture definitions and evaluation w oa nl procerdure Phase 3: Clearly defined Just Culture definitions and expectations - Phase 4: Clearly defined Just Culture Implementation procedure - Phase 5: Implemenation phase d - u nf va an lu 6) Potential obstacles to achieve a Just Culture at Vietnam Airlines can be discovered: ll Changes to the legal framework that support reporting of incidents: For oi m - Vietnam Airlines, one of the main challenges of developing a Just Culture will be z at nh to change the legislation, especially because the changes are counter to societal expectations z Internal resistance: as one of the most senior and largest aviation organization gm @ - on Vietnam, Vietnam Airlines will experience difficulties persuading senior l management of the need for creating a Just Culture and to commit adequate m co resources Choosing the right reporting system: Due to the low current number of reports an Lu - across the organization, Vietnam Airlines may need to survey the needs of n va ac th 75 si potential users to better understand which reporting method would be best accepted Determining “champions”: this requires conscious and real commitment from - Vietnam Airlines‟s Management and staff, as having sufficient resources and having the right people who are well liked, well known and respected in the company may prove to be difficult - Designing the perfect reporting form: Reporting forms may be standardized among other airlines may not the best fit for Vietnam Airlines - Educating the users with regard to the changes and motives of the new system: This maybe difficult in a large organization with many subsidiaries like Vietnam Airlines, where information about the system may not be discriminated lu to a wide enough audience and a deep enough level within the organization an - Methods for developing and maintaining a Just Culture: It takes time and va n persistence to try and change safety attitudes, and maintaining motivation to already projected this to be a 10 year endeavour, not a short term issue p ie gh tn throughout the organization can be a challeges CEO of Vietnam Airlines has d oa nl w ll u nf va an lu oi m z at nh z m co l gm @ an Lu n va ac th 76 si

Ngày đăng: 24/07/2023, 09:44

Tài liệu cùng người dùng

Tài liệu liên quan