Aircraft Maintenance Technology

APR-MAY 2018

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of safety, shared desire to know about errors and to prevent reoccurrences, a system to report and investigate events, and a cooperative national aviation authority. The Just Culture policy is usually documented and well understood. Everyone must be "on board" to achieve the just culture. Just Culture programs can be complemented with investigative tools like Boeing's MEDA (Maintenance Error Decision Aide, see article on Page 6) and analytic tools like the Outcome Engenuity Just Culture Algorithm or the Baines Simmons FAiR System. Regulatory programs like the Aviation Safety Reporting System (ASRS), the Aviation Safety Action Program (ASAP), and other voluntary disclosure programs support just culture. With that said, this article is about stories. It is not a Just Culture lecture. JUST CULTURE BEFORE IT WAS COOL A large German engineering company had expanded its MRO around Europe (West and East), into the Americas, and then to Asia, both via organic growth and via acquiring existing MRO facilities. Typically, the German company would rotate executives from the parent company into local management roles. The role would be held for a few years. This story is about the first rotation of a German executive into the Asian work environment. On one of the German executive's first days on the job at a newly acquired MRO facility, there occurred a significant maintenance error. An engineering crew damaged a large engine cowling during removal by using the hangar lift. The damage to the cowling was extensive. All employees fully expected termination of the lift operator, who appeared to be the most responsible party. It was likely that other licensed engineers would also lose their long-time jobs. The new German expatriate executive took the lead on the investigation. There had not been an explicit Just Culture policy since this event preceded popular adoption of such a concept. Immediately, the executive looked at the work environment, how the workers were trained for the engine cowl removal task, the clarity of the procedures, the adequacy of support equipment, and more. He and his team concluded that some aspects of the work environment — procedures, training, human factors approach, The Place To Go For MRO. Pentastar Aviation Setting the Standard VISIT US AT NBAA MAINTENANCE CONFERENCE BOOTH #627 AND FIND OUT ABOUT OUR LATEST CONNECTIVITY SOLUTIONS! No matter what you fly, the expert maintenance and avionics technicians and interior craftsmen at Pentastar Aviation have you covered. PentastarAviation.com/aircraft-maintenance 248-666-8388 mtxsales@pentastaraviation.com ©2018 Pentastar Aviation AviationPros.com/company/10134759 Low-Cost Articulating Video Borescope • 4mm or 6mm Diameter • 1.5m and 3.0m lengths • Built-in 3.5" Monitor • Records Still Images and Video • Full 360˚ joystick Articulation Control • Priced far less than competitive models Model TVSG TITAN Providing Quality Inspection Instruments since 1952 (716) 873-9907 • www.titantoolsupply.com AviationPros.com/company/10135060 www.AviationPros.com 45

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