TSB Transportation Safety Summit
Safety Culture, the “Just Culture”
Larry Lachance
Vice President, Safety and Quality, NAV CANADA
Ottawa, Ontario, 21 April, 2016
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Slide 2: What is Just Culture?
An approach to removing barriers to self-reporting occurrences or fully reporting the circumstances of the occurrence
Ultimate goal is reduction in safety risks
Slide 3: The fundamentals
Top Leaders are the believers
Nobody wakes up in the morning to look stupid
You won't succeed by imposing
Slide 4: The “Ha-Ha” moments story
Managers felt they were loosing their “authority” to properly manage
The Unions were demanding total “immunity”
The employees felt they were always “targeted”
Unacceptable Behaviour vs Blameless Unsafe Act
Slide 5: The “scary” part
Sudden significant increase in events
Outside perception in a sensitive Safety environment
Inside perception of Executives and Board members
We just didn't know the scope of the problem…
Slide 6: Occasion
Mobilization of the Organization
Building the corrective action plan
The buy in by operational employees and Unions leaders
Working on the precursors instead of the potential more severe events
The results…
Slide 7: The results…
Rate pf IFR-IFR Losses of Seperation per 100,000 Movements over 5 Year Moving Average Chart showing a decline
Slide 8: Thank you
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