CAMO.A.202(a) Internal safety reporting system establishment
As part of its management system, the organisation shall establish an internal safety reporting scheme to enable the collection and evaluation of such occurrences to be reported under point CAMO.A.160.
CAMO.A.202(b) Collection of errors, near misses, hazards
The scheme shall also enable the collection and evaluation of those errors, near misses, and hazards reported internally that do not fall under point (a).
CAMO.A.202(c) Causal analysis
Through this scheme, the organisation shall:
(1) identify the causes of and contributing factors to any errors, near misses, and hazards reported and address them as part of safety risk management in accordance with point (a)(3) of point CAMO.A.200;
(2) ensure evaluation of all known, relevant information relating to errors, the inability to follow procedures, near misses, and hazards, and a method to circulate the information as necessary.
CAMO.A.202(d) Subcontracting organization interface
The organisation shall provide access to its internal safety reporting scheme to any subcontracted organisation.
CAMO.A.202(e) Safety investigations
The organisation shall cooperate on safety investigations with any other organisation having a significant contribution to the safety of its own continuing airworthiness management activities.
AMC1 CAMO.A.202 General
(a) Each internal safety reporting scheme should be confidential and enable and encourage free and frank reporting of any potentially safety-related occurrence, including incidents such as errors or near misses, safety issues and hazards identified. This will be facilitated by the establishment of a just culture.
(b) The internal safety reporting scheme should contain the following elements:
(1) clearly identified aims and objectives with demonstrable corporate commitment;
(2) a just culture policy as part of the safety policy, and related just culture implementation procedures;
(3) a process to:
(i) identify those reports which require further investigation; and
(ii) when so identified, investigate all the causal and contributing factors, including any technical, organisational, managerial, or HF issues, and any other contributing factors related to the occurrence, incident, error or near miss that was identified;
(iii) if adapted to the size and complexity of the organisation, analyse the collective data showing the trends and frequencies of the contributing factor;
(4) appropriate corrective actions based on the findings of investigations;
(5) initial and recurrent training for staff involved in internal investigations;
(6) where relevant, the organisation should cooperate with the owner or operator on occurrence investigations by exchanging relevant information to improve aviation safety.
(c) The internal safety reporting scheme should:
(1) ensure confidentiality to the reporter;
(2) be closed-loop, to ensure that actions are taken internally to address any safety issues and hazards; and
(3) feed into the recurrent training as defined in AMC2 CAMO.A.305(g) whilst maintaining appropriate confidentiality.
(d) Feedback should be given to staff both on an individual and a more general basis to ensure their continued support of the safety reporting scheme.
GM1 CAMO.A.202 General
(a) The overall purpose of the internal safety reporting scheme is to collect information reported by the organisation personnel and use this reported information to improve the level of compliance and safety performance of the organisation. The purpose is not to attribute blame.
(b) The objectives of the scheme are to:
(1) enable an assessment to be made of the safety implications of each relevant incident (errors, near miss), safety issue and hazard reported, including previous similar issues, so that any necessary action can be initiated; and
(2) ensure that knowledge of relevant incidents, safety issues and hazards is shared so that other persons and organisations may learn from them.
(c) The scheme is an essential part of the overall monitoring function and should be complementary to the normal day-to-day procedures and ‘control’ systems; it is not intended to duplicate or supersede any of them. The scheme is a tool to identify those instances in which routine procedures have failed or may fail.
(d) All reports should be retained, as the significance of such reports may only become obvious at a later date.
(e) The collection and analysis of timely, appropriate and accurate data will allow the organisation to react to information that it receives, and apply the necessary action.