Purpose

The ability to learn from previous events in support of preventing future similar events is a valuable attribute of aviation safety systems. A primary constituent of this mechanism is the reporting of incidents and its importance in support of developing learning material. Many regulatory requirements clearly define a structure for the use of learning material through organisational and procedural continuation training programmes. This paper aims to review aviation regulation and practice, highlighting the importance of learning as a key tenet of safety performance.

Design/methodology/approach

Applicable International Civil Aviation Organisation requirements and the European Union (EU) regulation in aircraft maintenance and continuing airworthiness management have been critically reviewed through content analysis.

Findings

This review has identified gaps in the European implementing rules that could be addressed in the future to support a more effective approach to the delivery of lessons in the aircraft maintenance and continuing airworthiness management sector. These include light-touch of learning and guidance requirements, lack of methodologies for the augmentation of safety culture assessment, absence of competence requirements for human factors trainers and lack of guidance on standardised root-cause analyses.

Practical implications

This paper offers aviation safety practitioners working within the European Aviation Safety Agency regulatory regime an insight into important matters affecting the ability to learn from incidents.

Originality/value

This paper evaluates critically and independently the regulation and practice that can affect the ability of EU regulated aircraft maintenance and continuing airworthiness management organisations to learn from incidents. The outputs from this research present a fresh and independent view of organisational practices that, if left unchecked, are capable of impeding the incident learning process.

中文翻译：

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从飞机维修和持续适航事件中学习：法规，实践和差距

目的

从以前的事件中学习以支持防止将来发生类似事件的能力是航空安全系统的宝贵属性。该机制的主要组成部分是事件的报告及其对支持编写学习材料的重要性。许多法规要求明确定义了通过组织和程序继续培训计划使用学习材料的结构。本文旨在回顾航空法规和实践，强调学习作为安全绩效关键原则的重要性。

设计/方法/方法

通过内容分析，对国际民用航空组织的适用要求以及飞机维护和持续适航性管理中的欧盟（EU）法规进行了严格审查。

发现

此次审查发现了欧洲实施细则中的空白，将来可以解决这些空白，以支持在飞机维修和持续适航管理领域提供更有效的方法。这些包括轻触学习和指导要求，缺乏加强安全文化评估的方法，缺乏人为因素培训师的能力要求以及缺乏有关标准化根本原因分析的指导。

实际影响

本文为在欧洲航空安全局监管体系内工作的航空安全从业人员提供了对影响事件学习能力的重要事项的见解。

创意/价值

本文主要和独立地评估可能影响欧盟监管的飞机维修和持续适航性管理组织从事故中学习的能力的法规和实践。这项研究的输出提出了一种组织实践的崭新而独立的观点，如果任其发展，则能够阻碍事件学习过程。