Aircraft Maintenance Technology - 62

SYSTEMIC ISSUES

Dr. Marc Szepan
is a Lecturer at the
University of Oxford
Saïd Business School.
Previously, he was a
senior executive at Lufthansa. His
primary professional experience
has been in leading technical
and digital aviation businesses
based in Europe, Asia and the
U.S. He received his doctorate
from the University of Oxford.

However, due to the inherent nature of
systemic problems, it is unlikely that safety
or quality issues are confined to a single
domain within a larger organization. This
is particularly applicable to multi-divisional,
multi-site or multi-product businesses. For
example, in the case of a multi-site MRO with
one group-wide organizational culture and
process architecture, how likely is it that
occurrences of foreign objects left behind in
fuel tanks are limited to a single site? Or, in
the case of a multi-product OEM with shared
engineering resources and incentive system,

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Total (Sum of 15f and g)

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0

3,647

3,747

0
17,307

0
17,089

9,024

9,229

0

0

0

0

603

45

9,627

9,274

26,934

26,363

385

369

27,319

26,732

64.26%

64.82%

16 Electronic Copy Circulation
a.

4,315

7,069

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21,622

24,158

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Total Requested Copy Distribution Distribution(Line 15f) + Requested/Paid Electronic Copies

Requested and Paid Electronic Copies

31,249

33,432

69.19%

72.26%

(Line 16a)
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Percent Paid an/dor Requested Circulaltion (Both Print & Electronic Copies)
(16b diveded by 16c x 100)
x

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Oct-20
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Debbie Dumke, Sr Audience Development Manager

9/15/20

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how likely is it that systemic design approach
deficiencies are limited to a single product?
When addressing systemic safety and
quality issues, aviation businesses would be
well-advised to open the aperture of their
efforts as widely as possible and not fall victim to a potentially gravely consequential
"single division, single site, single product
only" fallacy.

4. Assessment - Develop clear
criteria for assessing success.
Recognition of successful resolution of systemic problems is as important as recognition
of such systemic problems in the first place.
Organizations that have acknowledged
and have initiated action to correct systemic
problems need to have a clear definition of
success. There should be clear and auditable
criteria for assessing if a given problem has
been fixed for good. In the case of aviation
businesses that are subject to regulatory certification and oversight, at a minimum, such
criteria are driven by compliance with regulatory standards and requirements. Of course,
any aviation business can decide to set the
bar against which its measures its safety and
quality performance to a level higher than
mandated by regulatory requirements.
To invoke an aviation analogy, recognition that one has cleared hazardous weather
and can safely return to one's planned flight
path is as important as detecting and avoiding hazardous weather in the first place.
Such determination is best based on clearly
defined, data-driven criteria rather than on
improvised, ad-hoc hunches.

Avoidance of Adverse
Consequences
Correcting systemic safety and quality issues
can be one of the most challenging leadership endeavors. Failure to address systemic
safety and quality problems with the right
sense of urgency and level of resource dedication can result in grave moral, reputational
and financial consequences. The Four A's for
addressing systemic safety and quality issues
outlined above are intended to be a potentially helpful tool for leaders of aviation and
other safety-critical businesses to avoid these
consequences.

PS Form 3526-R, July 2014

#

62

OCTOBER 2020	

AIRCRAFT MAINTENANCE TECHNOLOGY



Aircraft Maintenance Technology

Table of Contents for the Digital Edition of Aircraft Maintenance Technology

Editor's Takeoff: The Young and the Restless
Industry Inspection
40 Under 40, Who Made the Cut?
Keeping Sharp on Blade Maintenance
Protect Others, Protect Yourself
Nimble at 65
Flightdocs' Journey Lands at ATP
How to Address Systemic Safety and Quality Issues
Professionalism: Owning Your Impact
ARSA: Maintenance Professionals Share Career Stories
Advertiser's Index
Shop Talk: Maintenance Records, or Lack There Of
Aircraft Maintenance Technology - 1
Aircraft Maintenance Technology - 2
Aircraft Maintenance Technology - 3
Aircraft Maintenance Technology - Editor's Takeoff: The Young and the Restless
Aircraft Maintenance Technology - 5
Aircraft Maintenance Technology - 6
Aircraft Maintenance Technology - 7
Aircraft Maintenance Technology - Industry Inspection
Aircraft Maintenance Technology - 9
Aircraft Maintenance Technology - 40 Under 40, Who Made the Cut?
Aircraft Maintenance Technology - 11
Aircraft Maintenance Technology - 12
Aircraft Maintenance Technology - 13
Aircraft Maintenance Technology - 14
Aircraft Maintenance Technology - 15
Aircraft Maintenance Technology - 16
Aircraft Maintenance Technology - 17
Aircraft Maintenance Technology - 18
Aircraft Maintenance Technology - 19
Aircraft Maintenance Technology - 20
Aircraft Maintenance Technology - 21
Aircraft Maintenance Technology - 22
Aircraft Maintenance Technology - 23
Aircraft Maintenance Technology - 24
Aircraft Maintenance Technology - 25
Aircraft Maintenance Technology - 26
Aircraft Maintenance Technology - 27
Aircraft Maintenance Technology - 28
Aircraft Maintenance Technology - 29
Aircraft Maintenance Technology - 30
Aircraft Maintenance Technology - 31
Aircraft Maintenance Technology - 32
Aircraft Maintenance Technology - 33
Aircraft Maintenance Technology - 34
Aircraft Maintenance Technology - 35
Aircraft Maintenance Technology - Keeping Sharp on Blade Maintenance
Aircraft Maintenance Technology - 37
Aircraft Maintenance Technology - 38
Aircraft Maintenance Technology - 39
Aircraft Maintenance Technology - 40
Aircraft Maintenance Technology - 41
Aircraft Maintenance Technology - Protect Others, Protect Yourself
Aircraft Maintenance Technology - 43
Aircraft Maintenance Technology - 44
Aircraft Maintenance Technology - 45
Aircraft Maintenance Technology - 46
Aircraft Maintenance Technology - 47
Aircraft Maintenance Technology - Nimble at 65
Aircraft Maintenance Technology - 49
Aircraft Maintenance Technology - 50
Aircraft Maintenance Technology - 51
Aircraft Maintenance Technology - 52
Aircraft Maintenance Technology - 53
Aircraft Maintenance Technology - Flightdocs' Journey Lands at ATP
Aircraft Maintenance Technology - 55
Aircraft Maintenance Technology - 56
Aircraft Maintenance Technology - 57
Aircraft Maintenance Technology - 58
Aircraft Maintenance Technology - 59
Aircraft Maintenance Technology - How to Address Systemic Safety and Quality Issues
Aircraft Maintenance Technology - 61
Aircraft Maintenance Technology - 62
Aircraft Maintenance Technology - Professionalism: Owning Your Impact
Aircraft Maintenance Technology - ARSA: Maintenance Professionals Share Career Stories
Aircraft Maintenance Technology - Advertiser's Index
Aircraft Maintenance Technology - Shop Talk: Maintenance Records, or Lack There Of
Aircraft Maintenance Technology - 67
Aircraft Maintenance Technology - 68
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