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The Nimrod Review - Official Documents

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Chapter 13 – Cuts, Change, Dilution and Distraction (1998-2006)<br />

of equipment safety. This will best be prosecuted by the appointment of a 2* champion empowered by<br />

the DESB”. 46 Commenting on the creation of DASC, Advantage said: “This initiative brings much closer<br />

together the various components of air safety but does little, if anything, to move air safety closer in process,<br />

procedure or organisation to the rest of the MoD safety world”. 47 <strong>The</strong> following criticisms and observations<br />

by Advantage of the MOD airworthiness regime at the time are particularly relevant and noteworthy:<br />

13.130.1 “IPTs do not believe that they get a sufficiently authoritative or sufficiently early view of who<br />

needs to do what, and when it needs to be done, with regard to safety management.” (Major<br />

Findings, page 4)<br />

13.130.2 <strong>The</strong> IPTs, Operators and Maintainers of equipments and platforms in many cases have separate<br />

Safety Management Systems which are sometimes disconnected and inconsistent.” (Major<br />

Findings, page 4)<br />

13.130.3 “Responsibilities for Safety Management are not clear through-life.” (Major Findings, page 4)<br />

13.130.4 Section 2.2 of the report referred to the importance of separating the assurance functions from<br />

the ensurance functions in order to maintain the impartiality and credibility of the assurance<br />

provided. It was noted that “there is an inconsistent approach to this separation of assurance<br />

and ensurance, and that this is further muddied by an unclear separation between advice and<br />

assurance in some areas. <strong>The</strong>se inconsistencies appear to be largely resource driven – by both<br />

lack of and availability of resource – and this leads to different approaches being taken to,<br />

for example, the use of Independent Safety Assurance (ISA). <strong>The</strong>se differences are manifested<br />

in different degrees of independence and also various interpretations of the “A” as meaning<br />

advisors, assessors, assurers, auditors and also in different degrees of mandation of an ISA.<br />

Taken together, these inconsistencies reduce the value of the assurance given to FSBs and the<br />

DESB.” (paragraph 2.2.2)<br />

13.130.5 Advantage thus recommended that a clear policy on the role and use of ISAs should be identified.<br />

(paragraph 2.2.3)<br />

By 2005 airworthiness regime convoluted, confused and ‘seemingly dysfunctional’<br />

13.131<br />

13.132<br />

In its Joint <strong>Review</strong> of Airworthiness dated 10 January 2005, DASC itself reported:<br />

“<strong>The</strong> MoDs aviation organisation is complex and as a result of successive organisational<br />

changes (including increasing industrial involvement) the overlying structure of<br />

airworthiness regulations and delegation of responsibility has become convoluted, is easily<br />

misunderstood and displays a number of weaknesses.”<br />

It was pointed out that there were now many departments developing aviation regulations, policy and advice<br />

and “the airworthiness regime is open to misunderstanding in terms of “who is responsible for what?” unless<br />

one has intimate knowledge of the subject”. 49 With admirable honesty, the DASC report concluded:<br />

LOD chain confused<br />

13.133<br />

“As has been established, the overall picture of the airworthiness regime is perceived as<br />

one of a wide range of interconnected agencies presenting a confusing and seemingly<br />

dysfunctional whole”.<br />

<strong>The</strong> lines of airworthiness delegation were no longer clear following the creation of the DLO. At one stage,<br />

DG ES(Air) had LODs from the three Service Chiefs to delegate that authority from them to him to set the<br />

policy and regulations across all military aircraft. Figure 13.5 is a rough diagrammatic estimation of the<br />

position as it is recalled to have been.<br />

46 Ibid, Summary, paragraph 10.<br />

47 Ibid, paragraph 2.4.5.1.<br />

48 Joint <strong>Review</strong> of Airworthiness by DASC dated 10 January 2005, DASC/5/8/9, paragraph 26.<br />

49 George Baber’s written statement to the <strong>Review</strong> of 11 June 2009.<br />

48<br />

387

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