You Can’t Escalate What You Don’t Recognize: A Safety Gap in Part 145 Organizations

Escalation is widely recognized as essential to safety. Yet many safety events reveal the same pattern: escalation happened too late—or not at all. The common assumption is that someone chose not to escalate. More often, the reality is simpler and more concerning: the individual didn’t recognize they were at a decision point that required escalation.
Aviation technician inspecting aircraft engine under time pressure with decision-making graphics overlay

Escalation is treated as a safety-critical behavior in every Part 145 operation. Yet event reviews keep finding the same pattern: escalation came too late, or it didn’t come at all.

The default explanation is that someone chose not to escalate. The honest one is harder. The person on the floor never recognized they were standing at a decision point that required it.

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