Doing inspections is a good thing, but if the inspector goes somewhere and has not been told about the relevant risks, the inspector does not know what specific points to inspect. This is particularly the case in the files that I have: there were inspections, but because he was not told there was a major risk, he continued to authorize the company to fly for two years, when there was a significant danger. That is the problem.
On page 21 of your report, you listed 10 of the key hazard areas. Your department has no complaints office. A passenger, a crew member, a ground mechanic, a NAV CANADA staff member or someone working at an airport may observe a danger or a risk relating to a company, and your department has no complaints office. In saying this, I am relying on the documents you provided to us. An inspector is not told there is a risk that he or she should examine more closely in the next inspection. That is problematic.
That is what happened in the cases I referred to. There were official complaints made to a high-ranking employee in your department, and that official did not put them in the file. As a result, your inspector went out and did not see anything. It was not until two and a half years later that you decided to say that what had happened in 2009 was unacceptable, to the point that you withdrew the flight authorization. That is a major error.
Why do you not have a complaints office? That in itself would mean that your inspectors, who test an adequate number of cases, are interviewing the right people to reach the right conclusion from the right information that they have received.