Company officer ch19 Flashcards
CRM is based off of what incident?
1978 crash of a DC8 aircraft.
CRM is what?
A behavioral approach to reducing human error in high risk consequence activities.
Who developed CRM?
Nasa in 1979.
What are 5 steps to create a safety culture? pg 387
Provide honest sharing of safety info w/o reprisal from supervisors
adopt a nonpunitive policy towards errors
Take actions to reduce errors in the system
Train in avoidance and detection
Train in evaluating situations, error avoidance, managing safety process
What is CRM designed to do?
Train team members how to achieve maximum mission effectiveness in a time constrained environment under stress.
What are Gordon Dupont’s Dirty Dozen? pg 387
lack of assertiveness lack of awareness lack of communication lack of knowledge lack of resources lack of teamwork complacency distraction fatigue norms pressure stress
Dr James Reason’s evaluated what in the error making process?
Systems errors
The swiss cheese theory is based on what?
the presence of a hole in one defensive layer not creating a bad outcome but when all the holes align a bad or catastrophic outcome becomes more likkely.
What is the difference between active and Latent conditions?
Active- people committed the acts
Latent- inevitable system issues
CRM is an error based model that incorporates 3 items? pg 388
Avoidance
entrapment
mitigation
What are the 6 areas of CRM?
Communication Teamwork Task allocation critical decision making situational awareness Debriefing
Define communication?
The successful transfer and understanding of a though from one person to another.
What are the 2 keys in reducing errors from communication?
appropriate assertive behavior
developing a standard language
What is the 1st indication of a communication error?
a discrepancy between what is going on and what should be occuring.
Define Inquiry?
the process of questioning a situation that causes concern.