Operational risk management Flashcards
Mitigation of Risk
Anticipate
Recognize
Recover
Hazard
Equipment damage or misuse
Fatigue
Improper procedures
Threat
An occurrence beyond crew control
External factors
Risk
Future impact if not controlled or eliminated
CRM
Identify Risks
Mitigate and reduce to extent possible
Use all available resources
Communicate effectively
TEM
Threat and Error Management
Plan
Execute
Review evaluate modify
Swiss Cheese Model
Crew Error
Operational
Human
Crew action or inaction
Mismanaged Threat
Deviation
Procedural
Non shared mental model
UAS
Undesired Aircraft State
Result of flight crew
TASK SHARING
APM/PF Active pilot monitoring (Deviation Callouts 1st Priority) Shared Mental Model Task Management - Prioritizing (Stop ECAM Flaps1 Continue ECAM)
Checklists
Don’t skip over, instead …
“Hold checklist at _____”
Or start over
Likelihood ratings
Frequent probable occasional seldom remote
I’m safe checklist
Illness Medication stress alcohol Fatigue eating / emotion
Five step risk based decision making
Defined the problem Get the facts Develop alternatives Decide plan of action Evaluate and assess the decision
ADI
poor CRM
Poor group decision making
Ineffective communication
Inadequate leader ship
Poor task management
Threat based briefing components and order
Threats PM
Plan of action PF
Considerations PF
Clarifications PM
