SMS Flashcards
ICAO Safety Definition?
State in which the risk of harm to persons or property is reduced to, and maintained below, an acceptable level through a continuous process of hazard identification and risk management.
What is safety?
Process of hazard identification and risk management
What were the two goals of original accident investigation?
- Exclusively identify immediate safety concern.
2. Determine what, who, when, then assign blame and punish
What was the drawback to the outdated accident investigation policy?
No in depth analysis of why or how
Quick and dirty root cause analysis?
5 Whys
Why, why, why, why, and why
Regarding safety culture, from least to most desirable, what are the three original types of organizations according according to Wesrum?
- Pathological
- Bureaucratic
- Generative
What are characteristics of pathological org.?
- Shoot the messenger
- Hide info.
- Cover up failure
- Crush new ideas
- Shirk responsibility
- No employee / employer bridging
What are characteristics of a bureaucratic org.?
- Very structured processes
- Lack of flexibility
- Excessive paperwork and meetings
- Sometimes effective
What are characteristics of a generative organization?
- Actively seek info.
- Shared responsibility
- Welcome new ideas
- Continuous eval.
- Employee / employer bridging rewarded
What is the formal name and characteristics of the James Reason’s “Swiss cheese model”?
Organizational Failure Model shows where multiple failures within various levels of an org. align to allow an accident.
The two root causes of an organizational accident are:
- Corp. safety culture
2. Corp. decision making
The two components of an org. accident are:
- Active Failures
2. Latent Failures
An active failure has an __________, ___________ effect.
immediate, adverse
Latent conditions are ___________ or ____________ which are placed in the system by decisions or actions made some distance from the operation. Further, they may remain ____________ for a long time until a ____________ mechanism breaches a system’s defenses.
situations / conditions / dormant / triggering
What are the three factors of a safety issue?
- Technical Factors
- Human Factors
- Org. Factors