Safety Wise Solutions_ICAM.pdf - MIRMgate

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Shared Responsibility The Workforce • Participate in the events • Bend & break the rules of the events • Try to complete the events The Organisation • Prepares the venue • Sponsors the participants • Sets the rules of the events • Manages the events • Adjudicates the events • Sets the goals of the events
A Structured Framework Like sorting the deck into suits ORGANISATIONAL FACTORS TASK / ENVIRONMENTAL CONDITIONS INDIVIDUAL / TEAM ACTIONS ABSENT OR FAILED DEFENCES
Page 1 and 2: Systemic Incident Investigation Ann
Page 3 and 4: Today’s Operating Environment Max
Page 5 and 6: Tools for a safe system Management
Page 7 and 8: Consequence based usage Frequency C
Page 9: Did somebody screw up The role of
Page 13 and 14: ICAM and risk management ICAM Model
Page 15: Truck Into Swamp Case Study
Page 18 and 19: Incident Summary • At 0715 hours,
Page 20 and 21: Descriptive level outcome Cause 1.
Page 22 and 23: Compliance level outcome Cause The
Page 24 and 25: Team / individual actions Maintenan
Page 26 and 27: Organisational factors • CM No ma
Page 28 and 29: Recommended corrective actions 5. C
Page 30 and 31: Errors are like mosquitoes You can
Page 32 and 33: The bottom line of safety In a comp

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