Safety Wise Solutions_ICAM.pdf - MIRMgate

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Errors are like mosquitoes You can swat them one by one, but they still keep coming (adapted from Reason, 1990)
It’s best to drain the swamps in which they breed inadequate training poor design conflicting goals inadequate procedures (adapted from Reason, 1990)
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 and 10: Did somebody screw up The role of
Page 11 and 12: A Structured Framework Like sorting
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 32 and 33: The bottom line of safety In a comp

Safety Wise Solutions_ICAM.pdf - MIRMgate

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