Abnormal Situation Management and Human Side of Safety - ASM ...
Abnormal Situation Management and Human Side of Safety - ASM ...
Abnormal Situation Management and Human Side of Safety - ASM ...
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<strong>ASM</strong><br />
Root Cause Analysis Study<br />
Impact by Practice Areas<br />
Effective Operations<br />
Practice Area<br />
Underst<strong>and</strong>ing <strong>Abnormal</strong><br />
<strong>Situation</strong>s<br />
Organization Roles, Resp. &<br />
Work Processes<br />
Knowledge & Skill<br />
Development<br />
% <strong>of</strong><br />
Failures<br />
4%<br />
53%<br />
7%<br />
• Based on a total <strong>of</strong><br />
539 practice<br />
failures across 32<br />
incident reports<br />
Communications 17%<br />
Procedures 8%<br />
Work Environment 1%<br />
Process Monitoring, Ctrl, &<br />
Support Applications<br />
10%<br />
ERTC 15th Annual Meeting<br />
30 November 2010<br />
Istanbul, Turkey<br />
Page 14<br />
Dr. Peter Bullemer<br />
<strong>Human</strong> Centered Solutions<br />
pbullemer@applyHCS.com
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