Beruflich Dokumente
Kultur Dokumente
Classification System
(HFACS)
Organizational
Factors
Unsafe
Supervision
Pre-
Conditions
for
Unsafe
Acts
Unsafe
Acts
Swiss Cheese Model
UNSAFE
ACTS
Errors Violations
Unsaf
e
Acts
PRECONDITIONS
FOR
UNSAFE ACTS
Substandard Substandard
Conditions of Practices of
Operators Operators
Preconditions
for
Unsafe Acts
Unsafe
Acts
UNSAFE
SUPERVISION
Unforeseen Known
Unsafe
Supervision
Preconditions
for
Unsafe Acts
Unsafe
Acts
ORGANIZATIONAL
INFLUENCES
Organizational
Influences
Unsafe
Supervision
Preconditions
for
Unsafe Acts
Unsafe
Acts
Human Factors Analysis
Provides More than just an
Accident Investigation Tool
Organizational
Factors
Opportunity for
Pro-active Action
Unsafe
Supervision by Management
Preconditions
for
Unsafe Acts
Unsafe
Acts
Failures in your
System’s Defenses