Swiss Cheese Slices

Swiss Cheese Slices

swiss cheese

  1. Management decision to implement operation without adequate risk analysis.
  2. Organisational ‘risk-accepting’ culture.
  3. Lack of training, supervision and mentoring.
  4. Lack of current weather information.
  5. Poor route selection.
  6. Night flying during circadian low.
  7. Inadequate CO monitoring equipment.