Page 28 - HFACS Flipbook Holcim v 1.2
P. 28
Operational Process
● Were there written policies/procedures that addressed
the work processes related to the event? (Were these
appropriate and current? Were they consistent with
external guidelines or other internal policies? Were they
clear and readily available to staff? How were they
disseminated?)
● Did management have an audit or quality control system
to inform them of how key processes related to
the event was functioning? (Was leadership engaged?
Did leadership have an appreciation of operational risks?
Was there a management plan for addressing risk and
assigning responsibility for risk?) or is the relationship
more adversarial/ strained?)
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