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Example Safety Management System Gap Analysis
Example Safety Management System Gap Analysis
CA 140-02 01 DECEMBER 2014 Page 1 of 10
Section/division
RISK, QUALITY & COMPLIANCE
Form Number: CA 140-02
SAFETY MANAGEMENT SYSTEM GAP ANALYSIS
SAFETY MANAGEMENT SYSTEM GAP ANALYSIS TEMPLATE
Component 1 Safety Policy and Objectives
Element 1.1 Management Commitment and Responsibility
No.
Aspect to be analysed or question to be
answered
Answer
Indicate
Status of
implementation
Target
Date
Reference
Document
Action Required
1.1-1 Is there a safety policy in place
Yes
No
Partially
1.1-2
Does the safety policy reflect senior managements
commitment regarding safety management
Yes
No
Partially
1.1-3
Is the safety policy appropriate to the size, nature and
complexity of the organisation
Yes
No
Partially
1.1-4 Is the safety policy relevant to aviation safety
Yes
No
Partially
1.1-5
Has the safety policy been signed by the accountable
executive
Yes
No
Partially
1.1-6
Has the safety policy been communicated, with visible
endorsement, throughout the organisation
Yes
No
Partially
Yes
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