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