| Pillar | Sample Focus Questions |
|---|---|
| Leadership | Do leaders model high-reliability mindsets? Is decision latency adding risk? |
| Culture | How freely does bad news travel? Are near-misses investigated or ignored? |
| Management System | Are procedures, MOC, and work controls aligned and followed? |
| Operational Feedback | Are KPIs and learning loops calibrated to reality or wishful thinking? |
Detailed Gap‑to‑Excellence Matrix aligned to HRO principles
Priority Action Plan with ROI and risk‑reduction estimates
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