1. Incident Review Meeting 1 [insert title of event]

2. Incident Review Meeting Latent Conditions  [insert conditions present in the system before the accident, made evident by triggering factors] 2

3. Incident Review Meeting Threats  [List the Threats that were realized in the triggering event or events] 3

4. Incident Review Meeting Preventive Defenses  What are the specific mechanisms that should have helped prevent the undesired aircraft state?  Which of these defenses/barriers failed?  Why? What caused the these defenses/barriers to fail? 4

5. Incident Review Meeting Undesired Aircraft States (UAS)  [Describe the Undesired Aircraft State] 5

6. Incident Review Meeting Recovery Defenses  [List the Recovery Defenses that either prevented or failed to prevent the Accident or Incident from occurring]  Explain the specific mechanisms which should have helped recover from the unsafe event?  Which of these failed?  Why? What caused these to fail? 6

7. Incident Review Meeting End States  [insert End States] 7

8. Incident Review Meeting Safety Enhancements  What was learned from this occurrence?  What changes have been or should be made at your airline and in industry? 8

9. Incident Review Meeting Lessons Learned for IRM (Note: this slide will be shared with all IRM attendees)  What should attendees at IRM learn from this occurrence ?  What should attendees at IRM consider changing at their own airline? 9

10. Incident Review Meeting Key Messages for Safety Group (Note: this slide will be shared with all IRM attendees)  What are the key messages that Safety Group should act on? 10

11. Incident Review Meeting 11