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                                              Management Commitment and Leadership         45


                            Supervisors look to the actions of their bosses for clues to determine what
                            is really considered important. What questions is the boss asking? Which
                            objectives does the boss support with his or her personal time? What sub-
                            jects does the boss discuss during performance reviews? These are the ini-
                            tiatives that will be given priority by subordinates. Requests that are simply
                            communicated by memorandum with no other visible management support
                            are likely to receive minimum attention from the supervisor stretched to his
                            or her limits.
                               In an environment where supervisors are looking to superiors for clues
                            to guide priority setting, management leadership and decisions have a pow-
                            erful influence in shaping what is perceived as important. Decisions that
                            skew the allocation of resources or rewards toward any one of the organiza-
                            tion’s key objectives can create conflicts. The remaining objectives, includ-
                            ing incident prevention, become more difficult to achieve. In many cases the
                            perceived necessity for special focus on only a portion of an organization’s
                            objectives may be driven by powerful external pressures—for example, the
                            special need for cost control during industry down cycles. However, man-
                            agement must realize the potential pitfalls of decisions that provide support
                            to a select few key performance areas while in effect neglecting the others.
                               America’s space program provides ample material for case studies on
                            the effects of management decisions and leadership on safety performance.
                            The impact of misguided decisions is illustrated by the work to expedite the
                            initial Apollo mission. During preparation for Apollo 1, an environment de-
                            veloped where intelligent individuals rationalized a dependence upon luck
                            to prevent serious incidents rather than diligent execution of the work re-
                            quired to be successful. Astronauts Alan Shepard and Deke Slayton con-
                            tribute many of the misguided decisions to pressure from NASA’s ultimate
                                                        9
                            boss, President Lyndon Johnson. Widespread unrest during 1966 regarding
                            the Vietnam War and other issues had President Johnson anxious to focus
                            the country’s attention on a success story. Johnson’s communications to
                            NASA were forceful in his desire for the initial Apollo mission to fly on or
                            ahead of the February 1967 scheduled launch date.
                               Apollo 1 was a complicated spacecraft with thousands of systems that
                            needed to work perfectly for the mission to succeed. Like earlier capsules,
                            the Apollo craft was equipped with a pressurization system to ensure an in-
                            terior free of contaminants. The use of pure oxygen to pressurize the cap-
                            sule was a design compromise made years earlier by the space
                            administration.  An inherently safer nitrogen-oxygen mixture, similar to
                            breathing air, had been vetoed primarily because the extra containers added
                            weight and complexity to the craft.
                               Numerous failures had plagued the Apollo program—a primary reason
                            the Apollo team was behind schedule. Though it was understood that pure
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