We MUST never be too confident of our written SOPs/JSAs. There is a good reason why “Administrative Controls” are down on the Hierarchy of Controls.
When we think our SOPs/Plans are infallible, our workers will show us a thing or two…
And when we investigate adverse events and this leads us to “failure to follow SOP/Training, etc.”, please remember this funny clip, as there may be a very good reason why the SOP was not followed “HOW WE ENVISIONED IT”.
It’s called HUMAN FACTORS for good reason.