Whenever I think about Routine and Situational violations, my mind goes back to my childhood days when Life cereal came out. The commercial involved two older kids talking about the cereal, and neither wanted to try it. And there sat little Mikey, so they pushed the bowl over to Mikey and said, “let’s get Mikey […]
In his 2018 book, Risk-Based Thinking – Managing the Uncertainty of Human Error in Operations, Muschara has a passage that hits a home run in how human error is viewed in American society and why this view of human error is so difficult to break through… (p.39)
We have all heard the story of the three little pigs and their construction decisions impacting their futures. It is a sad fable that needs to be told often and even to adults who do not understand “latent failures”! But in this article, I want to have you think about three (3) mountains an organization
I am betting most everyone has heard the old phrase, “that’s an accident waiting to happen.” My brother (also a safety engineer) and I have pondered whether our father, who used that phrase often, influenced our career choices more than we had ever imagined. But how many safety professionals understand what this phrase is saying?
Think about it… Here are the ten (10) elements of your SMS. Of course, we want all 10 to perform in the bulls-eye, but we know safety is a continuous improvement project that takes years. Which process (Target A or Target B) is more advanced, more capable of achieving the desired results, and the one
We see it just about every day; heck, we even see it with safety people… not properly rolling, lifting, inserting, and holding their hearing protection as they insert them. But noise is a “chronic” hazard and thus far too many workplaces fail to respect it. Unfortunately, in the vast majority of projects, we have completed
How did you spend your Friday night and Saturday? Me? I spent mine helping a client manage a traumatic injury to a new employee with less than 3-weeks on the job. And like most employers, this company truly cares about their employees and honestly wants the best for their employees. This business may be the
Although it may be possible to accept that errors are neither as numerous nor as varied as they might first appear, the idea of a predictable error is a much harder one to swallow. If errors were indeed predictable, we would surely take steps to avoid them. Yet they still occur. So what is a
Assigning probability values to errors is still very much an art form. Nonetheless, there is sufficient general agreement about the likelihood of errors occurring in various generic tasks to put them into sensible rank order. Their main use is to provide benchmarks for the range of error probabilities over different jobs.Here is a list of
Unsafe acts are of two (2) distinct types: Errors and Violations Errors arise from informational problems and fall into three categories:
When we were children, adults frequently told us to stop and think—good advice, but they rarely told us what to think about. I have sought to overcome this omission with the ‘three-bucket’ model described below. This model forms the basis of the mental skills designed to impart error wisdom and risk awareness. The buckets correspond
EPA is proposing to require all facilities with Program 2 and 3 processes to conduct a root cause analysis as part of an incident investigation for an RMP-reportable accident as defined under 40 CFR 68.42. This includes requiring the root cause analysis to include specific elements, requiring the use of a recognized investigation method, and
