Latent Organizational Failure vs Active Failure (LOPC Event and suspending Operators)
Yes, I am betting this same drum again. I believe in Reason’s SMS model, especially his Human Failure model of Errors, Mistakes, and Violations. This recent incident is a perfect example of management’s lack of understanding of SMS fundamentals and how LATENT ORGANIZATIONAL FAILURES result in horrible outcomes. Essentially, this is what happened: An LOPC…...
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