For something so many in our profession claim to not exist, it is amazing how five (5) dictionaries officially define it. There are even degrees one can get on the topic, and much research has been done on a topic that is supposedly not at play in an organization’s safety efforts. I think most of…...
15 human error thoughts we need to consider during our next incident investigation and causal analysis:… Membership Required You must be a member to access this content.View Membership LevelsAlready a member? Log in here...
We see this often in our PHAs/HFA and audits… an emergency shutdown procedure would need an Olympic athlete to carry out before the LOPC event begins. And to top it off, the operators we witness as those who would be expected to carry out this ESD SOP are “senior” operators who tend to be out…...
The main objective of any safety data collection and analysis system is to make events, hazards, safety trends, and their contributing factors VISIBLE and UNDERSTANDABLE so that the organization can take effective corrective action. Generally, the same decision-making, communication breakdown, and distraction problems we see in a serious accident will also tend to see in…...
The control of human error requires two (2) different approaches. First, it is necessary to MINIMIZE THE OCCURRENCE of errors, and the second is to REDUCE THE CONSEQUENCES of the remaining errors by… Membership Required You must be a member to access this content.View Membership LevelsAlready a member? Log in here...
To contain and control human error, one must first understand its nature. There are basic concepts associated with the nature of human error: the origins of errors can be fundamentally different, and the consequences of similar errors can also be significantly different. While some errors are due to carelessness, negligence, or poor judgment, others may…...
There is an evil myth regarding LOTO training and Periodic Inspections. I recently had a lengthy discussion with a Labor Lawyer regarding the FACT that annual LOTO training does NOT satisfy the Annual Periodic Inspection requirements. An employer is NOT required to perform annual training on LOTO, but they are REQUIRED to conduct a periodic…...
Maybe you’ve heard about the Fukushima water release plan. Or maybe you heard something about the drinking water debacle in Flint, MI. Or maybe you’re an emergency responder and are being bombarded about the Alcohol Film-Forming Foams (AFFF) you were exposed that had the “forever chemicals”. Or maybe you have a home with a basement…...
At 3:35 p.m. on December 27, 2022, an employee was knocking gypsum dust off the interior walls of the end saw baghouse hopper. The baghouse was a large steel structure, 40 feet in height, with inward converging walls that led to two screw-augers that moved gypsum dust to the center of the hopper. The dust…...
At 4:30 a.m. on January 11, 2023, an employee attended a Permit Confined Space Entry Rescue Training. The employee entered the manway and began to descend into a vessel. Approximately halfway into the entry, he realized he could not fit in and began to extract himself. He was distressed and lost consciousness. His coworkers attempted…...
At 11:00 a.m. on May 23, 2019, an employee removed a regulator from a chlorine gas cylinder to perform yearly maintenance and repacking. When the employee attempted the close the shutoff valve, the valve malfunctioned and stopped turning while still slightly open without the employee’s knowledge. When the employee removed the regulator, chlorine gas escaped…....
Two workers were injured on an offshore platform while installing a skillet, the steel circular joining plate inside a section of piping. The incident occurred while the workers were on scaffolding and unbolting a 10-inch flange (Figure 1). After determining the skillet was the wrong size, the supervisor instructed a third worker to join the…...
