As more facts are coming to light regarding the runway incursion incident at JFK on January 13, 2023, it appears that a “safety system” used by ground controllers may have saved the day. In the NTSB’s preliminary report on the incident, it is stated: The ASDE-X alerted the JFK ATC tower to the conflict, and…...
Did a “safety system” prevent the largest runway incursion disaster? Read More »
For most senior safety professionals, we have arrived at a place in our careers where we can understand the significance of what Dr. Reason said in 1997. Although most would agree, we started our careers in a very different place when it comes to how we derived the root causes of accidents throughout our careers. …...
Human Error is a Consequence, not a Cause Read More »
The significance (or severity) of an event depends upon the consequences suffered and not on the error that initiates it. The error that triggers a serious accident … and the error that is one of hundreds with no consequences… can be the same error. Human Error, James Reason, Department of Psychology University of Manchester,…...
Weekly thought on human errors Read More »
Your OSH or PSM/RMP audit report declares a human factor issue was found. You honestly wonder how much of a risk this really is, but you’re told it has to be fixed so we can close out the finding. So I present to you HF Engineering 2023… Membership Required You must be a member to...
Things that make you go hmmmm (HFE 2023) Read More »
I thought I had shared this image before, but I could not find it. I did NOT create this image but have had it since 1994. It came from my first HF Engineering Course in preparation for Process Safety, specifically the HFA part of a PHA…. Membership Required You must be a member to access...
Human Errors are … Read More »
This was a nice attempt to correct the obstructed clock on the wall. Why they did not just move the clock 6″ to the right or run the conduit differently is beyond me….. Membership Required You must be a member to access this content.View Membership LevelsAlready a member? Log in here...
Human Factors 101… when you see it (obstructed clock) Read More »
I am a big believer in Root Cause Analyzes, and Corrective Action Plans to address our findings from an incident investigation – It just does not get more fundamental than this in industrial safety. Early in my career, I worked for a great man who was ALL ABOUT his employees. He was undoubtedly the most…...
Human Factors is Humans making decisions (meme) Read More »
Northwest Airlines Flight 255, a McDonnell Douglas MD-82, crashed in Romulus, Michigan, shortly after takeoff from Detroit Metropolitan Wayne County Airport on August 16, 1987, at about 8:46 p.m. It killed all six crew members and 148 passengers, and two people on the ground. There was only one survivor, it was a 4-year-old girl who sustained…...
Human Factors – Failed Checklists Read More »
Human Factors means HUMANS making decisions- OUR roles as safety professionals is to chart a path to SUCESS IN SAFETY, rather than hoping they avoid failure. Safety is NOT about luck. Safety is the confidence that there is a path to safety success – CULTURE is convincing the workers that the best path is the…...
Human Factors is Humans making decisions Read More »
Human Factors mean HUMANS making decisions- OUR role as safety professionals is to chart a path to SUCESS IN SAFETY, rather than hoping they avoid failure. Safety is NOT about luck, safety is having the confidence that there is a path to success – CULTURE is convincing the workers that the best path is the…...
Human Factors 101… chartering a path for safe decisions Read More »
As the trial involving the fatal crash of Air France Flight 447 begins today, prosecutors will argue that Air France (the airline flying the plane) and Airbus (the manufacturer of the plane) are liable for their role in the fatal 2009 crash. Both companies face charges of manslaughter and negligence in the incident that killed…...
Air France flight 447 Crash – Technical Failures led to Human Errors Read More »
A traditional view of events and accidents is that they are caused by human competence, attention, or attitude shortcomings. It may be under the label of “loss of situation awareness,” “procedural violation,” or “poor management”. A new and different view is that human error is NOT the cause of failure but a SYMPTOM OF FAILURE…...
Investigating events triggered by Human Error Read More »
