Safety Management System

Safety Thought of the Week… interaction between the technical and social aspects of the system

A point has been reached in the development of technology where the greatest dangers stem not so much from the breakdown of a major component or from isolated operator errors, as from the insidious accumulation of delayed-action human failures occurring primarily within the organizational and managerial sectors. These residual problems do not belong exclusively to…...

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Safety Thought of the Week… Old View vs New View in Human Factors

Human factors, as we know it today, got its inspiration from these basic ideas about human error. It then showed something different: an alternative way of looking at human error. As a result, there are basically two ways of looking at human error today. We can see human error as a cause of failure, or…...

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What is an “industry standard”?

If I had a nickel for every time I have heard this phrase over the past 20 years of consulting… “industry standard,” I would have retired after 5 years. What is an “industry standard”? It is far from being a Recognized and Generally Accepted Good Engineering Practice (RAGAGEP), that’s for sure. However, companies with an…...

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Management Oversight and Risk Tree (MORT)

MORT was first developed in the USA to analyze the root causes and causal factors for incidents in the nuclear power and aviation industries, but it has now been applied in many industries. However, it seems to be a “lost art” these days! MORT is a pre-populated tree based on a model of an organization’s…...

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FRA’s position on injury incentive programs mirrors OSHA’s

Title 49 Code of Federal Regulations (CFR) Part 225 requires railroad carriers to report all employee injuries that fall under the regulations to ensure FRA is provided with accurate information concerning the hazards and risks that exist on the Nation’s railroads. Part 225 also requires all railroads to abide by their Internal Control Plans, including…...

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Safety Thought of the Week… Wind Chill

Since we are in a snow apocalypse here in the Midwest, I thought I would lose my mind hearing all the “weather professionals” declaring that with wind chills below zero, the roads will freeze as the salt won’t work below 15F. And I thought these were “science-based” professionals. TIP: Wind chill is how the temperature…...

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Risk Assessment Fundamentals (UK’s HSE)

The risk assessment process must identify what could cause harm in the workplace, who and how it could harm, and consider what control measures are required to reduce the risk to As Low As Reasonably Practicable (ALARP)and tolerable. Control measures that have been identified must be implemented, clearly communicated to personnel, maintained, and used properly…....

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Safety Thought of the Week – Systems exist in a changing world

The environment, organization, economics, capabilities, technology, and regulatory context all change over time. This backdrop of continuous systemic change ensures that hazards and how they are managed are constantly changing. Progress on safety concerns anticipating how these kinds of changes will create new vulnerabilities and paths to failure even as they provide benefits on other…...

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Safety Thought of the Week… from Vincent van Gogh

Now, I’m 100% certain that Mr. Gogh did not have the safety profession in mind when he said the following, but it could not be more true in the context of our profession. Few professions need passion like that of the safety profession. Find me a world-class safety pro, and we will have one who…...

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Safety Thought of the Week… Internal Consequences

When it comes to safety and health, internal consequences to support the right behavior are terribly important. Remember, external and intrinsic (natural) consequences for safe behaviors are not readily available, and we cannot expect to receive sufficient support (extra consequences) from others to sustain our proactive, safe, and healthy choices. So, we need to talk…...

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Safety Thought of the Week… Views of ‘cause’ limit the effectiveness of defenses against future events.

Post-accident remedies for “human error” are usually predicated on obstructing activities that can “cause” accidents. These end-of-the-chain measures do little to reduce the likelihood of further accidents. In fact, the likelihood of an identical accident is already extraordinarily low because the pattern of latent failures changes constantly. Instead of increasing safety, post-accident remedies usually increase…...

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Leading Indicators can be EASY, but they are a shift in how Safety is managed!

A few weeks ago, I was asked to spend a morning with an executive team discussing “safety metrics.” In this discussion, I realized this team was somewhat confused with all the “lingo” thrown at them by many consultants over the past 10-12 years. They were lost in what mattered and had tried a rash of…...

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