mistakes

Safety Thought of the Week… Active Failures (Unsafe Acts): A Brief Refresher (James Reason)

/ Human Factors Engineering, Safety Thought of the Week / / , , , ,

Violations arise from motivational factors and fall into four types:routine (or corner-cutting) violations, thrill-seeking or optimizing violations, necessary violations and exceptional violations. Unsafe acts are of two distinct types: errors and violations. Errors arise from informational problems and fall into three categories: Everyone makes errors…. Membership Required You must be a member to access this...

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Learning Opportunity vs Discipline

/ Human Factors Engineering, Safety Management System / / , , , , ,

There’s a massive difference that may require massively different approaches in how we respond to failures in administrative controls such as LOTO. Scenario #1: a worker with less than a year of experience, is tasked with isolating a PRCS that has 29 isolation points. It was his first time to do this isolation and was…...

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