All about my books – Alles over mijn boeken
Watch what happens at the end of most risk analyses. The hard work is done, the hazards are named and ranked, and then, in the last forty-five minutes, the team disposes of them. The disposal, with dispiriting regularity, reads the same way. Re-educate the staff. Revise the policy. Remind everyone at the huddle. Add it … Read more
Somewhere right now a capable team is spending forty minutes deciding whether a risk scores a six or a seven. They will not resolve it, because there is nothing to resolve. The distinction does not exist outside the worksheet, and while they argue it, the hazard they agree is serious sits unaddressed. This is scoring … Read more
“Human error” is the most reassuring phrase in the whole language of safety, which is exactly what makes it dangerous. It closes the file. Once we have decided that a competent person simply erred, there is nothing left to examine except the person, and the person, being competent, will promise to try harder. Then the … Read more