I’ve recently seen and done a few incident investigations which really fell short of any mark except for ticking the box on the form that says ‘investigation completed’. There are ongoing debates about whether ICAM is better than TapRoot or if that is better than Root Cause Analysis or BowTie or … [Read more...] about A Much Better Way To Think About Incident Investigations
Accidents and Incidents
When the Target Drives the Method
When the Target Drives the Method I was in a group at a conference recently where the presenter paraded out statistics on injury rates. We were shown graphs, charts and symbols all paraded in trends and patterns. Then right at the end the presenter said: ‘and this is why we are all motivated for … [Read more...] about When the Target Drives the Method
There’s a Hole in Your Investigation.
There’s a Hole in Your Investigation. Any fatality is sad news for family and loved ones of those who have died. It is even more sad when there are no definitive answers for cause. Many who die working alone cannot be interviewed, one can never know the root cause. Root cause is the concoction that … [Read more...] about There’s a Hole in Your Investigation.
Pearly Shells
Pearly Shells It’s over six years since the Paspaley drift diving fatality off Broome in April 2012 and the recent coronial inquest in the Perth Coroner’s Court recorded a verdict of death by misadventure. by Bernard Corden Always go too far because that’s where you’ll find the truth Albert … [Read more...] about Pearly Shells
Work as it is actually performed: investigating when nothing happens
Latest Post by WHS Lawyer Greg Smith, co-author of Risky Conversations. Greg asks the question: “What do your philosophy and implementation of incident investigations say about you?” . Asking “what went right” may seem like a positive thing to do but safety is full of paradoxes and all you may be … [Read more...] about Work as it is actually performed: investigating when nothing happens
Pokemon Go–Safety Tips and Resources
What is the difference between the Pokemon Go craze and Safety’s obsession with hunting for and controlling hazards? Both are just imaginary fantasy and achieve very little except disconnect us from people and reality. As Rob Long says in his comments below - you've spotted all your hazards (or … [Read more...] about Pokemon Go–Safety Tips and Resources
Root Cause Analysis–The Most Damaging Thing For Safety
Root Cause Analysis – The Most Damaging Thing For Safety To quote Greg Smith (WHS Lawyer) from the video below and from the must read book Risky Conversations, The Law, Social Psychology and Risk: “……..in my view, the notion of root cause and root cause analysis has done more to damage our … [Read more...] about Root Cause Analysis–The Most Damaging Thing For Safety
Let’s Get The Dirt On Root Cause Analysis
Let’s Get The Dirt On Root Cause Analysis It has been said that our seduction with the notion of root cause analysis has done more damage to safety and risk that anything else - there is likely never going to be a definitive root cause for anything - and how far back do we go - do we just keep … [Read more...] about Let’s Get The Dirt On Root Cause Analysis
Numerology and Psychic Numbing
Numerology and Psychic Numbing Numerology is the belief in a mystical relationship between numbers and events. I can remember as a kid being challenged by the coincidence between numbers and events, later learning that the fascination between numbers and proofs dates back to the Early … [Read more...] about Numerology and Psychic Numbing
Safety Investigation – Whodunit?
Safety Investigations - Whodunit? Nothing is better for a successful TV series than a whodunit. The popularity of CSI and a host of shows demonstrates how much we like to be clever in hindsight. In safety investigations it’s a whodunit, whatwasdunit, howtheydunit and, whytheydunit. When I look at … [Read more...] about Safety Investigation – Whodunit?
