Most models (semiotics) of safety don’t reflect reality. Models that are binary and linear in particular don’t reflect what happens in the real world. This is especially a problem when it comes to incident investigations. When one believes in a linear binary model of safety that frames how one … [Read more...] about Safety Models That Don’t Reflect Reality
root cause analysis
ACTOR + ACTION + TIME = EVENT
ACTOR + ACTION + TIME = EVENT A weird and wacky hypothesis from Doug Wakefield CPMSIA RSP(Aust.) – SSHE analyst & trainer at Safe Measure Pty. Ltd. - www.safemeasure.com.au You can also download Doug’s FREE OHS Manual Template HERE This formula (Actor + Action + Time = Event) is a … [Read more...] about ACTOR + ACTION + TIME = EVENT
Detailed Root Cause Analysis Leads to Industrial Manslaughter Charge
Following a recent fatality at a residential construction site, the WorkOver Authority commissioned me to undertake an independent, unbiased root cause investigation to help them confirm what they already knew and to justify further action against those even remotely involved. As a result of my … [Read more...] about Detailed Root Cause Analysis Leads to Industrial Manslaughter Charge
Just Get to the Bottom of it
Just Get to the Bottom of it….. Republished by request.......... An incident occurs at work, the well entrenched procedures quickly kick into play - first aid provided, forms filled in, reports to management, find the cause (sometimes causes), change operating procedures (they must have been … [Read more...] about Just Get to the Bottom of it
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
Is Treating all Hazards the Same Endangering Lives?
Is Treating all Hazards the Same Endangering Lives? By Phil La Duke - first published here: https://philladuke.wordpress.com/ Phil says: “We tend to think of injuries in terms of a long string of events, the Domino Theory, if you will. But some hazards are likely to kill us and others will be … [Read more...] about Is Treating all Hazards the Same Endangering Lives?
Beware of The Tree
Beware of The Tree – Tree? What Tree? The latest addition to our “This Toaster is Hot” page – our collection of signage by over zealous, over controlling and obviously superior Safety People pointing out the bleeding obvious. Of course this could be some rare breed of yellow ringed trunk tree … [Read more...] about Beware of The Tree
Is the Safety Function Focusing On the Wrong Things?
Out of Focus: Is the Safety Function Focusing On the Wrong Things? By Phil La Duke on his blog http://philladuke.wordpress.com/ Phil says: In this week's post I identify three areas that the safety profession has been obsessing on, and ask the question have we been focused on the wrong … [Read more...] about Is the Safety Function Focusing On the Wrong Things?
Proprietary Systems for Root Cause Analysis
Proprietary Systems for Root Cause Analysis Root cause analysis is probably one of the most neglected tools for incident investigation. How many times do you see corrective actions like: "I have counseled the employee to be more careful" or "oil spill was cleaned up". Proper root cause … [Read more...] about Proprietary Systems for Root Cause Analysis