Did you check out #5 of Safe AF? This explored whether investigations actually fix relevant issues, or whether they’re more a game of sociopolitical whack-a-mole. For instance, investigations address what is easy–run a toolbox talk–rather than addressing more challenging, but important issues: lack of resourcing. Or, investigations tend to fix the things people wanted to… Continue reading Do investigations mostly fix what’s easy rather than what’s necessary?
Tag: 5
System factors “behind human error”
The below images are really just an index from the book “Behind Human Error” – but nicely summarises some key concepts. The meaning of most items are obvious but I’ll explain some of the less obvious statements. #2 about erroneous assessments/actions being heterogenous indicates that performance is contextual, so grouping everything under a neat label… Continue reading System factors “behind human error”
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