Here’s a mini-compendium of…well, probably a lot of stuff with only a tenuous link to ‘learning’. I tried to focus on learning that doesn’t require incidents, but you’ll find those here, too. There’s >100 articles, mostly full-text. I think I went overboard. Unfortunately, it’s barely sorted. It includes: Shout me a coffee Learning Strengths &… Continue reading Compendium: Learning and improvement without incidents
Tag: wad
Analyzing Procedure Performance using Abstraction Hierarchy: Implications of Designing Procedures for High-risk Process Operations
This paper explored the use of procedures and operator performance from the perspective of work domain analysis/abstraction hierarchy. I’ve skipped heaps – the ‘doing’ part of the abstraction hierarchy, but their descriptions of the problem and the discussion had some gold. For context: · Procedural issues have been linked in a number of major accidents… Continue reading Analyzing Procedure Performance using Abstraction Hierarchy: Implications of Designing Procedures for High-risk Process Operations
Safety Theatre: Where your accidents hide in the green
This article from Dekker discusses how accidents “hide in the green” within organisations. He covers a lot of ground, and I can’t cover all of the key points, so you’ll find my paragraphs pretty disjointed and jarring; so check out the full paper. Firstly, it’s stated that incidents involving fatalities seemed to have a consistency… Continue reading Safety Theatre: Where your accidents hide in the green
SafetyInsights.org 