“It’s not how we make mistakes, but how we correct them that defines us.” — Rachel Wolchin One of the most common recommendations made as a result of incident safety investigations is “improved training,” especially when the investigation concludes that the incident was the result of an error. It is not because training is so [...]
“As they depend, not upon the agent, but upon fortune, they cannot be the proper foundation for any sentiment” — Adam Smith We all believe that people should follow safety rules all the time. Not because there is a harmful outcome every time someone violates a safety rule or commits an unsafe act. Because usually [...]
“Human genius has limits, but stupidity does not.” — Alexandre Dumas, fils Everyone we have ever worked with is accepting, if not downright enthusiastic, about managing process safety. Likewise, everyone we have ever worked with is no more enthusiastic about complying with Process Safety Management than they are about getting a root canal. In part, [...]
“The failure of a layer of protection to prevent an incident is not the initiating cause of the incident.” The United States just joined much of the world in grounding the Boeing 737 Max 8 and Max 9. The tipping point was not the crash of Indonesian Lion Air Flight 610 into the Java Sea [...]
“No matter how bad things are, you can always make things worse.” — Randy Pausch The term “worst case” lacks rigor. Let’s stop using it. “Worst case” doesn’t really mean what we think it means and it confuses people. More often than not, the term is an obstacle to good analysis, not an aid. What [...]
“Knowledge, like air, is vital to life. Like air, no one should be denied it.” — Alan Moore It is human nature to seek knowledge - we have evolved as curious creatures. Being able to build an accurate picture of the world is one method we employ for survival. When you’re looking for knowledge, what [...]
“With a chemical alarm, you’re going to build one that is oversensitive because you would rather the alarm go off and give you a false alarm than to err on the other side.” —General Norman Schwarzkopf False alarms and spurious trips are inconvenient and annoying. They shut down operations that are running well, imposing the [...]
“Archeology is the search for fact, not truth. If it’s truth you’re looking for, Dr. Tyree’s philosophy class is right down the hall.” — Indiana Jones, from The Last Crusade A process hazard analysis (PHA) is not a trivial exercise. The search for process hazards takes time and effort, and it pulls a team of [...]
“There is almost no human action or decision that cannot be made to look flawed and less sensible in the misleading light of hindsight. It is essential that the critic should keep himself constantly aware of that fact.” — Lord Anthony Hidden One of the insidious effects of hindsight bias is that it puts much [...]
“Experience is a hard teacher because she gives the test first, the lesson afterward.” — Vernon Law When hit with the first winter storm of the season, everyone has to learn how to drive all over again. In our community, freezing rain coats everything, including the roads, which makes driving especially treacherous. A few years [...]
