“You keep using that word. I do not think it means what you think it means.” - Mandy Patinkin as Inigo Montoya, in The Princess Bride I find the phrase “While we never anticipate a loss of cabin pressure…” incredibly annoying. To anticipate means to think of something that will or might happen in the [...]
“We must accept human error as inevitable - and design around that fact.” — Donald Berwick The idea of human error and its contribution to industrial incidents has been the center of debate in recent years. If you’ve been part of more than one incident investigation, you’ve probably experienced an incident being attributed to human [...]
“While devastated at this unimaginable loss, we are so very proud that Ryan died while trying to protect his fellow employees and restaurant patrons.” — family of Ryan Baldera On November 7, 2019, a restaurant employee in Burlington, Massachusetts was overcome by fumes from a “strong chemical cleaning agent” and died. Thirteen others were taken [...]
“Fear is often our immediate response to uncertainty.” — Gabrielle Bernstein In 2001, when the CCPS book, Layer of Protection Analysis: Simplified Process Risk Assessment, “the purple book”, stated that human response is “a relatively weak protection layer” and “less reliable than engineering controls”, many people were willing to accept that piece of conventional wisdom. [...]
“Those who cannot remember the past are condemned to repeat it.” — George Santayana Our offices on Cherokee Street exist in the midst of a vibrant Hispanic community. So here in our neighborhood, Dia de los Muertos is in getting in full swing and will be observed through November 2. Dia de los Muertos, the [...]
“Facts are stubborn things, but statistics are more pliable.” — Oscar G. Foellinger, 1927 As an engineering student, I once used empirical data to solve a design problem. The approach gave a reasonable answer, but my professor scolded me. “Mere curve fitting,” he sneered. “Good engineering requires working from first principles.” I didn’t agree then, [...]
“But how they can be charged with negligence because they were not wizards, appellant’s brief does not make clear.” — Osmond K. Fraenkel, successfully arguing before the New York Supreme Court, 1935 In a world where companies tout “Zero Incidents,” not as an aspirational definition of perfect safety, but as a measurable and achievable target, [...]
“For Fools rush in where Angels fear to tread.” — Alexander Pope I once led some process safety training that involved people from several different plants from around the world. After almost a week together, the people in the training became pretty comfortable with one another. One of the last topics of the training was [...]
“When you gamble with safety, you bet your life.” Slogan on an industrial entrance mat The biggest obstacle to getting people to heed safety training is that unsafe behavior does not result in certain death. The problem with a safety slogan like, “When you gamble with safety, you bet your life,” is that most people, [...]
“Experience: that most brutal of teachers. But you learn, my God do you learn.” — C.S.Lewis We all learn from experience. When it comes to brutal lessons, though, it is better to learn from someone else’s experience. In the course of our work, clients have shared some experiences with us that everyone can learn from. [...]
