On these e-groups there have been messages bashing regulation and bashing regulators. Both deserve it. Some of these messages also bashed the regulated...
Ludwig, Thanks for chiming in. RCA is not done in a vacuum. Some RCA's are done because of the consequences of not following regulations. (TMI) Some are done...
Bill, this shows a strange (to me) set of paradigms. I don't understand how TMI is characterized as a member of your first class (not following) vice the...
Val, Bernie, Jim, and Mark, You all make excellent points in your responses RE: Regulation. I sympathize with each of your points. I do not want to muddy the...
Dear Editor of Quality Progress, Thanks ever so much for publishing the Quality Glossary in the July 2002 Quality Progress. May I take exception to your...
Scroll down for something to think about. It is possible to increase knowledge of Human Behavioral Technology through experiment. "Human Nature" is not...
Colleagues, May I ask for some advice? The State of Connecticut has a "Procurement Technical Assistance Program" (PTAP) that has a mission of helping small...
Warren Brewer, Thanks ever so much for your thoughtful posting. I pasted your remarks below and have inserted comments as indicated. In summary, I support your...
I will be out of the office starting 07/08/2002 and will not return until 07/12/2002. I will respond to your message when I return on July 15. If it is an ...
Clark, You seem to be asking what's the source of the current campaign to improve human performance, especially with respect to safety? I have been watching it...
Colleagues, It is sad that this slaughter continues. How do we get managers to identify dysfunctional behaviors and conditions before the accidents happen? ...
Colleagues, Here are two examples of regulators getting their clients attention. As you may recall improper shipment of oxygen generators caused the loss of...
Jim, Have you tried not calling it "discipline", but "punishment". Another idea is to keep a database of behaviors punished and punishments meted out. Many...
Bill C Good point on the discipline vs punishment. When I was in supervision at my old facility, we were encouraged to keep our own diary about personnel to...
My company for years used investigations to find the blame. This is a cultural element that we are slowly overcoming. I do so as follows: I start all...
Larry, Thanks. I really hate it when one of my three children does something like this. I wonder if I should have been in the gene pool. But seriously, what...
Mark, Your last sentence was truncated. The good news: The fundamental attribution error and many other cognitive dysfunctions can be avoided by tightly...
Colleague, Please scroll down for a news article. Question: In your experience, does the same observation apply to machines and organizations? I look forward...
Here's the news article. Sorry. Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT...
Failure Diagnosis is a hot topic for machines and processes. The problem is often the interpretation of information. In the industry that I work we deal with...
Bob, I agree with the central importance of evidence. If a good RCA is one that produces effective action and learning, then there are several vital...
Bob, How about some evidence stories? First the bad news. There is evidence before the event as well as after the event. Many events would have been much less...
Michel, There is an alternative to diagnosis. It is used by EMT's and nuclear power plant operators. It is a time-buying tactic. Rather than to ask what caused...
Mark, How did you represent, display, arrange that evidence to make sense out of it? On the Millstone 2 Electrical Vault Flooding Event we eventually put...
Colleague, Please scroll down for today's story. Two milestones were marked yesterday. 1. The Midland head arrived. 2. The NRC wants D-B to prove that there...
Colleagues, Both Mark and Larry make excellent points. Answering Larry would get into the theory of knowledge, so I will avoid it for the present. His point is...
Adrian, Thanks for chiming in. I interpret your message as reinforcing the need for transparency in root cause reports. Reports must make it easy for analysts...
Colleague, Larry made the point that the occurrence of one event says nothing about its probability, i.e., you need a statistically significant number to infer...
Colleague, Recently Larry suggested: "The purpose of RCA is to implement actions that reduce the risk (probability and consequence)of future events adverse to...
Suman and VVR, I generally agree with your thread. I have yet to see a consequential event that has one root cause. Consequences are caused by behaviors and...
