I await your comments. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634 Voice and voice mail:...
FYI. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634 Voice and voice mail: 860-285-8779 ...
I would like to add an addendum to this previous post. The Institute for Safe Medication Practices (ISMP) recently published their review of this case with...
With Palo Verde now in the 95003 category and reviewing their organizational and programmatic failures, what should the NRC focus on when reviewing Palo...
Bob, In plain English "95003" means that the power plant is in the next-to-the-worst doghouse with NRC. The one after that involves a shutdown. When a plant is...
I have a knowledge-based task in which an omission was made. No decision logic was documented on how they selected the hazards and subsequent controls, and...
Would some type of independent peer review be applicable here? /bill ... ____________________________________________________________________________________ ...
Glen, Omissions in knowledge-based activities are not unexpected. This is why those types of activities are typically designed to have redundant barriers to...
Glen, One of the factors of every knowledge-based error is that the person was shifted into a knowledge-based mode. You could ask, "What were the factors that...
ECPF COMMUNICATIONS 2007-27 [Possible Open Position - Bechtel SAIC]FYI. Please let me know if this works out for you. Take care, Bill Corcoran W. R. Corcoran,...
I do believe Bill is on the right track. I think a barrier that may have been missing is a systematic approach to hazard identification when selecting the...
I do believe Bill is on the right track. I think a barrier that may have been missing is a systematic approach to hazard identification when selecting the...
My understanding of Glen's scenario, was that a content expert made an error of omission performing a task applying his/her acquired knowledge. How do you ...
Here at Fluor Hanford we have a very good software program (Automated Job Hazards Analsys - AJHA) that is used for analyzing hazards that can then be...
Bill Leonard, Thanks for the information. Please invite Mark and Miles to join this group. Job Hazard Analysis (aka Activity Hazard Analysis, etc) is a...
Bill W, I'm not sure Glen would agree with your simplified wording of his problem. Generically worded problems generate generically worded responses. Some...
All of the comments were helpful. Understand that this is a high risk assembly and disassembly, low production rate plant that incorporates all the risks of...
Is the investigator part of the problem? Yes. Example 1. Bill Corcoran served on a team to investigate an industrial safety near-miss. His team did not...
You decide. Scroll down for the story. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634 Voice...
The occurrence pyramid is different from the safety pyramid. See the attached and let me know your thoughts. Take care, Bill Corcoran W. R. Corcoran, Ph.D.,...
Is this useful? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634 Voice and voice mail:...
Greetings, I am interested in the history of RCA.... I have read that some attribute the origins of RCA to the Admiral Rickover and the US Navy Nuclear...
Franklin, I have asked similar questions over the years, and have never been satisfied with the responses. The most common responses claim that RCA was begun...
Any member who knows anything about the history of RCA can "edit" it into the article at http://en.wikipedia.org/wiki/Root_cause_analysis My involvement goes...
In the early 1970's (and probably before that time), the Nuclear Navy required all events to be investigated using the "Incident Report" template/process. The...
To Bill Salot, Thanks for the posting on Factor Trees. To all members: My most recent thinking is to define a factor as something that affects one or more...
Where do the "innate psychological mechanisms that predispose children to absorb certain virtues" come from? What is the source of the common understanding of...
Tim These examples sound like cases of – “Tell me how you measure me and I will tell you how I will behave.” Often such behaviours occur due to the fact-...
For members of the Root Cause State-of-the-Practice e-group and a few others. Colleague, The members of this group have been studying mix-ups for several...
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