This msg is to test the new web site feature for saving attachments. OBTW: The guy in the front seat might be your moderator!! Take care, Bill Corcoran ...
It looks like what happens is the following. Â If you attach a file to a message on this site, e.g., the previous message, the attachment is stored on our web...
Bruce, Â N3Ns were lots of fun. Â The front seat was for the trainee and the back seat was for the instructor. Â I was a front seat pilot. Â Based on my...
Bill, Guess you're correct. Explains why I came back from our first flight with a black face - I didn't hear anyone tell me to crank the seat back down after ...
Hello, This email message is a notification to let you know that a file has been uploaded to the Files area of the Root_Cause_State_of_the_Practice group. File...
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Apr 1, 2009 11:26 pm
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The file referenced below is moved to http://tech.groups.yahoo.com/group/Root_Cause_State_of_the_Practice/files/Root%20Cause%20Analysis%20Reports%20/ 2nd from...
Scroll down for the story and then come back for the queries. http://news.yahoo.com/s/ap/20090402/ap_on_re_us/salmonella_pistachios Is it important to identfy...
The following Root_Cause_State_of_the_Practice poll is now closed. Here are the final results: POLL QUESTION: Whenever a consequence would have been prevented...
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Apr 2, 2009 9:52 am
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How does your organization address this? Â See poll results below. Take care, Â Bill Corcoran Mission: Saving lives, pain, assets, and careers through...
Re: fragility of a voluntary barrier: It is an extremely fragile barrier. This is like self-regulation. It works okay until somebody with enough clout decides...
Actually there is an incredibly postive lessons learned here that we shouldn't lose. Compare this to the peanut industry. This action has the potential to...
Mike A key issue is exposure to risk from law suits and public disapproval. There is a big difference in what two different nut companies. The peanut...
An engineer came into my office today and described a series of questions that can be used to sort out human behaviour issues but he couldn't remember the...
Bob, It's in James Reason's latest book The Human Contribution, in chapter 4, Table 4.2, page 62. Reason describes 12 varieties of Rule related behavior. I'm...
Bill, Â I think you'll find the attached slide in the training I gave at your shop. Â It is a tool to implement those two questions and more. Â All the...
There are a lot of good things about voluntary regulation. Â One of the bad things is that there is apparently a Gresham's Law that comes into play. Â For...
Jim, Â Thanks ever so much. Â I have added folders for items on Event Free Tools in the "Files" section and the "Links" section. Â All, Â Please add your...
Hello, This email message is a notification to let you know that a file has been uploaded to the Files area of the Root_Cause_State_of_the_Practice group. File...
Root_Cause_State_of_t...
Root_Cause_State_of_t...
Apr 5, 2009 12:09 pm
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Does your facility use "Event Free Tools?" How do they work for you? We have "Event Free Tools" folders in Photos, Files, and Links. Please upload and download...
Hi, I don't currently work at a facility, so cannot answer your questions, Bill. As I&C Manager, and then Ops Manager, I implemented peer checking. At first,...
Scroll down for a book flyer. Bill Corcoran is a co-author of the book on Causal Factor Analysis. Both books (or either one) are available from Brent Golden...
What's wrong with this picture? [NTSB Seal/Home.] <http://www.ntsb.gov/default.htm> <http://www.ntsb.gov/Publictn/publictn.htm> NATIONAL TRANSPORTATION SAFETY...
Besides the fact that the document was issued more than a year and a half after the incident...? NTSB's identified probable cause reminds me of a quote from...
Where to start? Here's my 2 cents worth... 1. How many abnormal conditions do "not require immediate action"? Also, how many abnormal conditions cannot be...
Property of the Universe (POTU): One of the factors that result in a big widespread problem being big and widespread is that it was not effectively addressed...
Jim, Â Thanks for your thoughtful insights. Â I could not get the final report from the NTSB web site. Â As many of us have said many times on this forum: ...
Eric, Â Thanks ever so much. Â NTSB should have learned from "Columbia." Apparently they did not get some key lessons to be learned. Â If you were to...
Hello, Perhaps proper corrective actions addressed the Challenger seal problem, but I am not aware of any actions that addressed the Columbia insulation event,...