Regarding a recent interchange on this subject with a lot of "color." First: I recall a Christmas carol. Note where the comma belongs. "God rest ye merry,...
The contentious statement by J. Reason is: “it is important for those that rely on accident reports to recognize that they are - even the best of them - a...
"I would personally NEVER want to challenge James Reason on whether his theories are supported by facts." An interesting statement...would a lightening bolt...
Please be patient with all my parenthetical explanations. I believe that our final goal in any causal analysis is to identify corrective actions that will...
I think Reason is right if he is describing things as they are at present based on his experience. I don’t think he is entirely correct, but mostly, since...
Hobbs, Andrew F.
hobbsaf@...
Jul 1, 2009 11:53 am
6729
Dr. Bill, Thanks for asking my questions in a more "down-to-earth" way. Fred Sent via BlackBerry by AT&T ... From: DR WILLIAM CORCORAN...
I agree that luck is not reliable and that intuition is subject to bias. Both can lead to failure, and probably will. Dr. Bill Corcoran led the only Cause...
"As I have said before, “prevention” of “future similar occurrences” is a fallacy. You can only reduce the risk of recurrence, and the extent of that...
Tedd, I'm in total agreement with you. Corrective actions are the all-important follow-up to cause analysis. James Reason was saying the same thing with his...
Ted, I too have seen pretty good paper systems replaced by big IT systems that would be replaced by bigger IT systems. In all those transitions, the basic...
Colleagues: I think Reason's statement (below) is just as true and obvious as the statement: "Nobody is perfect". They may not say what we want to believe, but...
Does James Reason Have a Basis? Dr.Bill, I think Reason has a case. My first argument is empirical: there is ample research from traffic observation research...
In fact, has anyone really ever put two teams on the very same incident AND gotten two different reports? Or is this an untested theory? Sent via BlackBerry by...
Bill C and Fred, 1. I think most major disasters have parallel investigations. I remember reading multiple accounts of the original Texas City disaster. 2....
I just finished reading the book “Controlling the Controllable – Preventing Business Upsets” by Jop Groeneweg - it’s a Tripod Business Management book...
Staeve, Thanks for the question. I will add a definition of "Self-revealing." But before I do I'm going to ask the 650 or so members of the root cause...
Jack, Thanks for sharing. Interesting. In that the investigators at our site are also the causal analysts, I will use the term "investigator/analyst" in...
There have been many instances of two teams assigned to do an investigation - they are just normally done sequentially rather than at the same time. It is...
For many years, there have been root cause training sessions held by highly qualified and experienced accident investigators whereby they will train a group of...
OK, so now I know that there is another member of Dr. Bill's Yahoo! groups named Jack. At first, I was thrown off a bit, as I knew that I did not write the...
In a message dated 6/30/2009 10:04:01 P.M. Eastern Daylight Time, fforck@... writes: <<I take it by your chastisement that I should have assumed James...
ON, et. al., I am with you on the difficulty of not using the acronym RCA. It will be very difficult for all of us. But, I think that we should stop writing...
Yes, E-Mail can be a hazard. I am convinced that we all have good intentions, but they sometimes are misunderstood. I don't get tripped up too much via...
In a message dated 6/30/2009 8:13:16 P.M. Eastern Daylight Time, fforck@... writes: I certainly would not like to start making broad-based conclusions...
Thanks, Jack. I am beginning to train myself to say "event investigation" or "condition investigation" because I am after a lot more than just what we call...
ON, You said, "when the groups are forced to pick a single root cause from among the factors, the variability is very high - the groups pick the same "root...
Dr. Bill, I am just fine with using the terms Condition Investigation or Event Investigation. Why don't you chose one and then we can all use it, assuming...
If you find the scenario post it at Case Materials for Training Examples you can use in class. Post your favorities. OBTW: Feel free to download the case...
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