Colleague, Would you be so kind as to glance over the following draft paper and provide your reactions and suggestions? Any reactions, however brief would be...
Bill Salot, You need a little human behavioral technology and human factors. Without getting into the nitty gritty the probability of people consistently...
Don't forget, you do have a human factors engineer/ergonomist with 20 years
nuke and mfg experience in this group...ME. I am more than willing to help all of...
Bernie, I agree with your analysis. It looks like all of those involved were set up for the injury by their previous experiences. The injured worker was...
Bill Salot, Great. I'm looking forward to hearing what the team says. OBTW: Ask them what future events this injury event is a precursor to. Best Regards, Bill...
Rich, Thanks for your patience. A little clarification is in order. The Occurrence Pyramid says nothing whatever about when a consequential will occur. The...
Bernie, Your words about immediate causes, contributing causes, and root causes is a bit puzzling. Here's why. Causes can have a variety of dimensions to...
Bill C., I continue to appreciate your way with words, especially your frequent use of effective examples to make your points. Your "Root Cause Analysis of...
Bill, Thanks ever so much for your attention to my article. The mark-up did not survive the e-mail machinery, but I think I can get the equivalent from your...
Bill C., I think the examples below, of whistleblower concerns not being properly addressed, highlight problems with the chain-of-command process. The...
Please scroll down for late news. I would be interested in opinions as to how the containment and safety injection problems that were surfaced after the...
Variation is the enemy of quality. And safety!! Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle ...
There is only one root cause: dysfunctional executive reward system. Management is getting paid to do the wrong thing!! Best Regards, Bill Corcoran W. R....
Paul, Thanks. Too much humility is seldom criticized. Your point is clear. Thought for the day: "Those who jump down the Why Staircase often land on their...
Bill C., You said, "There is only one root cause: dysfunctional executive reward system." Did you say it with tongue in cheek? Isn't a "dysfunctional...
Bill Salot, I must own up to a bit of tongue at least angled toward the cheek. However, there is some truth to it. At Davis-Besse over a period of years the...
Bill Salot, I agree wholeheartedly. You expressed yourself well. Most concerns that I have heard of are basically technical in nature and need a technical...
Kamal, Please forgive the late reply. Investigations are like Caesar according to Anthony, the bad they do lives on while "the good is oft interred with their...
Malcolm, You make an excellent point about credible (simulated) potential consequences in re-enactments. I have encountered people at DOE and in other...
I have encountered people at DOE and in other pro-production organizations that refuse to grant credibility to any but the most benign potential consequences. ...
Bob Latino, To answer your question: Simulating potential consequences is clearly not the same as using an FMEA, but it does share attributes, as you correctly...
Bill Salot, This one's a "keeper". Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT...
Bernie, At each stage of the escalated consequence simulation ask the question, "What kept it from being a lot worse?" When the answers involve robust barriers...
Malcolm, Thanks for the stimulating message. When we design corrective actions, for whom are we designing? Are we assuming that the "target" group (pardon the...
Bernie, Kim, the Bobs, and all, Bernie and Kim are getting close to a key point. The point is: When one encounters a potentially adverse behavior or condition...
Bill Edward Teller felt strongly that commercial nuclear plants should be safe for a child to operate-in other words, no damage would occur no matter what...
There are merits to Malcolm's statement that a nuclear power plant and
probably most other items people use...planes, trains, and automobiles??? -
ought to be...
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