Incident Investigation: Swimlanes & Sequentially Timed Events Plotting (STEP)
Lydea’s latest blog uncovers Swimlane diagrams as a powerful tool for incident investigation. Featuring a detailed case study on the AB Specialty Silicones explosion in 2019, learn how this tool can map out complex processes, identify latent conditions and active failures, and enhance your understanding of critical events.
CAPA Culture and systems: Organisational learning in pharmaceutical manufacture
At HRA, we have found that reporting culture isn’t quite as healthy as we might hope, both in healthcare and other industries.
SCTA Workflow: Where the rubber hits the Human Factors Roadmap
Following her last blog, Lydea shows how the SCTA process can be used as a way to implement the HF Roadmap in practice
In Praise of Positive PIFs (Performance Influencing Factors) in Human Factors Risk Assessments
Performance Influencing Factors (PIFs) are factors that can increase or decrease the likelihood of human error occurring. Negative PIFs increase the likelihood of error; positive PIFs decrease the likelihood of error.
Organisational learning – how mature is your organisation?
Following his last blog on safety culture in healthcare, Steve describes the traits of a healthy reporting culture, its impact on organisational learning and the need to adopt a proactive approach to risk and safety.
Safety culture? What’s the point?
“Safety culture” is something that many will have heard of. But what is safety culture? Is it important for actual safety outcomes – or is it an entirely academic matter, with no relation to how things work in your organisation? Does having a positive culture make any difference in the real world?
Unlocking success: From errors in documentation to Human Performance innovation
If you have more document errors than you want, read our blog to find out how you can unlock success, reduce errors and apply learning in real time.
Communication, Technology and the Video Assistant Referee (VAR)
There was a big refereeing error in the match between Tottenham and Liverpool and Liverpool at the weekend (1st October). A Liverpool goal was ruled out for offside by the on-field refereeing team. In the English Premier League, there is a Video Assistant Referee (VAR) system which allows on-field decisions to be scrutinised by a group of officials with access to video technology.
Human Error: Errordinary to the Extraordinary!
The same psychological mechanisms that underly errors in our ordinary, everyday life are also at play in the most extraordinary events that we see in the headlines. The positive message is that we can understand these mechanisms and do something about it.
Beyond human error: Non-destructive testing (NDT) and ultrasonic testing (UT)
UT thickness scanning is a technique which is used extensively in the Oil and Gas (O&G) Industry to examine the condition of pressurised piping and equipment. Done well, the information it provides can assist in the management of Plant Safety; done badly, the information could provide a false impression of the integrity and safety of the Plant.
