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Kegworth Revisited: A Case for Systemic Thinking

Image of the Kegworth air incident

On 8 January 1989, British Midland Flight 92 crashed just short of East Midlands Airport, killing 47 people. But the Kegworth disaster wasn’t just about a mistaken decision, it was the result of multiple system failures.

The Parable of the Ant: Context Shapes Behaviour

“Context shapes behaviour” – This fundamental principle in human performance is brilliantly illustrated through the Parable of the Ant. This blog traces this powerful metaphor from Herbert Simon’s original insight to modern human factors applications.

The Power of Story in Safety Critical Task Analysis

A man presents a story about SCTA

At first glance, the idea of storytelling in Safety Critical Task Analysis might raise eyebrows. Aren’t we dealing with potential major accident hazards, detailed risk assessments, and objective control measures? Why would something as subjective and emotional as “storytelling” have any place in this context?

On Crafting Effective and Safe Procedures 

In safety-critical industries, having a procedure isn’t enough—it needs to be both accurate and user-friendly. A well-crafted procedure can enhance safety, reduce risks, and streamline operations, but only if it’s easy to follow and understand.

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.