Systemic Organizational Failure Root Cause: Safety as a Standard, Part 2

In the previous post, I discussed OSHA relative to its reliability as a standard on which to judge the applicability of safety concepts. One way of looking at the field of safety is how to implement OSHA standards effectively, comprehensively, intelligently, and organically. With any type of measurement, whether quantitative with a ruler or qualitative … More Systemic Organizational Failure Root Cause: Safety as a Standard, Part 2

Systemic Organizational Failure Root Cause: Safety as a Standard, Part 1

Systems Thinking generally is evaluating a larger thing by not just the function of individual parts but also how they interact as a whole. “Thing” can be just about anything; we are interested in the multi-dimensional interaction of people, equipment, government, environment, and money flow that comprises a single organization’s place in its market. These … More Systemic Organizational Failure Root Cause: Safety as a Standard, Part 1

Organizational Failure: Is it Systemic? Part 1

In the following weeks, we will be looking at various case studies of safety incidents that had an organizational failure as one of the root causes. Let’s look inside the Chernobyl incident. As discussed in this article, the following organizational issues occurred: RBMK reactor design flaw concealed from clients Reactor was scheduled to be tested … More Organizational Failure: Is it Systemic? Part 1

From the Archives: Foundation Damage

A residence in the Gulf Coastal Plain’s Quaternary deposits of sand- and clay-rich soil experienced a variety of structural damages including plasterboard fractures, mortar separation, bulging windows, and foundation fractures. Examination of the upper structure damage, the foundation, and the soil was undertaken. The western portion of the residence was less damaged than the eastern, … More From the Archives: Foundation Damage

From the Archives: Seat Installation Failure

A tractor operator was injured in the groin area when the machine’s seat clamps failed, releasing the seat. The seat was improperly installed using single bolted electrical straps (image below). The tractor was operated for a significant amount of time with this hazard, long enough for the electrical straps to rust. New electrical straps were … More From the Archives: Seat Installation Failure