Tag: safety investigation

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

May 16, 2022

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

Organizational Failure Part 2: Crucial Deming Points

May 2, 2022

Dr. Deming was instrumental in rebuilding Japan after WW2; his radical innovation in quality control methods is summed up in 14 qualitative management guidelines. Some of these are critical to addressing and preventing organizational failure but interestingly not all. Note that in the case of systemic failure, the failure is unique in spreading between teams/organizations. … More Organizational Failure Part 2: Crucial Deming Points

Organizational Failure: Is it Systemic? Part 1

April 26, 2022

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