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When the holes line up...but the model has holes in it too!

Many of our readers will have heard about Professor James Reason's Swiss Cheese Model and how it can be used to show how incidents are developed because of holes in the barriers and defences which are put in place to maximise safety.

Professor Reason's research showed that at different levels...

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Human Error – does it exist?

Recently at a course, there was a very interesting debate, which challenged the basic premise of human performance and whether there was any such thing as “Human Error”. The traditional view is of course, that we can predict failure rates of technical systems, if we know the component...

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"To err is human, but to be human is not necessarily to err”

Human Error…  Often talked about, written about, and used to close out accident and incident investigations.  What is meant by human error?  I have learned over the past few days that my perception contrasts to that used by others working in the safety field, and I wanted to...

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Competing goals - why errors WILL continue to happen

The beauty of working in the field I do, high-risk technical dive teams, is that you get to meet all sorts of interesting people because they nearly always have daytime jobs doing something other than diving. This weekend I was working with 18 divers from the north of the UK and Scotland on a...

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