G, sad but true. History reminds us that we must learn, keep on learning, and remember.
And after that we forget, or cannot recall, or misapply what we did remember; and it’s called error.
There are several new academic views of the problems of error and how human behavior is influenced by the operating environment. Views which go beyond James Reason’s excellent markers, but which require adapting for practical use, so is it time to move forward with these?
An example could be Hollnagel’s Functional Resonance model or ‘performance variability’ to replace ‘error’ by focusing attention on the factors which cause variability and not the outcome.
Now there’s a challenge for you in your forthcoming safety lecture!
https://sites.google.com/site/erikho...oursematerials
Non Newtonian View of Accidents
From a technology
Organisational Accidents Reason