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Safety Concerns on Bristol Dockside Surfaces after Drowning Incident

Posted by Robert O'Neill on Mar 17, 2014 1:27:00 AM

thumb_bristol harbourAfter his bicycle allegedly got stuck to a track in the dockside, a father-of-two died due to drowning after plunging into the historic harbour.

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Topics: Incident and Performance Management, Blog

Work Incident in Creek Mine: More to Follow?

Posted by Robert O'Neill on Jan 9, 2014 1:46:23 AM

fortescue-minerals - fatalityA fatality occurred at Fortescue’s Creek mine when a young labourer died in a work related incident. It is the second occurrence in four months’ that a worker was killed at the same mining site in Western Australia being operated by Fortescue Metals Group.

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Topics: Incident and Performance Management, Blog

Beyond Ordinary Part 4: Breaching the Defences - Active Failures and Latent Conditions

Posted by Robert O'Neill on Dec 10, 2013 3:09:00 AM

16So if we see the active failures as outcomes of some underlying cause, then we can start to say, well what are these underlying causes. And these underlying causes are generally called Latent Conditions, which may result from a faulty design or management decision that may lie dormant for a long time, until such time as a correct mix of circumstances lines up and we have an accident.

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Topics: Incident and Performance Management, Blog

Beyond Ordinary Part 3: Defences

Posted by Robert O'Neill on Dec 9, 2013 11:14:00 PM

screen shot 2013-12-09 at 8.41.31 amSo your defences, and this is consistent with most organisations, serve one or more of the following functions:

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Topics: Incident and Performance Management, Blog

Beyond Ordinary Part 1: Organisational Accidents

Posted by Robert O'Neill on Dec 8, 2013 11:22:00 PM

reasons swiss cheeseIf we look at organisational accidents, in some ways they are completely random in the way that the contributing factors come together to achieve adverse outcomes. It is very rare that two accidents are exactly the same. There’s always something different, generally, even if it is only the victim that is different.

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Topics: Incident and Performance Management, Blog