One way to understand the links between unwanted events, conditions and interventions is via causal…
Tag: incidents
From early rides on the roads, in the sea and in the sky, to diverse…
Twenty years ago, I completed my PhD on human factors in air traffic control. Part…
HindSight is a magazine on human and organisational factors in operations. HindSight magazine is free and…
Sometimes after an incident, a system-wide change is implemented that makes work more difficult and creates new problems. This story is one such example, which contains useful lessons for responding to rare events. Steven Shorrock recounts the tale.
Humanistic Systems 