James Reason’s Swiss Cheese Model of safety is a remarkably simple way to think about how organizational culture and climate turn into injuries and incidents.
Despite extensive safety training, when workers are making decisions on the shop floor – even life-threatening and business critical decisions – they sometimes let emotions cloud their judgment. Why? What are we doing wrong?
I was recently involved in a tragic situation in which machine guarding failed not because the mechanical design was inadequate but because the human system around it fell victim to a well-known weakness.