“He Should Have Been More Careful” Is Not a Finding — Here’s What Actually Explains Human Error
Every investigation eventually arrives at a moment where someone in the room says some version of: “he should have been […]
Every investigation eventually arrives at a moment where someone in the room says some version of: “he should have been […]
“Defence in depth” is one of the most repeated phrases in workplace safety, and one of the least examined in
Most incident reports describe a fall in one sentence: worker lost balance, sustained injury, case closed pending corrective action. That
An investigation report is written for accuracy. Getting it right — establishing the timeline, tracing the causation chain, confirming findings
Some incident investigations find a broken procedure. Others find a missing barrier. A smaller but significant category finds something harder
A Bowtie diagram at a Malaysian major hazard facility can pass its annual audit three years running — barriers listed,
Ask an HSE team how many reports a serious incident generates, and the honest answer at most Malaysian workplaces is
Look at a sample of incident investigation reports from Malaysian workplaces and a pattern emerges quickly: most of them have
Ask most HSE Managers what protects their company from liability after an incident, and the answer usually involves a document:
Four separate cases, four separate facilities, and one recurring pattern: the same investigation process, applied to four different situations, produced