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This article is for senior corporate management

Can your investigators tell you that your baby is UGLY?

What do I mean by this?

Can your investigators point out management system flaws that ONLY YOU can fix?

If you say yes … I want to know the last time they did it!

Why am I bringing this up?

Recently I was talking to several “senior investigators” from a major company. We were discussing some serious incidents (SIFs). I recognized that there had been a series of management system failures over a period of over a decade that had not been fixed. SEVERAL generation of senior management had contributed to the problem by creating a culture of expediency … a “just get it done” culture that put cost containment and keeping the plant operating over process safety. 

I asked them if they had pointed this out to senior management. They looked at me if I was nuts. 

That’s when I realized … THEY couldn’t tell management that their BABY was UGLY.

I also realized that management didn’t want to hear that their BABY was UGLY.

They just wanted problems to go away with the least muss and fuss. They didn’t want to confront the investments required to face the facts and put process safety first.

TapRooT® Root Cause Analysis will point out the problems in management systems. But investigators must be willing to confront senior management with the facts (tactfully) and show them clearly that their BABY is UGLY.

Senior management should be DEMANDING that investigators point out management system flaws and asking WHY management system flaws ARE NOT being presented if a serious incident happens.

I remember pointing out a serious management system flaw that had caused a multi-multi-million dollar accident (no one had been killed but someone easily could have been killed). The Senior VP said:

“If anyone would have pointed out the problems this decision caused, we wouldn’t have made it!”

Don’t let poor management system decisions go unchallenged and unreported. When unreasonable budgets, deferred maintenance, short staffing, unreasonable overtime, or standard violations become an issue – SAY SOMETHING! Let senior management know they have an UGLY BABY.

SENIOR MANAGEMENT – Occasionally you need an outside opinion of how your baby looks … Especially if you continue to have Significant Incidents. Maybe you need to face the facts that your BABY is UGLY.

Remember … Unlike real ugly babies, management CAN DO SOMETHING about management system problems. Effective corrective actions can make the UGLY BABY beautiful.