Is thinking that you are the best a sign of potential problems? (Especially for “routine” work?)
By any measure, the X-31 was a highly successful flight research program at NASA’s Dryden Flight Research Center, now the Armstrong Flight Research Center. It regularly flew several flights a day, accumulating over 550 flights during the course of the program, with a superlative safety record. And yet, on Jan. 19, 1995, on the very last scheduled flight of the X-31 ship No. 1, disaster struck.
View the video below or read about it here: http://www.nasa.gov/centers/dryden/news/X-Press/stories/2004/013004/new_x31.html
Leave your comments below. Complacency? Leave your comments below.
A tragic workplace accident.
A life lost.
You see the resolve on the faces in this video to never lose a co-worker … a friend … to this type of accident again.
What do you think about “paying attention” for preventing potential tragedies such as this? Leave your comments below and let’s share ideas to find and fix root causes.
What do you think of this accident investigation and lessons learned?
Here are some clips to get you ready to meet the real Captain Phillips – the Keynote Speaker on Friday at the 2015 TapRooT® Summit …
What can you learn from a 1964 video?
How they viewed human performance was certainly different.
What do we know that helps us do better today?
Could better root cause analysis have helped them then? After all, an engine failure in a helicopter is a serious accident to blame on the pilot.
This article in the Houston Chronicle about and FDA audit and problems left unsolved at Blue Bell Ice Cream should convince people that thorough root cause analysis and implementation of effective corrective actions is needed to prevent business disasters.
Find out how TapRoot® can help you solve problems by reading this link:
Could root cause analysis help learn more from this accident? How about a Safeguards Analysis before you hunt?
In the city of Chernobyl, Ukraine in April of 1986, there was a major accident in the city’s largest nuclear power plant. The inadequately trained personnel paired with a flawed reactor design did not produce smooth results. The lack of safety precautions caused a steam explosion and fire that released 5% of the radioactive reactor core into the environment. Onsite death toll totaled to two plant workers, however, the overall death toll, due to the release of the radioactive poison, totaled to 56. In order to decrease the amount of poison released and put the fires out, officials poured sand and boron over the entire site. Additionally, they covered the plant with a concrete structure, but that still did not prevent all the residents from relocating and over 9,000 of them being diagnosed with cancer several months later.
Read this article from the United States Nuclear Regulatory Commission for more detailed information: http://www.nrc.gov/reading-rm/doc-collections/fact-sheets/chernobyl-bg.html
Below is a video of the 20 year anniversary news story that ABC News covered in 2006. Take a look at just how deadly and devastating this accident was.
Being proactive is just one way you can help prevent a catastrophic event such as this one. Learn root cause analysis techniques to investigate near-misses, and take proactive steps to avoid a major disaster. (Click here to find out more about TapRooT® Root Cause Analysis Training.)
Attending the 5-Day Advanced Root Cause Analysis Course in Hamburg, Germany will be a great experience because the training is exceptional. But you may also be interested in attending the Miniature Wonderland. Watch the following video for more info …