Root Cause Analysis Blog

(Lt Col Ralph Hayles - left)

For those that investigate accidents and incidents, Lt Col Ralph Hayles story is immensely interesting.

Involved in a “friendly fire” accident at the start of Gulf War I, Lt Col Hayles was singled out for blame, discipline, and public vilification.
His “accident” was similar to many others. A combination of mistakes and equipment failures that led to a fatal result. And like many others, the last person to touch it (in this case the trigger) is blamed for all of the consequences.

To read his story see:

http://books.google.com/books?id=2tI8erYfxbwC&pg=PA8&lpg=PA8&dq=wall+street+journal+ralph+hayles&source=web&ots=j79QgRdLFK&sig=SW0sWVXDrmF2gbS85v5NiPVa2xY#PPP1,M1

Better yet, attend the Summit and hear Lt Col Hayles tell his story. Learn the impact of an investigation and discipline gone awry.

For more Summit information and registration, see:

http://www.taproot.com/summit.php

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This entry was posted on Wednesday, February 20th, 2008 at 4:21 pm and is filed under Accidents, Human Performance, Pictures, Summit. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.