Hear no evil, see no evil: observations on a paper presented by Prof Munro and Dr Fish to CA Royal Commission
‘Hear no evil, see no evil’ was submitted by its authors Professor Eileen Munro and Dr Sheila Fish in September 2015.
There appear to be the following oversights in the submission.
High Reliability organisations
One of the major suggestions in the paper is to examine how “High Reliability Organisations” in industries such as aviation and nuclear power achieve their levels of safety. Techniques mentioned include looking beyond the immediate cause of any error, and encouraging staff to highlight potential problems for action before a major failure arises.It is all very well looking at how these organisations achieve these levels of reliability, but the report’s analysis neglects entirely to examine why these industries decide such high reliability is necessary. (more…)