We’re going to tackle the Louisville School Bus Catastrophe now. This crisis, which has still not been completely resolved, has in it a lot of the elements we have talked about that contribute to human failure. The most important part of this story is that it’s only a matter of time before it blows up […]
As part of our ongoing study of human failure, we’re looking at the mismanagement of the Lahaina Wildfire. Wildfires happen all the time, but this was a particularly interesting case where the problem may have been made worse by management ineptitude. I say “may have” because it is not completely clear at the moment exactly […]
We’re finally at part 4 of our series on our exercise in developing an ISO9001 quality manual for the Titan Submersible. We’re far enough along at this point to be able to identify a few potential failure modes in this tragic incident. If you’re interested in going back through these, for illustration purposes, feel free […]
We’re on to the third part of our effort to develop a hypothetical ISO9001 quality manual for the Titan Submersible. For those unaware, this vehicle tragically imploded, costing the lives of the people on board at the time. The company Ocean Gate was trying to charge billionaires to voyage to the Titanic so as to […]
We’re on to the second part of our effort to develop a hypothetical ISO9001 quality manual for the Titan Submersible. For those unaware, this vehicle tragically imploded, costing the lives of the people on board at the time. The company Ocean Gate was trying to charge billionaires to voyage to the Titanic. This was so […]
We’re going to tackle the Titan Submersible Disaster. As we always do, we’re going to try to figure out if this tragic event was preventable. Lessons in human failure are everywhere, as we have recently found out. Just for illustrative purposes, let’s first tackle the job of creating an ISO9001 Quality Manual for this service. […]
Today’s project is to try to figure out what caused the Recycling Plant Meltdown in Indiana the other day. In our ongoing effort to try to understand human failure, there is no shortage of examples. Problem Statement This is what happened. A giant recycling plant full of plastics of some kind caught fire and basically […]
We’re going to predict what will happen next in the Ohio Train Wreck story. Due to our powers of prognostication, and our experience around various examples of organizational dysfunction, we can predict the future. Of course if you feel like rereading what we have already said on this please click back. www.jimshell.com/ Back Story Oh, […]
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