Tag: learning

Nimrod XV230: 15 years on

organisational change- humanfactors101.com

Five years ago, I launched this website with a series of articles about the Nimrod XV230 disaster.

Today, on the 15th anniversary of this tragedy, I’d like to reflect on the key recommendations. From the subtitle of the independent Review – “A failure of leadership, culture and priorities” – it’s obvious that there may be lessons for us all. The question is, have we learned these lessons?

Remembering Trevor Kletz

Trevor Kletz with his books and articles - humanfactors101.com

Trevor Kletz was a safety hero. Over a career spanning nearly 70 years, his thoughts on human factors, human error and accident investigation helped to move the industry from a focus on individual behaviour to organisational and system failures. His proposal that we should shift from blame to learning is the basis of current safety thinking.