Getting it Right When Things Go Wrong

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For the vast majority of time, companies and organisations work well without incident. However, we are tested when a real emergency occurs and we are suddenly dealing with the unexpected. The emergency services deal brilliantly with such things all of the time. For the rest of us, we can suddenly be faced with a crisis, and although we may have …

Investigation Tool – The Storyboard

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We at Kelvin TOP-SET make use of a Storyboard system for recording the progress of our investigations prior to completing a root cause analysis. The idea is not unique. Storyboarding is primarily used in the Film Industry, where animations and film clips are planned out in advance. We certainly advocate the concept of Storyboarding for planning, but we take the …

There is nothing permanent except change.

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Whenever there is an incident, whenever something happens that you do not want to happen, you must ask yourself the question, ‘What has changed’, because if nothing is different from pre-incident, it could not have happened. Right? I was forcibly reminded of that yet again today. I lost my wallet. I am always losing things.  Why? Because I live a …

How to Standardise Investigations

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It’s our business to provide companies with a standardised and structured investigative process. Consequently, we are often asked, “what are the key features to consider?”. Here is a synopsis, which might help you focus your thoughts. Much of what follows depends on the size of your company, but we hope the suggestions stimulate some debate. 1.          Have you considered setting …

Investigation – a Beginning and an End

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Where does an investigation start and where does it end? That’s a question that exercises us all at Kelvin TOP-SET, because we profess to be the investigation experts. The start is possibly easier to identify than the end: the start begins with an incident or event that requires investigation. That event can be good or bad. There is no harm …

What’s in a Name?

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Accidents, or incidents as we prefer to call them, almost certainly occur because something has changed. Just look at the published details of any major incident and you will see details such as: a software change, a design change, a timetable change, and so on. Obviously, the key word here is change. Large changes are easy to spot, or so …

‘Soft’ Skills for Safety: Finding the Right People

‘Soft’ Skills for Safety: Finding the Right People

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Technical skills and qualifications are the first thing employers look for when it comes to individuals meeting their list of job requirements. Various so-called ‘soft skills’ are sought after too, but only secondary to someone’s ability to do the job. But even when this is easily accomplished, things can still go wrong. In safety terms, the majority of incidents occur …

Safety & Health Practitioner

‘Investigation – Good Medicine’

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We can be fairly confident in saying that virtually nothing can be achieved without investigation. We investigate from our first steps and continue through the rest of our lives. In our professional life, investigation is part of planning, design, risk assessment and almost everything else. It is therefore unfortunate when companies think that investigation is just a health and safety …

Addressing Human Failure

Addressing Human Failure

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This is a topic that provokes much debate and, as a consequence, deserves attention. Around this topic we have comments worldwide such as:“This is just a technical investigation“;“We have a no blame policy in our company”;“We do not acknowledge human failure only organisational failure“. Before dealing with these issues, we must make two points clear: 1.  Almost all failures can …