A ‘No Blame’ Culture Misunderstood

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Two true stories: 1.              A doctor administered the wrong drug in error and a patient died.  2.              A helicopter pilot put the wrong fuel in the fuel tank and the engine stopped mid-air. Fortunately, he was able to land the helicopter safely, and no one died. The doctor was administering an anaesthetic drug, and had two syringes on his tray, …

Investigation – by any Other Name?

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Every cloud has a silver lining. I have had the misfortune (good fortune?) to have surgery four times since July 2017. Pain and inconvenience aside, and I am well on the way to complete recovery now, it was an unexpected opportunity (and pleasure) to observe another sector in action. Many times daily I had the opportunity to watch nursing staff …

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When it Really Matters: How Safe are Your People?

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Making things better and constant improvement is all part of good management and professionalism. Relating this to incidents, one can see that successful outcomes from even the most extreme events are down to good teamwork, communication and professionalism, achieved through training and best practice. Clearly, though, in all extreme situations people are tested and we don’t know how any of …

Business Briefing: Aberdeen 11th of June

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Join us on June 11 for a morning of breakfast networking and panel discussion. Business’ incremental inches and their incredible impact, this latest instalment of the Press and Journal Business Briefings, in association with Kelvin TOP-SET, will discuss the incremental inches in business and how they can result in incredible impact.  Find out how looking after the small things can benefit …

Writing a Good Report

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What makes a good investigation report? We at Kelvin see many reports from all over the world. We offer a confidential service to companies to carry out an extensive and detailed review of any report they wish to send us. Consequently, we are in a strong position to comment on the most common errors we see. Here below is a …

A Hidden Danger

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For Mental Health Awareness Week in the UK this year, the Mental Health Foundation (MHF) has highlighted stress as a growing epidemic requiring attention. Stress is a common health issue that affects most of us at some time in our lives, but if it becomes chronic or isn’t acknowledged and treated, it can become a serious health and safety issue. …

Investigation Understood: A Different Perspective

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At Kelvin TOP-SET we are frequently faced with people who are intimidated by the word ‘investigation’ itself, feeling that it is a difficult process at which only the police are expert, and that it implies that there must be a ‘culprit’ to blame in the end. It is always difficult to disabuse them of that idea; even some of those …

Paying Lip Service to Investigation? It’s a Culture Thing

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Time poor, under pressure and lacking resources, it’s understandable that managers often undoubtedly feel the need to just get an investigation closed out following an incident, satisfied that procedures have been followed and things have been done ‘right’. This is especially the case for near misses that may seem inconsequential. But it isn’t enough to just ‘do’ the investigation and …

Bridge Collapse - Incident Investigation

Human Factors and Root Causes: Bridging the Gap

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Amazingly, there are still people around who cannot see the link between root causes and human factors, and yet one cannot exist without the other. This is not to suggest that people deliberately make or introduce errors, but that the complexity of some operations creates ‘error inducing conditions’. Clearly, effective risk assessment and front-end planning should prevent incidents, and while …

Kelvin TOP-SET @ OTC

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It’s Offshore Technology Conference (OTC) time again, and it’s the 50th anniversary of OTC.  This year we have a new stand, a new location, 1161-06, and new opportunities. We have been here setting up and attending a variety of networking events, and the general sentiment is very positive for business. This morning Brent Crude was at $74, and clearly this helps …