Industry Professor Stephen Wright: Learning from Errors and Events
Updated: Mar 16
Industry professor Stephen Wright’s second lecture of the Exploring Industry Experience course focused on learning from errors and events.
As an aviation safety expert, he wants to emphasize the importance of learning from different fields. Looking at other industries gives an insight as to how badly stuff can go wrong with minimal deliberate intentions.
The identification of the elements indicates that some items may be initially considered as "latent" but actually, as much of what we do is repetitive, we can predict where the errors will take place. The problem is stuff doesn't always get updated and changed.
The assignment for students is to write a personal blog post where they identify a past screw up and then break it down into the relevant Swiss Cheese* elements.
You can watch the video recording of the lecture below:
* The Swiss cheese model of accident causation is a model used in risk analysis and risk management: https://en.wikipedia.org/wiki/Swiss_cheese_model
The lecture covered the Herald of Free Enterprise disaster as an example case: https://www.youtube.com/watch?v=82XGofeqf7c