THE WEEKLY
REFLEKTION
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The Weekly Reflektion 05/2024
Reflekt has been and still is very critical to the decision to both the prosecution for negligence and the guilty verdict of the Officer of the Watch on Helge Ingstad for the collision with Sola TS in 2018. In investigations we have carried out our main concern has been to extract learnings from the incident to prevent a recurrence. Learning and experience transfer […]
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The Weekly Reflektion 52/2023
Many companies are making the transition from ‘Human Error’ to ‘Human Performance’ in the way they investigate incidents and accidents and how they improve their performance. The ‘Human Error’ approach was based on the identification of what went wrong, who made the mistakes and led to actions to correct mistakes to prevent recurrence. The investigations most often did not get to the root of […]
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The Weekly Reflektion 21/2023
Whan a Major Accident occurs there is often a public outcry and there follows a demand to find the person/people responsible. The public want punishment for these people for not doing their duty, perhaps a tendency towards an ‘eye for an eye’, ‘tooth for a tooth’ mentality that serves for justice in the minds of many. The major accident itself is normally investigated by a team of […]
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The Weekly Reflektion 20/2023
In our daily routines we expect to interface with others with a similar understanding of what is an ‘acceptable’ risk, for example when we are driving on the roads. Different groups may however have different levels of ‘acceptable’ risk. These worlds sometimes meet with unfortunate consequences. The Helge Ingstad after the collision with the TS Sola Are we aware of the dangers when our view of ‘acceptable’ […]
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The Weekly Reflektion 01/2023
Systemic failures in the Norwegian Navy, on the Sola TS and Fedje Vessel Traffic Service were causes of this collision. Should we put the blame on human error or address the systemic failures? This is the third Reflektion regarding the collision between the Sola TS oil tanker and the Norwegian Navy frigate Helge Ingstad. The […]
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The Weekly Reflektion 52/2022
Labour shortages led to the bridge crew of the Helge Ingstad being less experienced than was the norm, but the job had not got any easier. Were the bridge crew on Helge Ingstad negligent, or did the Norwegian Navy set them up to fail? This is the second Reflektion focussed on the incident on 8th November […]
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The Weekly Reflektion 51/2022
The Helge Ingstad sinking involved three parties, the Helge Ingstad itself, the tanker Sola TS, and the local marine vessel traffic service. The incident illustrates some of the challenges associated with people, the way people communicate and the assumptions they have when they are trying to make sense of the world around them. People in […]
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