THE WEEKLY
REFLEKTION
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The Weekly Reflektion 25/2021
The saying ‘beware of Greeks bearing gifts’ is normally used to refer to an act of charity that masks a hidden destructive or hostile agenda. The saying comes from Greek mythology andthe Trojan War, in which the Greeks, led by Agamemnon, attempted to rescue Helen, who had been taken to Troy after falling in love […]
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The Weekly Reflektion Week 42 / 2020
Does creating a scapegoat bring the team together? This week’s Reflektion concerns the clash between a blame culture, and a learning culture. Does getting rid of the people who make mistakes improve overall team performance? A few years ago, I was responsible for drilling operations on an offshore production platform. During a well operation the drilling supervisor proposed […]
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The Weekly Reflektion Week 23 / 2020
This week’s Reflektion concerns a train crash in 1988 in Paris where a chain of events caused an incoming train to collide with a stationary outgoing train. Driver error was identified as the cause. Given today’s prevailing view that human error is a symptom and not a cause, we will revisit the accident. People make […]
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The Weekly Reflektion Week 51 / 2019
This week’s Reflektion is a follow up on the Reflektions in week 49 and week 50 and concerns the process of changing of our mental models. Learning is not the just the accumulation of knowledge. Learning is the application of new knowledge and new experience to a desired end. Learning requires a change in the […]
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The Weekly Reflektion Week 50 / 2019
This week’s Reflektion is a follow up on week 49 Reflektion on human error and considers the concept of mental models. Do you have ‘human error’ down as one of the main causes for accidents and incidents? What mental model did the person(s) involved in the accident or incident have and how did this influence […]
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The Weekly Reflektion Week 49 / 2019
This week’s Reflektion is inspired by a presentation on Causal Learning that we recently attended and some reflections around the concept of ‘human error’. Do you have ‘human error’ down as one of the main causes for accidents and incidents? Maybe you should think about the cause of human error rather than human error as […]
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