THE WEEKLY
REFLEKTION
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The Weekly Reflektion 19/2022
Repeated incidents show that we are often not effective at learning lessons and preventing recurrence. People can be seriously injured or die from this failure. Learning lessons demands organisational stamina to follow the process to the end. How is the stamina in your organisation? Several of our Reflektions recently have addressed the quality of investigations […]
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The Weekly Reflektion 17/2022
Failure of leadership and supervision is often noted as a factor in incidents and accidents. Unfortunately, this is often an observation made by the investigation team and not a cause that has been identified through an assessment of why the leadership/supervision failed. Are your expectations to operational leaders/supervisors clear? One of the perceived advantages of the […]
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The Weekly Reflektion 13/2022
Human error plays a part in most accidents. Do your investigations stop there? Injury to boy’s neck after accident on the ski lift. Photo: Private Do you consider ‘inherently safer design’ in your investigations? In February this year, an 11-year-old boy was on downhill skis for the first time at a Norwegian ski resort, when […]
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The Weekly Reflektion Week 21/2021
Once an organisation establishes a mindset it can be difficult to change and sometimes it takes a serious incident to realise the mindset was not good. Do you let your mindset blind you to the causes of your next disaster? I was just sitting down at my desk to write a Reflektion and as I […]
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The Weekly Reflektion Week 10/2021
Thank you to everyone that attended the Reflekt Lunch and Learn on Resilience on 18th February.One of the examples we used was the blowout on the Snorre A platform in 2004 where a subsurface hydrocarbon leak from a well compromised the suction anchors for the tension legs and threatened the platform with fire and explosion. […]
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The Weekly Reflektion Week 35 / 2020
While working on an assignment connected to Major Accident prevention, I needed to refer to the report from the Cullen Inquiry into Piper Alpha. The particular issue was related to the authority an investigation leader has to extend the investigation mandate in order to cover issues that may not have been considered in the original […]
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The Weekly Reflektion Week 04 / 2020
Reflekt was started in October 2017 and since then we have produced 115 Reflektions that we hope have been interesting reading and perhaps provided useful learning. Reflekt has also organised five seminars on learning from Major Accidents. Our belief that the unique insights from the investigations into Major Accidents can be used both to prevent […]
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