June 2011
Intermediate to advanced
279 pages
8h 59m
English
Content preview from Root Cause Analysis, 4th Edition
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The Role of Human Error in Root Cause Analysis 105
correctly. Unfortunately, the operator was the only person with this information and
the procedure for the task was never updated.
Experienced employees usually do not follow procedures because of the frequency
of application. Although experienced employees generally do not need to follow a
procedure, they should follow a checklist. Even though they may have performed
the task numerous times, experienced employees are still susceptible to committing
a skill-based error, and because of this, checklists that reect the key steps of a pro-
cedure should be used.
Guidance given to employees by supervisors can sometimes be incorrect and if
followed could cause an undesirable incident or event. T
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I'm always learning. So when I got on to O'Reilly, I was like a kid in a candy store. There are playlists. There are answers. There's on-demand training. It's worth its weight in gold, in terms of what it allows me to do.