Chapter 27. Changing Procedures Instead of Designs

Rigid, repetitive behavior, resistance to change and a lack of imagination are common symptoms.—Extract from an article on autism, Daily Telegraph (London), April 29, 2002

When we join an organization, especially when we are young, we tend to follow, and are expected to follow, its ways of thinking and acting. It is usually only later, when we have gained experience, that we start to question these default actions. This chapter describes a common, but unfortunate, way many organizations react after an accident.

There are several different actions we can take after we have identified a hazard (as a result of an accident or in some other way), to prevent it from causing another accident or to ...

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