During one of my training sessions back in 2000, a maintenance manager approached me with a question about the best maintenance practices for a UPS system. I initially suggested redundancy, but he clarified that the UPS in question was for the entire plant, not just for a computer system. This led to a discussion about the consequences of a UPS failure and the importance of having backup systems in place. Despite initial resistance from top management due to cost concerns, the plant eventually implemented three UPS systems after a destructive fire incident. This serves as a reminder that proactive decision-making is crucial in preventing costly failures and disasters. While we often focus on technical strategies like reliability analysis, it is essential to acknowledge that human errors and flawed management decisions play a significant role in system failures. As we strive for perfection, we must also recognize our inherent fallibility and take proactive steps to mitigate risks. Your insights and feedback on addressing human errors and improving management practices are highly valued. - Rolly Angeles, Consultant and Teacher.
A fascinating anecdote shared by Rolly reveals a significant event from several years ago at Sydney airport. A total communication blackout occurred on a Friday afternoon while electricians were conducting tests on the UPS system for the control tower. This resulted in 20 planes in controlled airspace unexpectedly transitioning to visual guidance and losing contact with air traffic control. A truly unforgettable experience for all involved. For more stories and insights, visit www.pmoptimisation.com.au.
Hello Rolly, I am currently in the midst of transferring all my files while adjusting to a new country. Once I am settled, I will share a variety of documents on human error that you may find intriguing. Additionally, I highly recommend reading any books authored by James Reason for more formal insights on the topic. Thank you!
Dear Rolly, I thought you might find this document intriguing. Titled "Human factors guidance for selecting maintenance strategies for safety in offshore oil and gas industry," it is a valuable resource sponsored by the United Kingdom's Health and Safety Executive. Attached is the document in PDF format for your reference.
Hi Daryl, do you believe that it is impossible to completely eliminate human errors, but we can definitely minimize them to a certain extent? Warm regards, Rolly Angeles.
Rolly, in some instances, it is possible to completely eradicate human error, while in others, we can only strive to minimize its occurrence. There are various types of human error that exist across different categories. Cheers!
I completely agree with you, Rolly. Addressing human error is paramount in industries where a single mistake can result in notable damages. Implementing systems like Six Sigma and Lean can play a crucial role in reducing these errors by promoting a culture of continuous improvement and precision in processes. Also, management needs to invest more in employee training and establishing a data-driven approach to decision-making, which can immensely enhance operational efficiency and risk management. The story you shared is a stark reminder that wise investment in redundancy and preventive measures can save a company from significantly larger losses in the long run.
Hi Rolly, your experience really highlights the tension between cost and safety in management decisions, which can often lead to reactive approaches rather than proactive ones. It’s fascinating how the tragic fire pushed them to implement those three UPS systems—such incidents often serve as harsh lessons. I completely agree that while technical solutions are important, addressing human errors and improving communication between departments can make a big difference in how systems are managed. Maybe introducing regular drills or training sessions that focus on both the technical and human aspects of these systems could help bridge that gap. What do you think?
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Answer: Human error plays a significant role in system failures, and it is essential to acknowledge and address it to prevent costly incidents.
Answer: Proactive decision-making can help in identifying risks, implementing backup systems, and preventing failures and disasters in maintenance practices.
Answer: Strategies to address human errors and improve management practices in maintenance include training, clear communication, implementing redundancy, and fostering a culture of accountability and continuous improvement.
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