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Safety Lessons From High-Reliability Organizations
Safety Labs by Slice
The Importance of Understanding Your Metrics
The lack of connecting the dots between, okay, what are our controls? Like, why are we measuring this? And what does it actually mean? That's sort of the patterns that you're talking about in a sense. A couple of years ago, Grovena, Underground Coal Mine in Queensland, had a gas explosion that injured five really severely. So when you overlay the years before that event, they were having gas exceedances. The HRO would see that as, oh my goodness, I have a pattern of failure here. I need to think about this and escalate this and do something broader rather than just band-aid the individual issues.
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