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Archive for August, 2007The Accident Report said “The post hit the truck”I just finished reading Mistakes Were Made(but not by me). The authors, Carol Tavris and Elliott Aronson, made me think about an accident report from a few years ago. I was responsible for reviewing and approving all incident analysis reports in the lessons learned system. I was also responsible for building a learning culture that accepted individual responsibility for errors and accidents. (more…) Posted August 7th, 2007 in Human Factors, Operational Excellence |