Lessons Learnt ?

[Canary42]

Time after time, we find out after accidents that safety procedures weren't followed and are smugly told by the culprits that "lessons have been learnt, recommendations made, won't happen again, procedures put in place, blah blah blah" but nothing actually changes.

Here we have another example - http://www.bbc.co.uk/news/world-europe-guernsey-33800990 which reached the staggering conclusion that ".... key safety features were either disabled or ignored".

Lessons obviously are NOT being learnt. If you're leaving from Portsmouth for C I, then beware.

[ummmm]

And out of the 1000's upon 1000's that don't have accidents/make mistakes.

Do you really think every single human should never make a mistake?

[sherrardk]

What else are they meant to say? Has this company made this mistake before?

[237SJ]

Yes, lessons are learnt although the 'punters' might not see it https://en.wikipedia.org/wiki/Crew_resource_management

[whiskeryron]

My old dad had a saying '' the person who has never made a mistake, has never made anything ''

[Canary42]

///Do you really think every single human should never make a mistake?
///

No, of course not, don't be so stupid. But that's what safety features are there for.

[Canary42]

///My old dad had a saying '' the person who has never made a mistake, has never made anything ''///

Like ummm, you too have missed the point - see above.

[bhg481]

Management/government or whoever can put in place all the procedures they want but there will always be someone who ignores then because of laziness/don't think it matters etc. for example, speed limits are a safety procedure but they are broken by a large proportion of drivers on a regular basis.

[jno]

when something goes wrong and they do try to learn lessons, what often happens is that they revise their systems. The idea is to find a system that works every time and stick to it. When they do get something like an unusual tide they'll try to rework the system again to take it into account.

This doesn't allow much scope for improvisation and personal observation, and of course it can't rule out human error - as it appears this time they didn't follow the system and took another route.

I don't suppose you can ever rule out human error, though it might pay to sack people who can't or won't follow the systems. But if the system itself is at fault all you can do is adjust it so it works better.

[ummmm]

I'm not being stupid. People make mistakes and they always will. Even the person who is in charge of implementing the safety procedure is capable of making mistakes.

In reality though mistakes are far and few between.