Was it really Human Error…?
Was it really Human Error?
I love yogurt and eat it every day ๐ฅ. My favorite is Oikos Lemon Meringue ๐. I buy it every week.
But one day, I was unpacking my grocery bags and found that I had bought banana flavored (yuck! ๐ฅบ) instead of Lemon Meringue.
In the context of RCM, this “failure” has ๐ข๐ฝ๐ฒ๐ฟ๐ฎ๐๐ถ๐ผ๐ป๐ฎ๐น ๐๐ผ๐ป๐๐ฒ๐พ๐๐ฒ๐ป๐ฐ๐ฒ๐. Not only did I lose money when I gave the banana yogurt away, but I had to spend my time going back to the store to buy the right kind.
Was this all my fault? ย Was it purely ๐๐ช๐ข๐๐ฃ ๐๐ง๐ง๐ค๐ง? Or does Oikos bear some responsibility?
There’s no denying that the packaging is very similar. It (obviously) was very easy to make this mistake.
Ok, you may be thinking, “this really isn’t a big deal.” And I agree. It isn’t.
But it could be a serious disaster if something like this happens with our equipment.
What if a valve is vaguely labeled?
What if a crucial step in an Operating Procedure is inadvertently left out?
What if a maintainer is not feeling well, is overtired, or distracted (like I was that day)?
Disasters happen every day in our world for causes that could have easily been avoided. Just turn on the news.
What can we do about it?
๐ง๐๐ฟ๐ป ๐๐ผ ๐๐ต๐ฒ ๐ฝ๐ฒ๐ผ๐ฝ๐น๐ฒ ๐๐ต๐ผ ๐ธ๐ป๐ผ๐ ๐๐ต๐ฒ๐ฟ๐ฒ ๐๐ต๐ฒ ๐ถ๐บ๐ฝ๐ฟ๐ผ๐๐ฒ๐บ๐ฒ๐ป๐ ๐ผ๐ฝ๐ฝ๐ผ๐ฟ๐๐๐ป๐ถ๐๐ถ๐ฒ๐ ๐ฎ๐ฟ๐ฒ.
The untapped gold ๐ฅ in an organization is the people who operate and maintain the equipment every day. ๐ง๐ต๐ฒ๐ ๐ธ๐ป๐ผ๐ ๐๐ต๐ฒ๐ฟ๐ฒ ๐๐๐น๐ป๐ฒ๐ฟ๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ถ๐ฒ๐ ๐น๐๐ฟ๐ธ.ย ๐ช๐ฒ ๐ป๐ฒ๐ฒ๐ฑ ๐ผ๐ป๐น๐ ๐ฎ๐๐ธ.
๐๐ถ๐ต ๐ฎ๐ฐ๐ด๐ต ๐ฐ๐ง ๐ต๐ฉ๐ฆ ๐ต๐ช๐ฎ๐ฆ ๐ธ๐ฆ ๐ฅ๐ฐ๐ฏ’๐ต.
And that’s just one of the reasons why ๐ฅ๐ฒ๐น๐ถ๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ ๐๐ฒ๐ป๐๐ฒ๐ฟ๐ฒ๐ฑ ๐ ๐ฎ๐ถ๐ป๐๐ฒ๐ป๐ฎ๐ป๐ฐ๐ฒ (๐ฅ๐๐ )ย is so strong.
When done correctly with the right people, failures that are just waiting to happen can proactively be identified – ๐ข๐ฏ๐ฅ ๐ฆ๐ญ๐ช๐ฎ๐ช๐ฏ๐ข๐ต๐ฆ๐ฅ. (Or at the very least, the Consequences of failure can be minimized.)
๐ฅ๐๐ ๐๐ฎ๐ธ๐ฒ๐ ๐๐ถ๐บ๐ฒ ๐ฎ๐ป๐ฑ ๐๐ต๐ฒ ๐๐ถ๐น๐น ๐๐ผ ๐๐ฒ๐ฒ ๐ถ๐ ๐๐ต๐ฟ๐ผ๐๐ด๐ต.ย But when an organization commits to applying it correctly, the results can be overwhelmingly positive. ๐ข๐ฟ๐ด๐ฎ๐ป๐ถ๐๐ฎ๐๐ถ๐ผ๐ป๐ ๐ฐ๐ฎ๐ป ๐ฏ๐ฒ ๐๐ฟ๐ฎ๐ป๐๐ณ๐ผ๐ฟ๐บ๐ฒ๐ฑ. I’ve seen it first-hand.
What do ๐ฎ๐ค๐ชย think? ๐๐ญ๐ฆ๐ข๐ด๐ฆ ๐ญ๐ฆ๐ต ๐ฎ๐ฆ ๐ฌ๐ฏ๐ฐ๐ธ ๐ช๐ฏ ๐ต๐ฉ๐ฆ ๐ค๐ฐ๐ฎ๐ฎ๐ฆ๐ฏ๐ต๐ด.