Light bulbs, red lines, and rotten onions

I’ve talked about the MV Hoegh Osaka incident before. A huge ship that left port out of balance and soon was grounded on the Bramble Bank sandbar off the Isle of Wight. The official British Marine Accident Investigation Branch (MAIB) report determined that a “fundamental principle of seamanship appears to have been allowed to drift, giving rise to potential unsafe practices.” Today I read an excellent analysis of the accident report and what it means for Safety Management Systems and safety/production balance in the real world. It’s titled Light bulbs, red lines, and rotten onions, by Nippin Anand. It was originally published in The Seaways of the … Continue reading Light bulbs, red lines, and rotten onions

It’s no accident — it’s a crash

Interesting article yesterday in the New York Times, titled ‘It’s no accident: Advocates want to speak of car ‘crashes’ instead’. It’s about safety advocates changing language use from a car accident to a car crash. The AP recently revised their style guide. Dr Rosekind of the US National Highway Traffic Safety Administration is on board, saying, “When you use the word accident, it’s like, ‘God made it happen.’” The thinking is that ‘accident’ may make us shrug our shoulders and think, oh well, what can you do, accidents happen. ‘Accident’ may trivialize that most common cause of traffic incidents: human … Continue reading It’s no accident — it’s a crash

Airmanship at a distance

This is a sad story. But important to think about. For we are all our brother’s keeper. The news headline this weekend was ‘Flight school sued over death of student‘. Fox5 reported: A 21-year-old’s dream of becoming a pilot was cut short when during flight school his plane came crashing down, killing him, according to a lawsuit filed Friday in Cobb County. The father of the young man filed that suit alleging the school was negligent by forgetting to refuel the plane. “I don’t want another family to experience that kind of loss,” said Michael Hughes. This was the reason … Continue reading Airmanship at a distance

Personal safety valve

This quote is from an interview in the April 2016 issue of AOPA Pilot magazine. It’s good to remember (almost none of us) are flying missions vital for national security. We can wait out any storm. Caitlyn, a pilot and former Olympic athlete now more famous for popular TV exploits, also says: “Learning to fly the airplane was easy. It was everything else one has to learn that was challenging.”

Procedural drift and the sandbar

On 3 January 2015, the large ship MV Hoegh Osaka left the British port of Southhampton. An hour later she made a turn to port, then began listing markedly to one side. Soon enough the rudder and propellor were out the water. In flying terms, ‘departure from controlled float’ we could say. Fifteen minutes after the turn she was grounded on the Bramble Bank sandbar off the Isle of Wight. Settling down with a list that would eventually reach 52°. The ship was about half full, loaded with 1,200 Jaguar and Land Rover vehicles worth over $45 million. Now, this accident isn’t as serious as … Continue reading Procedural drift and the sandbar