Where Birds Don't Fly

It's an easy trap to be trapped in that having the paperwork in order becomes more important than the process itself. When the paperwork gets an A++ rating it is assumed that the output of the process makes operations safer. This assumption is totally wrong if safety is solely based on how colorful the documents are and how well spoken the speakers are. Perfect craftsmanship it gave in since the paperwork and planning placed the building in the wrong environment. At the opposite end of the paperwork, it is a trap to assume that the output of a process is a threat to safety if the paperwork is a failure. This assumption is wrong if lack of safety is solely based on incomplete documents are and lack of public speaking ability. Everyone are impressed or discouraged by the first impression (the first 7 seconds) and let  bias emotions rule the outcome. It takes a genius to put bias emotions aside and evaluate fairly, or it takes the tools of SMS and SPC to achieve the same result....

If the phrase " if it ain't broke, don't fix it " was true, the aviation industry would still be living in the stone ages inventing the wheel. Changes are necessary to improve processes. But without conducting analysis' of proposals, it is possible that the outcome is not as great as expected. In the days before SMS, it was still acceptable for accidents to generate great improvements to flight safety. Prior to an unexpected accident the operation appeared to functioned perfectly and wasn't fixed, since it wasn't broken. What was forgotten is that it's " what you don't know that is what will surprise you. "   Obstacles must be identified and navigated In the farming industry, growing grain seems to be a simple process by placing the seeds in the ground, wait for rain for a great crop, or worry about hot and windy for a poor yield. If the crop regularly gave poor yield, the solution was to move to a more fertile ground. For centuries this ...