Silver Moor Consulting
  • Home
  • About
  • Consultancy
    • Barrier-based auditing
    • Task design
    • Training & competence
    • Procedures & documents
    • Accident & incident investigation
    • Decision support tools
    • Performance dashboards
    • Risk management >
      • Bowtie risk assessment
    • Operational readiness
    • Safety climate surveys
  • Training
    • Reducing maintenance error
    • Accident investigation training >
      • Accident investigator training
      • Senior accident investigator
      • Root cause analysis
      • On-Train Data Recorder (OTDR) analysis
    • Writing safety critical instructions
    • Bowtie risk methodology
    • Risk assessment
    • Trainer and coaching skills
    • Process mapping
    • Writing better reports
    • Creating a vision
  • Coaching
    • Accident investigator coaching
    • Consultant coaching
    • Manager coaching
  • Contact
  • News
  • Resources
    • Rail images
    • Tram images
    • Bus images
    • Human factors images
    • Event images
    • 1930s road safety advice
    • 1960s railway workshop safety
    • BR Training Manuals
  • Clients
  • Privacy

Road painting errors

10/6/2014

0 Comments

 
PicturePhoto: KentOnline
Human errors often have humorous rather than safety critical consequences. The two examples here illustrate system failures which caused embarrassment for the organisations involved, but probably nothing more.
In the top example, a sub-contractor working on street repairs after gas main works made the road marking error. Instead of marking the temporary space as 'DISABLED', a rather different marking was made. The operator was probably doing the best they could - the real failure is in the system that allowed the error to occur. See the KentOnline news report for the full story.

PicturePhoto: BT.com
In this second example, road painters repeated a spelling error that was first introduced on the section of road two years previously. Here, 'MINUTES' was replaced with 'MINUITES'. Again, the error lies in the system somewhere, not with the individual carrying out the marking. For the full story, see BT.com.

0 Comments

Power engineer error leads to US firefighter electric shock

17/2/2014

0 Comments

 
Electric shock warning
A fallen power cable caused a wildfire in the US state of Washington. Electrical power company engineers attending the incident believed that the other end of the power cable was also disconnected at the top of a pylon and so posed no danger to firefighters on the ground. However, the power cable was still live at 7.2kV and when a volunteer firefighter used a portable fire extinguisher on the fire he received an electric shock. Fortunately the firefighter was unharmed. For the full news story, see the Tri-City Herald report.

See our pages on procedures and documents, risk management and accident investigation for information about managing risk in an operational environment.

0 Comments

Clapham rail accident, 25 years on

21/12/2013

0 Comments

 
On the 12th December 1988 a crowded passenger train crashed into the rear of another train that had stopped at a signal, and an empty train, travelling in the other direction, crashed into the debris. Thirty-five people died and nearly five hundred were injured.
The primary cause of the crash was incorrect wiring work on the signalling system; a redundant wire was left connected at one end, and bare at the other. The wire came into contact with a relay, causing a signal to display a 'wrong side' green aspect regardless of the presence of a train on the track circuit. The signalling technician responsible had also worked a seven day week for the previous thirteen weeks.
Twenty five years on from the Clapham Junction rail disaster, a survivor is still remembering fresh details from that harrowing day.

See the news item here, and the accident report on the Railways Archive website here.
0 Comments

    Archives

    November 2020
    November 2019
    June 2019
    April 2019
    March 2019
    November 2018
    June 2018
    May 2018
    December 2017
    September 2017
    March 2017
    February 2017
    January 2017
    November 2016
    September 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    November 2015
    October 2015
    May 2015
    March 2015
    February 2015
    January 2015
    November 2014
    October 2014
    September 2014
    June 2014
    March 2014
    February 2014
    January 2014
    December 2013

    Categories

    All
    Accident
    Awards
    Business Skills
    Chartered Management Institute
    Coaching
    Communication
    Construction
    Cranes
    Design
    Distraction
    Events
    Fatigue
    Handover
    Heritage Railways
    Human Error
    Investigation
    Leadership
    Light Rail
    Maintenance Error
    Management
    Medical
    Mentoring
    Metro
    Military
    Mindfulness
    Networking
    Nuclear
    Organisational Failures
    Procedures
    Rail
    Resilience
    Risk
    Rule Compliance
    Social Care
    Strategy
    Supervision
    Task Workload
    Training And Competence
    Tram

    RSS Feed


Silver Moor Business Consulting LLP is registered in England and Wales. Registered Number: OC389666. VAT Registration No. GB 178 0758 72 
Registered Office: Coombe Wood House, Winscombe Hill, Winscombe, North Somerset, BS25 1DH, United Kingdom.

© Silver Moor Business Consulting LLP 2023. All rights reserved.