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Imagine a world where everyone
looked at themselves rather than pointing fingers at others. |
First we need to see ourselves
as part of the problem, then we’ll be ready to change. |
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One of the most frustrating
findings of formal Latent Cause Analyses is that many of the
underlying causes of major incidents are known AHEAD OF TIME.
Warning signs almost always precede major incidents, but are
neglected. Frustrating equipment, people, and systems are usually
recognized, but often ignored until they result in disaster.
It is people that ignore and neglect these problems. In the limit,
people cause problems – ALL people. We either do things we should
not have done, or neglect to do things we should have done. Although
most people easily see these qualities in other people, it is rare
to find individuals who can see their own role in things that go
wrong.
A Latent Cause Analysis is an attempt to help people see themselves
as part of their problems. |
The ultimate intent of the Latent
Cause Analysis is not to generate action items or recommendations.
Instead, the ultimate intent of a Latent Cause Analysis is to change
people, because:
When people change,
everything else will change.
A Latent Cause Analysis is
primarily, therefore, a self awareness exercise. If we look for our
own role in things that go wrong often-enough, healthy people will
“connect the dots” and desire a change.
But a Latent Cause Analysis is also an organizational awareness
tool. In this respect, when you finish your Latent Cause Analysis,
please complete and SUBMIT this form. It will be automatically sent
to your area Mother-Source who is responsible for identifying and acting on COMMON LATENT THREADS. |