June 3, 2019
Simple Lessons from Big Incidents
Mark Galley, President and Instructor, ThinkReliability
Large industrial incidents require large investigations. Reviewing how each element aligned in the just the right way for a catastrophic incident to happen can be perplexing. Changing one seemingly inconsequential item could have changed the entire outcome. Details within the incident contain important insights for lowering risk and preventing problems. The important lessons buried inside a complex issue can easily get overlooked. This presentation dives into specific details within a few well-known incidents to reveal simple changes that can mitigate risk within any organization.