Turn a near miss into a control
Convert a near miss into system learning and a corrective control.
Near miss A heavy roll falls from storage and barely misses a worker. The first response determines whether people share facts or hide them. Make safe, learn, control Treat the near miss as evidence of exposure, not proof that someone deserves blame. Facts first, causes second, controls third. Stabilize The roll is on the floor and the shelf still has loose material. What do you do first? Learn The area is safe. Three people saw different parts of the event. How do you gather facts? Control You find a missing rack stop and unclear top-shelf storage limits. What closes the…
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