Publications Details

Analysis of Reportable Events Involving High Energy/Stored Energy from 2011 through the 1st Quarter of 2016

Coffing, Stephen A.; Tryon, Arthur E.; Boyle, Phillip D.; Butler, Michal V.; Huff, Benjamin N.; Wright, Paul C.; Ponessa, Alfred E.

A key element of successful world-class technical organizations is the ability to learn from problems, large and small. Mature technical organizations have procedures that support this learning process, but it is not the procedures alone that cause the organization to succeed. Organizational success is the result of managers understanding the objectives of learning from problems and the discipline managers bring to bear to follow through on corrective actions. Following through includes checking if the actions fixed the problem and to implement alternate actions if the original actions did not achieve the objectives.