HEB

When human error happens, especially if the consequences are serious, somebody says, 'we will learn from this; it must never happen again.

Some of the most common responses to human error within organisations are re-training, writing more detailed instructions, adding further stages of checking, and encouraging people to be more careful. At best, this might avoid exact repetition of a specific error, for a while. However, these kinds of approaches do little to address root-causes of human error, or conditions that allow them to persist.

Contributory causes can be identified by systematic examination of peoples' work, and conditions in which it is carried out. HEB has an established methodology for doing this, together extensive reference materials that point toward potentially adverse influences.