THE HUMAN ERROR
We humans don’t always follow the rules and we are geniuses at finding ways around a Murphy proof. Thus we must train the person on how to avoid that error in judgment or performance.
JUSTIFYING AND LEARNING FROM MISTAKES Back in 1709, Alexander Pope said, “To err is human, to forgive divine.” We often use this quote to justify our mis- takes. I would like to apply this 300-year-old quote to our modern-day profession of aircraft maintenance and see if we can try to lessen human error and forgive those who make the errors they don’t intend to make.
In its simplest form, and error is anything in which the
result was not what you expected. Thus, if you are divorced, you made an error when you married. Interestingly, some of us go on to repeat the same error more than once. (Has anyone been divorced twice?) In order to reduce human error, we have to learn from our mistakes. This can be an expensive way to learn, as it requires us to make an error before we react. Sadly, we don’t always learn the first time and instead blame the error on being careless, dumb or just too lazy to do it right. It can also come as a surprise when you make the same mistake again.
In order to learn from our mistakes,
we have to first learn why we make them in the first place and what we can do to avoid making them again. With that understanding, we can begin to learn from the errors we have made. We can create a safety nets, a practice or procedure that we use to help ensure that an error is not repeated. For example, you decide to always leave your keys hanging on a special hook whenever you enter the house. This will lessen the chances of losing them somewhere. Better yet, let’s try to learn from the mistakes of others. This is a lot less expensive and often a lot less painful. In order to do this, we need to know about the mistakes, so they have to be reported and analyzed. This is where the other half of Pope’s quotation comes into play: “To forgive (is) divine.” Giselle Richardson, a keynote speaker at a human factors symposium,
11.12 2014
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