Comment by hinkley

Comment by hinkley 6 hours ago

2 replies

That really doesn’t answer the question. I’ve been in Told You So situations particularly last year where people wanted to take the safeties off. These were literally the same people who voted to put them on in the first place.

Kaboom.

photonthug an hour ago

80% of the post mortems I’ve been in are caused by someone insisting on removing safety processes we had all agreed to. All you can do is get that shit in writing beforehand so someone is accountable, and resist the (reasonable) urge to yell I told you so afterwards because that will get you fired. Suggest that there needs to be process involved in changing established processes and then the lazy/unsafe way becomes more work.

Or to put it more in terms of Dekker and Rasmussen, there’s a gradient towards least effort and a gradient towards higher efficiency and that’s almost all there is to work with at a systems level. Safety/quality culture can’t really operate in terms of “look, this is the virtuous way you’re ignoring here!”

  • hinkley 19 minutes ago

    Mine haven’t been that high but once you’ve dialed in a process a lot of post mortems do come down to the Law of Unintended Consequences. We changed this and now that breaks. Usually not a straightforward cause and effect like you’re seeing.

    I do spend time trying to combine or automate steps by other mechanisms though, so I am always on a team where the growth rate of the burden of the rules is a little flatter than they otherwise would be. So the rate at which people get fed up and start rallying to delete things may be a little lower for me than the mean.