Process Safety Management : Blind Operations

Incident due to -> Impact of poor communication/information handling

In summary  :-

1. Incomplete information
2. Unclear information
3. Overwhelmed with too much information

Clarity of information is vital to understanding the situations. When unexpected happens, natural tendency to interpret the events in the context of ones own experience despite the evidence to the contrary. A mindset is very hard to shift and can be influenced by stress. 

Three important areas that could prevented or limited the consequences of the events :-

1. Learning lessons from outside the boundaries of ones own experience.
2. Exercising major accident scenarios.
3. A robust management of change during crisis

People create own blindness due to :-

• Lack of awareness of what is going on resulting from a lack of training or experience or external factors such as stress

How to tackle:-

• a bit out of the ordinary
• to step back and take thorough look at all the evidence
• or as a colleague to do that for you