19 February 2025

Swiss cheese effect

It is said that a bad accident or safety incident is cause by multiple breakdowns in procedures not being followed. As if every safety procedure is a control against something bad happening. Think of it them as the cheese between the holes in Swiss cheese. Think of an accident as a rod being able to go through a hole in a block of cheese with any cheese obstructing its passage.

Maybe promotions are the same. No obstructions to get through the block of cheese. And on some levels a promotion. Is the same as an accident.

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