I went on to read the Ontario Power preliminary report and was impressed with the number of checks and balances they apparently have available to prevent accidents. Some of it was acronym-based, and I am uncertain if that method has any real impact, but much of it was an emphasis on humility (checking with peers and supervisors in various positions/levels). I was especially struck with the phrase "Don't answer your own question". That has a lot of truth to it, and I was impressed with the deeper thinking behind that idea, and generally so with thier program, as presented.
Now if only we could program out the human tendency to take shortcuts! I am in the military, and we have multiple programs designed to remind our personnel of dangers inherit in alcohol abuse, but no matter how seriously delivered, the message never reaches some people until after they have suffered consequences. I hope the worker in question makes a full recovery, and is forever wiser for his lapse of judgement. Greg Batz
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