AM-15-10 A Fresh Look at Complexity and Behaviors

Description:

Expectations for operational excellence have never been higher. Those societal expectations can be simply stated in three words: NEVER and NEVER AGAIN™. Yet after decades of system based improvement and quality initiatives, the level of apparent system failures remains too high. Oil spills, pipeline, plant and transportation failures, automobile and other product recalls, food source contaminations, software security failures and many other business disappointments abound. The refining and petrochemical businesses for their part have certainly reduced incident frequency and improved safety. At the same time, public tolerance for incidents has moved even further. Rapid communications technology has increased public awareness. Outrage and expectations have grown despite industry’s commitment to improvement.