Dominic FURNISS
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domfurniss.bsky.social
Dominic FURNISS
@domfurniss.bsky.social
Human Factors consultant and trainer
I get a chicken stock from cupboard, break up and put in jug ready for hot water. Wife says “Which one did you use?”. Obviously the first one I found! Wife says not to use that one as it went out of date 10 months ago. Pause. 💡Idea: I threw the old ones away! 🙄 #mistake #slip #errordiary #rsdiary
December 17, 2025 at 7:14 PM
Reposted by Dominic FURNISS
Failed to turn water on for boiled eggs and to turn the power on for the toast #errordiary
October 3, 2025 at 11:38 AM
Couldn’t find the car key, been using my wife’s. Not in usual place, searched plausible places, implausible places, too to bottom of house, last option was the bin bag I had put out three days ago… and yes, at the bottom of that. Phew! 😅 And pew! 🫣 #errordiary
December 13, 2025 at 4:18 PM
Reposted by Dominic FURNISS
The Buncefield Disaster at 20
YouTube video by ECI-Hub
youtu.be
December 11, 2025 at 6:22 PM
Reposted by Dominic FURNISS
Reliability prevents failure.
Resilience helps us recover from it.
SCTA can strengthen both.

If you’re thinking about organisational learning or how SCTA fits beyond COMAH, this might be a helpful read.

buff.ly/VZ7Tetp

#humanfactors #SCTA #resilienceengineering #reliabilityengineering
November 25, 2025 at 11:18 AM
Mark on trousers from drip from dinner and haven’t got a change of trousers for the journey home. #errordiary #performancevariability [Slips, lapse, mistake and noncompliance are all cognitive, what do people use for manual stuff: Could be a trip, misalignment, strain, dropping something?]
September 25, 2025 at 12:15 PM
Waitress forgot to ask if I wanted brown sauce #errordiary #performancevariability Almost unremarkable but that’s kind of the point, so many deviations we don’t notice, hardly notice, notice but unremarkable, remark on but funny, remark on as frustrating, minor, major, catastrophic 🏄 🌊 #humanfactors
September 24, 2025 at 8:05 AM
Only away for a day so packed an extra pair of socks and pants. But two nights, 2 nights, 2, only now at the hotel I realise I am short of a pair. Oh dear. Anyway, I’m clean, sitting in a meeting/workshop mostly, it’ll be fine #errordiary #mistake #performancevariability
September 24, 2025 at 6:29 AM
Somehow managed to book my return train prior to my departure. Booking system was playing up at the time, so had to do it over and over. 6th time or so it went through but must have forgot to change the day. System should have alerted me surely!? #errordiary #performancevariability
September 24, 2025 at 6:22 AM
The guy in front of me in the car wash was stuck. The machine wouldn’t start. I entered the car wash to help despite rules to say not to #errordiary #violation I got his code from him, entered it at the entrance and the machine started. I nearly slipped over in the process 😬
September 10, 2025 at 8:39 PM
Great North Run medals show wrong city and river. About 60,000 given out #errordiary www.bbc.com/news/article...
Great North Run medals show Sunderland instead of Newcastle
Medals given to participants use an image of Sunderland, which has no connection to the event.
www.bbc.com
September 8, 2025 at 9:30 PM
Grandfather mistakenly takes home wrong child from Sydney daycare centre #errordiary www.theguardian.com/australia-ne...
Grandfather mistakenly takes home wrong child from Sydney daycare centre
First Steps Learning Academy in Bangor apologises and stands down educator as regulator investigates and mother blames daycare centre
www.theguardian.com
September 4, 2025 at 5:43 AM
Reposted by Dominic FURNISS
🎯 Meeting PABIAC's Human Factors Objectives (Part 3) - Getting Started with SCTA

📖 Read here: buff.ly/saauVMl

💡 Our PABIAC Human Factors guide synthesizes approaches from multiple industries - available for download.

#PABIAC #HumanFactors #PaperIndustry #ProcessSafety #SCTA #SafetyManagement
August 22, 2025 at 12:06 PM
Reposted by Dominic FURNISS
July 29, 2025 at 9:57 AM
Reposted by Dominic FURNISS
A fascinating case study explores how "Shared Mental Models" - a concept proven in aviation and military operations - can transform surgical team performance.

buff.ly/gYUQRvC

#HealthcareSafety #TeamPerformance #PatientSafety #SurgicalTeams #SharedMentalModels
July 22, 2025 at 11:10 AM
Reposted by Dominic FURNISS
Using the 2005 Stockwell shooting as a case study, this blog demonstrates how major incidents rarely result from single failures, but rather from the alignment of multiple systemic weaknesses across five stages.

buff.ly/F6uEMj1

#SafetyCulture #IncidentInvestigation #HumanFactors #SystemicAnalysis
July 8, 2025 at 8:07 AM
I heard in the media about a guy who died after being sucked into an MRI Scanner as he was wearing a neckless. This piece by the mirror covers other incidents. You’d imagine they would have metal detectors or some automatic controls #errordiary www.mirror.co.uk/news/world-n...
Horror MRI accidents from necklace error to sex toy 'dragged through body'
The huge magnetic force of MRI machines has led to some devastating disasters, including a tragic incident involving a gun. We look at the worst accidents over the years
www.mirror.co.uk
July 20, 2025 at 9:02 PM
Operator Error: the automated line calling system was off, and the chair umpire didn’t know. Makes you wonder how it was turned off, why the chair umpire did not know (poor feedback) and what would happen if the whole system went down #errordiary #humanfactors #wimbledon www.bbc.com/sport/tennis...
Wimbledon 2025: Play stopped in Sonay Kartal's match against Anastasia Pavlyuchenkova after electronic line calling fails
Play is stopped in Sonay Kartal's last-16 match at Wimbledon as the electronic line calling system fails to call a ball out.
www.bbc.com
July 6, 2025 at 8:29 PM
Just accidentally put apple juice in my tea rather than milk #slip #errordiary. Carton was back-to-front in the fridge and where the milk usually is
June 28, 2025 at 6:24 AM
Reposted by Dominic FURNISS
Thanks for the reminder @janemunday.bsky.social. Every summer, I repost this article DROWNING DOES NOT LOOK LIKE DROWNING. To date, I know of FOUR kids who were saved after someone who'd clicked on the link learnt how to spot actual drowning. Take time to read and pass on.

slate.com/technology/2...
Drowning Doesn’t Look Like Drowning
Drowning is not the violent, splashing call for help that most people expect.
slate.com
June 19, 2025 at 4:22 PM
Reminded about the role of luck in events. Good things can happen to bad people and vice versa. Also, bad events can happen to good systems.

In some sense we make our own luck, but some variable proportion is just getting blown by the wind.
June 12, 2025 at 6:54 AM