Fix-It-Once®
FundamentalsFix-It-Once®
Fundamentals
When a mishap or incident creates a serious problem, most organizations rush to pinpoint the final human error ("Who?") or the equipment failure mechanism ("How?"). Corrective actions are ambitious and get plenty of publicity, but sooner or later there is a similar occurrence, usually far worse than the first. No one learns very much or changes for the better.
Our experience with nuclear power plants shows that vigorously applying Fix-It-Once® determines whether:
Weak information systems failed to support the front line.
Supervisors acted ineffectively - or not at all.
Resources were starved or misdirected.
Known hazards were tolerated.
Management actions undermined written policy.
Go Much, Much Deeper than "How"
Fix-It-Once® reveals all the pieces and every connection. It answers the crucial question: "Why?" Only information retrieved from this depth can improve operational processes and strengthen the organizations that run them - permanently.
Managers learn to ask, "Have we made this expensive problem pay its way by learning everything we can from it? How should we make our system better?" When leaders conclude that honesty and deep digging really matter – not always an easy decision – SeaState Group helps introduce and implement more effective problem-solving standards.
SeaState Group is passionate about the benefits of Fix-It-Once® in any high stakes operation. It is not a technical or desk exercise. It is not a luxury for some future day when there might be more time. It is a test of leadership and determination.
For any enterprise that must be reliable, Fix-It-Once® is a vital way of doing business.