Recently minted Ethics Alarms participant Ryan Harkins has his first Comment of the Day, and when I read it, I knew it would not be his last. This one does what my favorite comments do: pick up the baton from my original post, and carry it down the track (or, in some cases, throw it into the crowd.) The topic was the classroom fistfight in an Atlanta middle school.
Here is Ryan Harkins’ Comment of the Day on the post,“Two Public School Educators Duke It Out In Class: What’s Going On Here?”:
Jack, the only quibble I have is when you say that you don’t care what the fight was about. I think it is important to learn what the fight was about, because then it gets us into the heads of the combatants, and that is what allows us to start the investigation that goes all the way up. The reason I think this requires a little explanation, so please forgive the lengthy rambling to follow.
I have to admit, my bias in this matter comes from dealing with incident investigations at my refinery, and the various training courses we’ve received in how to conduct such investigations. The one that really stands out the most is called “Latent Cause Analysis”, championed by Robert Nelms. The premise is that all incidents, even if we are speaking of a pump aggressively disassembling itself, ultimately are traced back to human causes. In the case of a pump, yes entropy will eventually have its way with the best-built pump in the world, but the reason the pump failed while it was in service causing a major incident is rooted in human causes.