Category: Risk

  • The Great Post Office Scandal

    Over the weekend media outlets were focused on the pay taken by senior Fujitsu executives over the period covered by the Horizon scandal. I am ashamed to say that ‘The Great Post Office Scandal: The story of the fight to expose a multimillion pound IT disaster which put innocent people in jail’ by Nick Wallis…

  • Boeing 737 Max 9

    Footage from the Alaskan Airlines flight landing at Portland, Oregon over the weekend was dramatic. Images showed a refrigerator-sized hole in the side of the craft, with terminal building lights visible through the gap as the plane landed. The cause of the emergency was a cabin door exit plug had blown out and the aircraft…

  • Post Office Horizon IT Scandal

    The TV series Mr Bates vs the Post Office portrays the shameful treatment of Sub Postmasters and Postmistresses by Post Office Ltd. The systemic failings of governance and assurance led to the persecution of innocent individuals, impacting hundreds of lives. The Horizon software’s quality was questioned, highlighting the miscarriage of justice. This drama sheds light…

  • ISO 9001:2015 – risk and opportunities

    Below is an article I added to CQI’s blog in November 2015. In the third instalment of our guest blog series in collaboration with PMI, Paul Simpson asserts that, just as there are risks and opportunities that we respond to in daily organisational life, quality professionals should focus on the opportunities for improvement presented in ISO 9001:2015.…

  • Change in the railway

    Complex systems have inherent risk Whichever one we think about – weather, eco-systems, financial markets or railways – each has hazards and risks that we are unable to control fully due to the number of factors involved and volume of activities that occur daily. Changes to complex, man-made systems are managed to prevent catastrophic failures…

  • Fallacy of human error

    This article was published today on Bywater’s site As professionals with responsibility for developing management systems and for auditing them we often come across instances where the service delivered isn’t what it should have been or we have problems with product quality. As good professionals we investigate and identify root cause as ‘human error’. How…

  • Fail to control design = designed to fail?

    I had a recent and very specific query recently about design process and effectiveness measures for Management Review in a Medical Devices environment. The question was specifically about demonstrating that outputs of the design process match inputs and whether this was acceptable to present to the Top Management team? The question was also about ISO…