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Challenger, Sultana, St. Francis Dam, The Last Tsar, Kursk, Pearl Harbor and more

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Challenger, Sultana, St. Francis Dam, The Last Tsar, Kursk, Pearl Harbor and more

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Seven great disasters. And the seven cascade events that led to each happening. What can we learn from these blood lessons? How can we prevent similar ones in the future? What should good leaders do?

Seven great disasters. And the seven cascade events that led to each happening. What can we learn from these blood lessons? How can we prevent similar ones in the future? What should good leaders do?

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Challenger, Sultana, St. Francis Dam, The Last Tsar, Kursk, Pearl Harbor and more

  1. 1. Every catastrophe requires seven things to go wrong. Six Cascade events leading to the 7th event, the Catastrophe. At least one of the Cascade events involves human error. Thus most catastrophes can be avoided. Shit Doesn’t Just Happen
  2. 2. By studying past catastrophes we can learn to avoid future ones. Focusing on the Cascade Events and how they can be stopped is key! The Gift of Failure
  3. 3. Book II covers: Challenger Explosion The Last Czar The Sultana Explosion St. Francis Dam Failure The Sinking of the Kursk Pearl Harbor Uruguayan Flight 571 Alive!
  4. 4. The Challenger: Organizational Failure
  5. 5. “I am appalled by your recommendation.” NASA reference recommendation by Thiokol engineers who designed the boosters not to launch Challenger
  6. 6. The Last Czar: Leadership Failure
  7. 7. "I am not prepared to be a tsar. I never wanted to become one. I know nothing of the business of ruling." Nicholas II, last Czar of Russia.
  8. 8. The Sultana Explosion
  9. 9. “If we arrive safe at Cairo it would be the greatest trip ever made on the western waters, as there were more people on board than were ever carried on one boat on the Mississippi River!” William J, Gambrel, first clerk & part owner of the steamship Sultana.
  10. 10. The St. Francis Dam: Engineering Failure
  11. 11. During the Los Angeles Coroner's Inquest William Mulholland, chief engineer, Water Department Los Angeles said: “This inquest is a very painful for me to have to attend but it is the occasion of that is painful. The only ones I envy about this whole thing are the ones who are dead. Whether it is good or bad, don't blame anyone else, you just fasten it on me. If there was an error in human judgment, I was the human, I won't try to fasten it on anyone else."
  12. 12. The Sinking of the Kursk: Poor Training and Maintenance
  13. 13. “It's dark here to write, but I'll try by touch. It seems like there are no chances, 10%-20%. Let's hope that at least someone will read this. Hello to everyone. There is no need to despair." Captain Lieutenant Dmitri Kolesnikov, commander 7th Compartment (turbine room) Russian submarine Kursk.
  14. 14. Pearl Harbor
  15. 15. “Should hostilities once break out between Japan and the United States, it would not be enough that we take Guam and the Philippines, nor even Hawaii and San Francisco. To make victory certain, we would have to march into Washington and dictate the terms of peace in the White House. I wonder if our politicians (who speak so lightly of a Japanese-American war) have confidence as to the final outcome and are prepared to make the necessary sacrifices.” Admiral Yamamoto, Commander Japanese Navy. (Note that this quote was used extensively for propaganda purposes by the United States by leaving out the last sentence)
  16. 16. ALIVE! Uruguayan Air Force Flight 571
  17. 17. “It was repugnant. Through the eyes of our civilized society it was a disgusting decision. My dignity was on the floor having to grab a piece of my dead friend and eat it in order to survive. But then I thought of my mother and wanted to do my best to get back to see her. I swallowed a piece and it was a huge step - after which nothing happened.” Dr. Robert Canessa
  18. 18. Seven Ways to Prevent Catastrophes 1. Have a Special Ops preparation mindset 2. Focus by utilizing both big picture & detail thinkers 3. Conduct Special Forces Area Studies 4. Use the Special Forces CARVER formula 5. Have a “10th man” 6. Conduct After Action Reviews 7. Write and USE Standing Operating Procedures (SOPs)
  19. 19. Are you interested in a presentation about various catastrophes and how the cascade events could have been prevented? Events covered range from human-machine interface, to leadership, to communication, cost-cutting, engineering, group think, perseverance, systematic failure, and more? Catastrophes are cascade events culminating in disastrous chaos. War is chaos. Special Forces is the most elite unit trained for a variety of combat situations. What makes Special Forces elite is our mindset and preparation. Are you interested in a presentation on how to use Special Forces tactics, techniques and mental attitude to help your organization anticipate and prevent potential catastrophes? Please email bob@bobmayer.com Summary
  20. 20. More Free Information I constantly update free, downloadable slideshows like this on my web site for preparation and survival and other topics. Use Your Camera on this QR Code
  21. 21. More Free Information Since Slideshare no longer supports links, I’ve also put all the links to free apps, gear and web pages on my web site at www.bobmayer.com Use the pop up from the following image there and scroll through for what you want:
  22. 22. This book walks you through your personal situation, your home, and your Area of Operations.
  23. 23. AMAZON
  24. 24. New York Times bestselling author, is a graduate of West Point and former Green Beret. He’s had over 80 books published, including the #1 bestselling series Green Berets, Time Patrol, Area 51, and Atlantis. He’s sold over 5 million books. He was born in the Bronx and has traveled the world. He’s lived on an island off the east coast, an island off the west coast, in the Rocky Mountains, the Smoky Mountains and other places, including time in East Asia studying martial arts. He was an instructor and course developer/writer for years at the JFK Special Warfare Center and School which trains Green Berets and also runs the SERE school: Survival, Evasion, Resistance and Escape. www.bobmayer.com
  25. 25. New York Times bestselling author, is a graduate of West Point and former Green Beret. He’s had over 80 books published, including the #1 bestselling series Green Berets, Time Patrol, Area 51, and Atlantis. He’s sold over 5 million books. He was born in the Bronx and has traveled the world. He’s lived on an island off the east coast, an island off the west coast, in the Rocky Mountains, the Smoky Mountains and other places, including time in East Asia studying martial arts. They haven’t caught him yet. www.bobmayer.com

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