Writer : Cheng Chang Hsieh / Direct translation
April 2, 2021; not only for the Taiwan Railways, but also a sad and unforgettable day for all public transportation personnel.
Now everyone is pointing the finger at the careless driver of the engineering vehicle, because this can complete the accountability most quickly, and the public can also have a clear emotional outlet; however, is the large system behind it really irresponsible?
I have a background in engineering, and I have had the subject of Industrial Hygiene and Safety since I started as a senior engineer. However, the teachers in the class are always weak, and the students always find this class very boring because of the teacher’s attitude, and it doesn’t account for points. It is better to study other key subjects. As everyone knows, from the junior college graduate and enlisted in the army to enter the workplace, after experiencing all kinds of incredible experience, I realized that it is this subject that can really save my life! Fortunately, I am interested in this course because it allows me to temporarily withdraw from the difficult general subjects, so I still have a vague memory of the original course so that I can still post here... Write it here-you should It can be imagined how unkind to us as small screws in the workplace in an industrial environment. The details have nothing to do with this article, so I won't elaborate on them one by one. The focus of this article is on national security and risk management.
Engineering students can still take this subject. What about students in other groups? Even if you cultivate, what about the attitude of the teachers? Judging from every major traffic accident over the years, it is a pity that many people have taken the May's Law inappropriately, and after a severe investigation, what then? Those who grab fast will continue to grab fast, and those who don't pull the handbrake still won't pull. why? Because I don’t realize the importance of risk management and there is no concept of safety, this kind of misfortune will never happen to me, Allah~
I often hear the idiom that life is priceless, but I always hehe; because in Taiwan, life is valuable. For the sake of cost, not only the small screws at the grassroots level in Taiwan have no idea, but even the big employers, small employers and even the government, who should theoretically be smarter and more comprehensive than us, neglect and let them go. Why? Can not escape the word cost. In enterprises, higher risk management means higher costs, and in the government, it means that more inspection manpower needs to be invested. Returning to the source, or not leaving the cost...
However, the loosening of a small screw often causes huge losses
Allowing passengers to drive overwork on duty, driving on unsuitable or unfamiliar routes; how many major fall and overturn accidents have been caused in the past years?
The unreasonable cost and time requirements imposed on the driving of large trucks have caused frequent overloading, and how many road accidents have been caused by fast rushing?
Because of the negligence of the small screw's wailing, how many times has Taiwan Railways paid a tragic price?
In the aviation industry, it is even more important to mention the unforgettable air disasters that have been caused by insufficient training of small screws or incorrect concepts over the years.
This time, the Ministry of National Defense finally decided to set aside the budget for changing ejection seats after the recent pilots failed to parachute. It was not much, only 600 million...
Guys, are we very valuable?
Unfortunately, we are not so valuable; because our school education still only cares about scores and key subjects; we still rely on family and social education for risks and safety, and when the whole family has no concept, the last thing to educate Xiaoshu is The society; but what is very painful and sad is that when social education is added, the cost is often heavy, and it must be accompanied by huge collateral damage.
However, does the cost of security have to be a lot? If we instill in everyone the importance of safety and risk concepts from the beginning of school education, can we achieve minimum safety and reduce the hidden risks of enterprises and society when we enter the society?
Although I am reluctant to mention it, the company I serve has had a very poor record of Fei'an; but after learning from the pain, after decades of painful but firm reforms, finally established the concept of safety for all employees, as mentioned in the previous paragraph. When every small screw in a group has risks and safety concepts, the group is basically safe. The cost incurred during this period is not insignificant, but compared to the compensation and loss of image after the accident, it appears to be insignificant.
However, in the past few years, after joining the trade union and talking with the management several times, it was discovered that perhaps the overall improvement of the small screws and the increase of the safety factor have caused the supervisors to start to be negligent about the hidden risks we have proposed. Yes, when security costs threaten operating costs, management must be defensive and conservative. However, I think that many of our things can achieve the highest benefits at the lowest cost. I hope that both employers and employees can continue to talk with each other with a healthy mindset. Continue to maintain our records.
So, maybe school education is slow now, but it is urgent!
Little screws, we are really worthless. In the eyes of our relatives and in the hearts of our children, we are priceless and cannot be compared with money. Before the big system is improved, please pay more attention to your own workplace safety and do your own risk management.
Defensive driving
Refuse to overwork
Please wear earplugs consciously in high noise environment
Wear protective gloves in high temperature environments
Wear a mask for high dust
Wait, wait.... For the sake of your family, and even more innocent others, please ask yourself to do it!
Our education and even the acid people on the Internet are teaching and training us to be submissive and fulfill our mission; can't it? Don't do it if you feel uncomfortable~
It is this irresponsible mentality that causes negligence of things; people who give up easily will be casual with everything. One day when you want to easily pat your ass and leave, you find that you step into a big dung pit. …
This truck driver is really responsible, but can he pay for it? Can you get real compensation and redemption by pointing the finger at him? In the book "Track" discussing the JR West Fukuchiyama Line accident, it is mentioned that the result of an accident is not the final operator, but the pressure of the entire system. This is also in line with the cheese theory mentioned by CRM in the aviation industry. As long as a piece of cheese is deliberately moved, the sword will not go through all the holes after all.
Mourn
Train 408 and all the victims who died innocently because of the imperfect system
Wish
Never happen again
Original Prose
台灣人，我們的生命是有價的 - 小螺絲的啟示
2021 年4月2日；不只對於台鐵，對於所有大眾運輸的從業人員來說都是悲慟而難以忘懷的一天。
現在大家都把矛頭指向那位粗心的工程車駕駛，因為這樣可以最快速的完成究責、社會大眾也可以有個明確的情緒宣洩出口；然而，背後的大系統真的毫無責任嗎?
我是工科出身的，從高工開始就有工業衛生與安全這門課；然而上課的老師總是有氣無力、學生們也因為老師的態度而總是覺得這門課很無聊、又不佔分數，不如拿來念其他的重點科目。殊不知，從專科畢業徵召入伍到進入職場、歷經種種不可思議的經驗才赫然發現真正能夠保住自己性命的正是這門科目！慶幸我因為對這門課能夠讓我暫時抽離艱難的普通科而當作興趣在上、所以對於當初的課程還有些模糊的記憶才能讓我現在還能在這裡發文… 寫到這裡－各位應該可以想像在工業環境的職場上對於身為小螺絲的我們是有多不友善了。其中的詳細與本文無關，就不再一一闡述，本文的重點在於全民安全、風險管理。
工科的學生還有這門科可以修，其他組的學生呢？就算修了，老師們的態度呢？從歷年來每次重大的交通事故來看，很遺憾，把莫非定律不當回事的大有人在、而在嚴厲的究責之後，然後呢？搶快的繼續搶快、不拉手煞車的依舊不會拉。為什麼？因為沒有意識到風險管理的重要性、更沒有安全的觀念，這種倒楣事絕對不會發生在我身上，安拉～
常聽說，生命無價這句成語，但我卻總是呵呵；因為在台灣、生命是有價的。為了成本，在台灣不僅基層小螺絲沒有觀念，連理論上應該比我們更聰明、更能面面俱到的大雇主、小雇主甚至政府都輕忽、都放任。為何？逃不離成本兩字。在企業，越高的風險管理意味著越高的成本、在政府則意味著需要投入更多的檢查人力，回到源頭，還是脫不離成本兩字…
然而，一顆小螺絲的鬆脫卻往往造成巨大的損失
放任客運駕駛過勞值勤、行駛於不適合或不熟悉的路線；導致歷年多少次的重大墜谷與翻覆意外？
強加於大貨車駕駛上不合理的成本與時間要求造成經常性的超載、搶快造成多少數無可數的公路事故？
因為疏忽小螺絲的哀嚎，台鐵付出了多少次慘痛的代價？
身在航空業，更不能不提歷年來因為小螺絲的訓練不足或是觀念不正確而導致刻骨銘心的空難。
這次國防部也是在最近幾次飛行員跳傘失敗後才終於肯撥下換裝彈射椅的預算，不多，6億而已…
諸位小螺絲們，我們很值錢嗎？
很遺憾的，我們不是那麼值錢；因為我們的學校教育依然只在意分數與重點科目；對於風險與安全仍舊仰賴家庭與社會教育，而當整個家庭都沒有觀念、最後對小螺絲做出教育的就是社會；但是很沉痛的、很難過的是當社會教育加身的時候往往付出的成本是慘重的、而且肯定伴隨巨大的連帶損害。
然而，安全的成本一定要很多嗎？如果，我們從學校教育開始就對大家灌輸安全與風險觀念的重要性，等進了社會是不是就可以做到起碼的安全、降低企業與社會潛藏的風險？
雖然很不願意提及，但我服務的公司曾經飛安記錄甚是不佳；但當痛定思痛、歷經數十年來痛苦但堅定的改革後總算初步的建立起全員安全的觀念，就像前段所提，當一個群體內每一個小螺絲都有風險與安全觀念後、這個群體基本上就是安全的。其間付出的成本不可謂不大、但相對於事故後的賠償與形象損失，又顯的微不足道了。
不過，在這幾年加入工會與資方幾次對談下來發現或許是因為小螺絲們整體提升了、安全係數增加了卻反而讓主管們對於我們所提出潛藏的風險開始有輕忽的趨勢。沒錯，當安全成本威脅到營運成本時資方的態度一定是防衛的、保守的；然而我卻以為我們很多事情可以以最低的成本達到最高效益，我期許勞資雙方可以繼續用健康的心態對談、繼續維持我們的紀錄。
所以，或許現在開始學校教育緩不濟急、但卻刻不容緩！
諸位小螺絲們，我們真不值錢，在我們的親人眼裡、在我們的小孩心中，我們是無價的、是不能跟錢相提並論的。在大系統還沒改善之前請多關注自己的職場安全、做好自己的風險管理。
防衛駕駛
拒絕過勞
高噪音環境請自覺的戴起耳塞
高溫環境戴上防護手套
高粉塵的戴上口罩
等等等等.... 為了家人，更為了無辜的他人請要求自己做好！
我們的教育、甚至網路上的酸民都在教導、在訓練我們成為唯命是從、使命必達；做不到？那不爽不要做阿～
就是這種不負責任心態造成對事的輕忽；輕易放棄的人，對任何事都會隨便，總有一天當你想輕輕鬆鬆拍拍屁股走人時卻發現下一腳踩入一個大屎坑…
這位貨車駕駛真該負責，可是，他付的起嗎？把矛頭都指向他能得到真正的補償與救贖嗎？在探討 JR 西日本福知山線事故的 "軌道" 一書中提到一件事故的結果不在於最終操作人，而是整個系統的壓力。這也符合航空業中 CRM 所提到的起司理論，只要把某片起司刻意移個位，那把劍，終究不會穿過所有的洞。
悼念
408 次列車以及所有因為系統不健全而無辜犧牲的罹難者
祈願
永不再發生
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