Today, I was organizing the model change history since I took charge of ASC until recently.
I wrote an email to my team leader.
“I sincerely apologize for causing great damage to the factory and our team due to my non-compliance with the model change process. I will use this incident as an opportunity to deeply reflect and make improvements by complying to the following to prevent such mistakes from recurring in the future.”
- Record management
- Observe upload time (weekdays daytime)
- Share with team when uploading
- Monitoring after upload”
That’s what I thought. This is the same as the cheese theory. Why did I do such a crazy thing? Why did I not check the code properly like an idiot? Why did I decide to upload the model at 2 in the morning? I am focusing on the mistake itself, so I am not looking at the incident objectively. I couldn’t look at it.
Anyone can make a mistake, but the key is to ensure that the mistake does not lead to an accident.
If you did just one of the four processes I wrote about, the line stoppage would be 30 minutes? It could have been over in 10 minutes. Safety will be the same. For an accident to occur in a factory, all conditions must go wrong. Anyone can engage in unsafe behavior, but if safety devices around the area work properly, if safety guards catch and respond to unsafe behavior, and if safety managers identify and eliminate risk factors, serious accidents will not occur.
I realized what Plant Manager Yoo had said about things that cannot be learned even with money, and that there are things that must be learned through pain and scolding. I thought I was experiencing something I shouldn’t have to go through because of my mistake. I was really upset and suffered, but that wasn’t the case. I realized it desperately. How should I live in the future, and what mindset should I have if I become a Plant Manager? Completely different from before today, I now felt that it was another luck of my life to have experienced that incident.
Universe gave me this test so that I could become a bigger person in the future. I thought it was pain, but it was actually a gift. What is easily acquired is easily lost, but I am confident that it will be a great asset in my future life because I learned it the hard way.
Going forward, with a humbler and more humble heart, I decide to become a leader who develops technological safety devices to prevent accidents, follow the process, and protects my people as well.
If the process is not followed, that person gets hurt. As much as you love yourself, you must follow the process. Because it is a safety device that can protect me.
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