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	<title>Comments on: Look at the system, not the individual</title>
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	<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/</link>
	<description>Life, Culture and Politics from BrisVegas</description>
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		<title>By: Tom of Melbourne</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145010</link>
		<dc:creator>Tom of Melbourne</dc:creator>
		<pubDate>Mon, 13 Jul 2009 03:31:48 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145010</guid>
		<description>Just testing some new sites…

One of the critical issues here is the endorsement that John Brumby has provided to the head of the CFA. Announcing reappointment!

This is a familiar political and business play to limit any suggestion of mismanagement or systematic inadequacy. Failure to reappoint the leader is an implicit admission of liability, it is evidence used in civil proceedings.

I’d suggest that the government is taking this decision to limit exposure to liability rather than to maintain the effectiveness of the CFA.</description>
		<content:encoded><![CDATA[<p>Just testing some new sites…</p>
<p>One of the critical issues here is the endorsement that John Brumby has provided to the head of the CFA. Announcing reappointment!</p>
<p>This is a familiar political and business play to limit any suggestion of mismanagement or systematic inadequacy. Failure to reappoint the leader is an implicit admission of liability, it is evidence used in civil proceedings.</p>
<p>I’d suggest that the government is taking this decision to limit exposure to liability rather than to maintain the effectiveness of the CFA.</p>
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		<title>By: Andrew E</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145009</link>
		<dc:creator>Andrew E</dc:creator>
		<pubDate>Sun, 12 Jul 2009 11:05:01 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145009</guid>
		<description>&lt;blockquote cite=&quot;Robert M&quot;&gt; Go ahead. Demand Rees’ head from a pedestal, for all I care. &lt;/blockquote&gt;
I&#039;m not in a position to do that, Robert, and neither are you. My concern is for the process: to jump ahead and declare the whole investigation a farce, a kangaroo court or whatever is as rash as claiming (or implying) that I&#039;m gunning for Russell Rees.

Royal Commissions are mighty things, but also quite fragile in the early stages. It&#039;s too early to say that this one is a witch-hunt, just as it&#039;s too early to say that it has everything that anyone could want. Commentators - with pedestal or not - have no business jumping in and trying to jerk the direction of investigations toward this or away from that.</description>
		<content:encoded><![CDATA[<blockquote cite="Robert M"><p> Go ahead. Demand Rees’ head from a pedestal, for all I care. </p></blockquote>
<p>I&#8217;m not in a position to do that, Robert, and neither are you. My concern is for the process: to jump ahead and declare the whole investigation a farce, a kangaroo court or whatever is as rash as claiming (or implying) that I&#8217;m gunning for Russell Rees.</p>
<p>Royal Commissions are mighty things, but also quite fragile in the early stages. It&#8217;s too early to say that this one is a witch-hunt, just as it&#8217;s too early to say that it has everything that anyone could want. Commentators &#8211; with pedestal or not &#8211; have no business jumping in and trying to jerk the direction of investigations toward this or away from that.</p>
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		<title>By: Ambigulous</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145008</link>
		<dc:creator>Ambigulous</dc:creator>
		<pubDate>Sun, 12 Jul 2009 10:28:40 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145008</guid>
		<description>I can understand your scepticism, Andrew E; but these consultations were held months ago when emotions were still raw. One held in Traralgon was reported on the local TV. Others were reported on Melb TV news. I&#039;m sure they were well-attended and frank.

They were NOT Brumby Govt consultations, they were run by the Royal Commission. Not all who sent in a submission appeared as witnesses, but I&#039;m confident all submissions have been read.</description>
		<content:encoded><![CDATA[<p>I can understand your scepticism, Andrew E; but these consultations were held months ago when emotions were still raw. One held in Traralgon was reported on the local TV. Others were reported on Melb TV news. I&#8217;m sure they were well-attended and frank.</p>
<p>They were NOT Brumby Govt consultations, they were run by the Royal Commission. Not all who sent in a submission appeared as witnesses, but I&#8217;m confident all submissions have been read.</p>
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		<title>By: John D</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145007</link>
		<dc:creator>John D</dc:creator>
		<pubDate>Sun, 12 Jul 2009 08:22:12 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145007</guid>
		<description>If I was doing a serious investigation of the death of a man who died in a house in Kingslake I might start with trying to complete the statement: &quot;This person wouldn&#039;t have died if...&quot; The direct, first level answers might thave included things such as &quot;he had not been in the danger zone&quot;, &quot;the house had been properly prepared&quot;, &quot;the people in the house knew what to do&quot;, &quot;fire fighters had arrived in time&quot;, etc.
At the next level I would go to most of these first level answers and then, for example, try to complete the statement: &quot;This person wouldn&#039;t have been in the danger zone if...&quot; etc. For some of the first level answers I may have decided NOT to proceed any further on the grounds that this was unlikely to lead to logical action recomendations.  For example, there is probably not much point pursuing the &quot;extreme temperature&quot; line even though it was a key contributing factor.
Ideally, the process should proceed down through level to level until a point has been reached where further investigation would appear to be unproductive. If it is done properly this process not only identifies specific, localized action it also deals with underlying problems such as the failure to follow up on recomendations from the last big fire and inadequacies in emergency management systems.
&lt;strong&gt;What I have described above is a standard approach&lt;/strong&gt;, variations of which we should expect any modern, professional investigator would use to investigate any  major accident. I may be missing something and may be being sucked in by the media&#039;s addiction to drama. However, &lt;strong&gt;what I think I am seeing is an  investigation by a lawyer dominated Royal Commission that has been sidetracked into the search for high profile scapegoats&lt;/strong&gt;instead of getting on with the systematic, professional process required produce a sound set of recommendations.</description>
		<content:encoded><![CDATA[<p>If I was doing a serious investigation of the death of a man who died in a house in Kingslake I might start with trying to complete the statement: &#8220;This person wouldn&#8217;t have died if&#8230;&#8221; The direct, first level answers might thave included things such as &#8220;he had not been in the danger zone&#8221;, &#8220;the house had been properly prepared&#8221;, &#8220;the people in the house knew what to do&#8221;, &#8220;fire fighters had arrived in time&#8221;, etc.<br />
At the next level I would go to most of these first level answers and then, for example, try to complete the statement: &#8220;This person wouldn&#8217;t have been in the danger zone if&#8230;&#8221; etc. For some of the first level answers I may have decided NOT to proceed any further on the grounds that this was unlikely to lead to logical action recomendations.  For example, there is probably not much point pursuing the &#8220;extreme temperature&#8221; line even though it was a key contributing factor.<br />
Ideally, the process should proceed down through level to level until a point has been reached where further investigation would appear to be unproductive. If it is done properly this process not only identifies specific, localized action it also deals with underlying problems such as the failure to follow up on recomendations from the last big fire and inadequacies in emergency management systems.<br />
<strong>What I have described above is a standard approach</strong>, variations of which we should expect any modern, professional investigator would use to investigate any  major accident. I may be missing something and may be being sucked in by the media&#8217;s addiction to drama. However, <strong>what I think I am seeing is an  investigation by a lawyer dominated Royal Commission that has been sidetracked into the search for high profile scapegoats</strong>instead of getting on with the systematic, professional process required produce a sound set of recommendations.</p>
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		<title>By: Robert Merkel</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145006</link>
		<dc:creator>Robert Merkel</dc:creator>
		<pubDate>Sun, 12 Jul 2009 06:04:52 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145006</guid>
		<description>Oh, and I recommend the &lt;a HREF=&quot;http://www.theage.com.au/opinion/lets-not-throw-good-policy-into-the-fire-20090710-dfzm.html?page=-1&quot; rel=&quot;nofollow&quot;&gt;Schauble article&lt;/A&gt; mentioned earlier.</description>
		<content:encoded><![CDATA[<p>Oh, and I recommend the <a HREF="http://www.theage.com.au/opinion/lets-not-throw-good-policy-into-the-fire-20090710-dfzm.html?page=-1" rel="nofollow">Schauble article</a> mentioned earlier.</p>
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		<title>By: Robert Merkel</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145005</link>
		<dc:creator>Robert Merkel</dc:creator>
		<pubDate>Sun, 12 Jul 2009 05:59:32 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145005</guid>
		<description>Andrew: My take on Rees is that he very much reflects the culture and values of the organization he heads.

If the CFA was a purely professional organization, sacking the CEO and giving him carte blanche to sack anyone he needs to, to achieve the cultural change he wants, stands some chance of success.  But only some - how has replacing the coach worked for the Richmond footy club over the past 20 years?

The CFA is a largely volunteer-run organization.  If you try and impose an alien culture and values from the top down, all you will achieve is that the volunteers will piss off and do something else.

Go ahead.  Demand Rees&#039; head from a pedestal, for all I care.  Robert Manne certainly is.  But unless greater appreciation is paid to why the CFA are like they are, any attempt to change the way they do things is doomed to failure.</description>
		<content:encoded><![CDATA[<p>Andrew: My take on Rees is that he very much reflects the culture and values of the organization he heads.</p>
<p>If the CFA was a purely professional organization, sacking the CEO and giving him carte blanche to sack anyone he needs to, to achieve the cultural change he wants, stands some chance of success.  But only some &#8211; how has replacing the coach worked for the Richmond footy club over the past 20 years?</p>
<p>The CFA is a largely volunteer-run organization.  If you try and impose an alien culture and values from the top down, all you will achieve is that the volunteers will piss off and do something else.</p>
<p>Go ahead.  Demand Rees&#8217; head from a pedestal, for all I care.  Robert Manne certainly is.  But unless greater appreciation is paid to why the CFA are like they are, any attempt to change the way they do things is doomed to failure.</p>
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		<title>By: Andrew E</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145004</link>
		<dc:creator>Andrew E</dc:creator>
		<pubDate>Sun, 12 Jul 2009 05:16:49 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145004</guid>
		<description>Oh well, call the whole thing off then - until next summer.

Maybe it can become another Melbourne ritual - a horrible set of fires, followed by a winter of drizzle, cold wind, Aussie Rules, and a system-not-individual Royal Commission. The Commissioner can choose when to release the report on that year&#039;s fires: in September (if the news is bad, it gets buried by the AFL finals; if good, everyone&#039;s happy and the Commissioner goes into the birdcage at the Melbourne Cup).

It&#039;s OK for people to be burned physically, but as long as nobody&#039;s burnt career-wise then that&#039;s OK, eh Robert? You can&#039;t know what difference Rees will or won&#039;t make until the findings are clearer than they are today.

Ambigulous: it&#039;s one thing to put an ad in the paper, but on the day the Commission was announced the Commissioner should have said explicitly that he will read any and all submissions his own self. The Brumby government has form on &quot;community consultation&quot;.</description>
		<content:encoded><![CDATA[<p>Oh well, call the whole thing off then &#8211; until next summer.</p>
<p>Maybe it can become another Melbourne ritual &#8211; a horrible set of fires, followed by a winter of drizzle, cold wind, Aussie Rules, and a system-not-individual Royal Commission. The Commissioner can choose when to release the report on that year&#8217;s fires: in September (if the news is bad, it gets buried by the AFL finals; if good, everyone&#8217;s happy and the Commissioner goes into the birdcage at the Melbourne Cup).</p>
<p>It&#8217;s OK for people to be burned physically, but as long as nobody&#8217;s burnt career-wise then that&#8217;s OK, eh Robert? You can&#8217;t know what difference Rees will or won&#8217;t make until the findings are clearer than they are today.</p>
<p>Ambigulous: it&#8217;s one thing to put an ad in the paper, but on the day the Commission was announced the Commissioner should have said explicitly that he will read any and all submissions his own self. The Brumby government has form on &#8220;community consultation&#8221;.</p>
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		<title>By: Robert Merkel</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145003</link>
		<dc:creator>Robert Merkel</dc:creator>
		<pubDate>Sun, 12 Jul 2009 03:23:45 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145003</guid>
		<description>You might be right, Helen.  The rainfall maps are still bloody scary.

That said, it&#039;s not just about climate. The 2003 and 2006 fires were comparable in size, but didn&#039;t cause mass casualties because we didn&#039;t get that furnace northerly and the fires were away from heavily populated areas.

To some exent I&#039;m indulging in the gambler&#039;s fallacy, but I reckon the odds of a repeat of Black Saturday next year are pretty low.</description>
		<content:encoded><![CDATA[<p>You might be right, Helen.  The rainfall maps are still bloody scary.</p>
<p>That said, it&#8217;s not just about climate. The 2003 and 2006 fires were comparable in size, but didn&#8217;t cause mass casualties because we didn&#8217;t get that furnace northerly and the fires were away from heavily populated areas.</p>
<p>To some exent I&#8217;m indulging in the gambler&#8217;s fallacy, but I reckon the odds of a repeat of Black Saturday next year are pretty low.</p>
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		<title>By: Helen</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145002</link>
		<dc:creator>Helen</dc:creator>
		<pubDate>Sun, 12 Jul 2009 02:28:55 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145002</guid>
		<description>@Robert- a decade? I&#039;m not sure of that, with the role that major winds played in the Black Saturday fires. There&#039;s an El Nino forecast for this year. I would expect another horror summer. What do others think?</description>
		<content:encoded><![CDATA[<p>@Robert- a decade? I&#8217;m not sure of that, with the role that major winds played in the Black Saturday fires. There&#8217;s an El Nino forecast for this year. I would expect another horror summer. What do others think?</p>
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		<title>By: Robert Merkel</title>
		<link>http://larvatusprodeo.net/2009/07/10/look-at-the-system-not-the-individual/#comment-145001</link>
		<dc:creator>Robert Merkel</dc:creator>
		<pubDate>Sat, 11 Jul 2009 21:45:54 +0000</pubDate>
		<guid isPermaLink="false">http://larvatusprodeo.net/?p=8917#comment-145001</guid>
		<description>Andrew E: Sacking Russell Rees is unlikely to make much difference.

It&#039;s pretty unlikely we&#039;ll see another fire as bad as Black Saturday for a while - in the past, I would have said a generation, with climate change, maybe a decade.  In any case, by the time it happens again Rees, and anyone else that this inquiry nails, will be long retired.</description>
		<content:encoded><![CDATA[<p>Andrew E: Sacking Russell Rees is unlikely to make much difference.</p>
<p>It&#8217;s pretty unlikely we&#8217;ll see another fire as bad as Black Saturday for a while &#8211; in the past, I would have said a generation, with climate change, maybe a decade.  In any case, by the time it happens again Rees, and anyone else that this inquiry nails, will be long retired.</p>
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