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By Streamline ISO Consultants

Quality Quote: “Under conditions of complexity, checklists are required for success” (Atul Gawande)

Tilt-shift miniature of a small aircraft cockpit crew and a surgical team working through printed checklists side by side
Surgeon and writer Atul Gawande, in The Checklist Manifesto (2009): โ€œUnder conditions of complexity, not only are checklists a help, they are required for success.โ€

โ€œUnder conditions of complexity, not only are checklists a help, they are required for success.โ€

Atul Gawande, surgeon and author, The Checklist Manifesto (2009)

Gawande’s point was not that skilled people are careless. It was that complex work has more steps than anyone can reliably hold in their head, especially under pressure. The World Health Organization’s Surgical Safety Checklist, which he helped develop, took a couple of minutes to run and still cut complications in the hospitals that trialled it.

The same thinking sits behind a good ISO procedure. A procedure earns its place when the work is complex, infrequent, high-consequence or done by different people each time. It doesn’t need to describe everything a competent person already does well. It needs to catch the steps that get missed.

If your procedures read like training manuals, try turning the critical ones into short checklists: the five or six things that must happen every time, in order, with a tick. That is usually what an auditor is really looking for when they ask how you make sure the work is done the same way.


Related guide: Organisational knowledge and clause 7.1.6, on capturing what your people know before it walks out the door.

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Streamline designs, audits and mentors practical ISO management systems, from ISO 9001 quality to ISO 45001 safety and ISO 27001 information security. Explore our ISO 9001 quality management and ISO 45001 safety services, or contact us.

More quality quotes

Looking upward through a series of white concentric arches“If you keep cutting corners, eventually you will end up going in circles”Black and white photograph of a young bearded man seated beside an appleBe a yardstick of quality. Some people aren’t used to an environment where excellence is expected. Steve Jobs.A lone figure on a dark misty forest path“A customer left in the dark cannot be seen leaving”Violinists playing together in an orchestraTEAM Together Everyone Achieves MoreA United States flagThose who do not learn history are doomed to repeat itBlack and white portrait of Albert Szent-GyorgyiDiscovery consists of seeing what everybody else has seen and thinking what nobody has thought

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General guidance only. This article is general information, not legal, financial, safety or compliance advice, and it does not take account of your specific circumstances. Streamline ISO Consultants are ISO management-system consultants, not lawyers or licensed advisers. Standards, laws and regulator guidance change, and details were correct only at the time of writing. Always seek professional advice before acting. See our full Disclaimer.

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