THINK INSIDE THE BOX · TOOL 11 · B2 · 50 min

The Grid That Keeps People Alive

How likely is it? How bad would it be? Two questions that decide what hospitals, airlines and engineers worry about first.

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Today: you'll learn how safety teams decide what to worry about, score six real risks yourself, and practise the language of probability: likely to, may well, bound to, unlikely.
Before we start — talk these through:
  • What is the most dangerous thing you do in a normal week? Do you think about it?
  • Are people good at judging danger? Think about flying, driving and swimming.
  • In your job or home, who decides what is safe?

The vocabulary of this story

Ten items. Say your answer out loud before you reveal it.

A · What do they mean here? Work it out from the context

Read the sentence, guess the meaning of the word in bold, then reveal.

The engineers listed every hazard on the site: deep water, moving vehicles, electricity.
hazard — something that could cause harm or damage.
A small fire is annoying; a fire in the fuel store would be catastrophic.
catastrophic — extremely bad; causing enormous damage.
Wearing a helmet does not remove the danger, but it does reduce the harm.
reduce — to make something smaller or less.
Nurses must report every near miss — an accident that almost happened.
near miss — a situation where something bad nearly happened but didn't.

B · Which word matches the meaning?

The three words are: likelihood · consequence · precaution. Read each meaning, say the word, then reveal.

(noun) Something you do in advance to stop a problem happening.
precaution — “As a precaution, they closed the road.”
(noun) The chance that something will happen.
likelihood — “The likelihood of rain today is high.”
(noun) The result of an action, especially a bad one.
consequence — “The consequences of the error were serious.”

C · Which word completes all three phrases?

One missing word fits every phrase in the group. Say it, then reveal.

take a ___  ·  a high-___ patient  ·  at ___ of losing everything
risk — the chance that something bad happens; a dangerous situation.
___ an accident  ·  ___ the spread of a disease  ·  better to ___ than to cure
prevent — to stop something from happening.
a safety ___  ·  run through the ___ before take-off  ·  tick the ___
checklist — a written list of things to check or do, in order.

Now use them — out loud

Before we read:
  • What precautions do you take without thinking — at home, at work, on the road?
  • Tell us about a near miss you remember.
  • Which everyday risk do you think people worry about too much?

The story, in three parts

Read each part. After it, answer the quick check from memory, then discuss one question.

Part 1 — You cannot prevent everything

Imagine you run a small hospital. This morning your list of worries includes a broken lift, a nurse shortage at night, a cupboard of medicines with similar-looking boxes, a leaking roof, and a computer system that is ten years old.

You cannot fix all of them today. So which one do you start with? The loudest complaint? The cheapest repair? The one in yesterday's newspaper?

Through the twentieth century, industries that could kill people — mining, chemicals, nuclear power, aviation — learned an uncomfortable lesson. You can never remove every hazard. What you can do is be honest about which hazards deserve your money and your attention first. And for that, you need to ask about each one not one question but two.

Quick check — from memory, then reveal:

1. Why can't the hospital fix everything?

2. Which industries learned this lesson first?

3. How many questions does each hazard need?

1. There isn't enough time or money — you have to choose.

2. Dangerous ones: mining, chemicals, nuclear power, aviation.

3. Two.

Discuss:
  • In your workplace or home, how do people usually decide what to fix first?

Part 2 — Two questions, one grid

The two questions are these. How likely is it to happen? And how bad would it be if it did?

Answer both — usually on a scale from low to high — and every hazard lands in a box on a grid. The bottom-left corner holds things that probably won't happen and wouldn't matter much. The top-right corner holds things that are likely and would be catastrophic. That corner gets your money, today.

The grid also solves an old argument. People disagree loudly about danger, because they are usually arguing about different questions. One person is thinking about likelihood (“that has never happened here”), the other about consequence (“if it did, someone would die”). The grid makes them answer both questions separately, and suddenly the argument becomes a conversation.

Its power is that it works for a nuclear plant, a school trip or a wedding.

Quick check — from memory, then reveal:

1. What are the two questions?

2. Which corner of the grid gets attention first?

3. Why do people argue about danger, according to the story?

1. How likely is it? How bad would it be?

2. The top-right: likely and catastrophic.

3. Because they are answering different questions — one thinks about likelihood, the other about consequence.

Discuss:
  • Think of an argument you've heard about safety. Were the two sides answering different questions?

Part 3 — The rare and the terrible

The grid has a famous weak spot: the box where something is very unlikely but would be catastrophic. A huge flood. A new disease. A bank collapsing. Because the likelihood is low, these risks sit quietly in a corner of the page for years — until the year they don't.

There is a second problem. The numbers look scientific, but somebody chose them. Give the same hazard to two teams and they will often score it differently, especially when the person scoring it is also the person who would have to pay for the repair.

So good teams use the grid as the start of a conversation, not the end of one. They add a rule: anything that could kill someone gets attention whatever its score. And they record the near misses, because a near miss is the cheapest warning you will ever get.

Quick check — from memory, then reveal:

1. Which box is the famous weak spot?

2. Why can two teams score the same hazard differently?

3. What extra rule do good teams add?

1. Very unlikely, but catastrophic.

2. Because the scores are human judgements — and the scorer may be the person who would pay for the repair.

3. Anything that could kill someone gets attention whatever its score (and they record near misses).

Discuss:
  • How should a company plan for something that is very unlikely but terrible?

How the tool works

Score each hazard twice. Along the bottom: how likely is it? Up the side: how serious would it be? The colour of the box tells you how fast to act.

MEDIUMplan for itHIGHact soonEXTREMEact nowLOWwatch itMEDIUMplan for itHIGHact soonLOWwatch itLOWwatch itMEDIUMplan for itHow likely?How serious?rareoftenminorsevere

Using it, step by step

  1. List the hazards plainly — what could go wrong, and to whom.
  2. Score each one for likelihood, using evidence: has it happened here before? How often?
  3. Score each one for consequence: the realistic worst case, not the imaginable worst case.
  4. Start at the red corner. For each one, either reduce the likelihood, reduce the harm, or both — then score it again.

Try it yourself

A language school is planning a day trip to the mountains. Which box does each risk belong in? Choose, then check.

1. Rain during the walk. It rains most weeks, and everyone would get wet and uncomfortable.
2. A student with a serious nut allergy is given the wrong packed lunch. The kitchen prepares them by hand, and this nearly happened last term.
3. The bus breaks down on the mountain road. The company's buses are old and it happened last year; the group would be stuck for hours in the cold.
4. A student twists an ankle on the path. It happens on about one trip in three, and means a slow walk back.
5. A meteorite hits the bus.
6. Somebody forgets their sun hat.

1. Medium — very likely, but only a minor consequence.

2. Extreme — likely (it nearly happened already) and possibly fatal.

3. High — likely, and the consequences are serious.

4. Medium — fairly likely; painful but not severe.

5. Low — catastrophic, but so rare that no plan is possible.

6. Low — it may well happen, but it is easily fixed.

Where the tool breaks

The scores are opinions in disguise. Two honest teams often score the same hazard differently.

The rare-but-terrible box. Low likelihood pushes real dangers off the page for years.

It can become paperwork. A finished grid is not a safer school — the actions are.

Talk it through:
  • Which risk on the trip would you spend money on first?
  • Should the person who pays for repairs be the person who scores the risks?

Its cousins

The Hierarchy of ControlsOnce you know the risk: remove the danger first; protective clothing is the last resort.
The Surgical Safety ChecklistThe WHO checklist that cut deaths in operating theatres.
The Fishbone DiagramWhen something does go wrong, this finds the causes. Open the lesson →
The Eisenhower MatrixThe same two-question shape, for your time. Open the lesson →

Grammar — likely, may well, bound to

This grid runs on probability. English has a rich set of ways to say how likely something is — far beyond maybe.

be likely / unlikely + to + verb — the everyday way to score a chance.
“Prices are likely to rise next year.”  “He is unlikely to pass without help.”
Also: “It is likely that prices will rise.”
may well / might well — a real possibility, stronger than may.
“The meeting may well finish early.”
be bound to / be sure to — you are almost certain.
“With this traffic, we are bound to be late.”
There's a good / slight chance (that)…
“There's a slight chance of snow.”
Watch out: likely is an adjective, not a verb: ~~It likely to rain~~ → “It is likely to rain.” And after bound to we use the bare verb: “bound to be late”.

1. Complete the sentences

Write one word in each gap.

1. The road is closed, so the bus is to be late — I'd say ninety-nine per cent.

2. Older machines are more to break down than new ones.

3. There's a slight of frost tonight, so cover the plants.

4. She may refuse the offer — she's turned down two already.

5. It is that the flight will be cancelled; the storm is enormous.

1. bound (or sure)

2. likely

3. chance

4. well

5. likely

2. Score the risk in words

Rewrite each sentence with the words in brackets, keeping the meaning.

1. It will probably rain during the walk. (likely) → Rain

2. There is almost no chance of a meteorite. (unlikely) → A meteorite

3. Perhaps the bus will break down — it has before. (may well) → The bus

4. With no map, we will certainly get lost. (bound) → Without a map, we

1. Rain is likely (to fall) during the walk.

2. A meteorite is extremely unlikely (to hit us).

3. The bus may well break down.

4. Without a map, we are bound to get lost.

Now score three risks in your own life or work: one likely, one unlikely, one you are bound to face.

Speak

Use the grid on something real. Choose a task, start the timer, and talk. Use the probability language from the grammar tab.

Useful language: “That's likely, but not serious.” · “It's unlikely — however, if it happened, …” · “We're bound to …” · “I'd put that in the red corner because …”
Time remaining: 4:00
Task 1 — Your place

Think of your home, workplace or journey to work. Name three risks and score each one on both questions.

Task 2 — The rare and terrible

Name something very unlikely that would be very serious for you. What, if anything, do you do about it?

Task 3 — Convince someone

Someone dismisses a danger you take seriously. Explain your scoring and try to change their mind.

To finish — the harder questions

  1. Governments use this grid for floods and pandemics. Why do the rare-but-terrible risks still surprise us?
  2. Is it acceptable to put a price on reducing a risk to human life? Argue both ways, then commit.
  3. Do people judge risk better from numbers or from stories? Which changes your own behaviour?
  4. From memory: describe three risks on the school trip using likely to, may well and bound to.