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GET IT AT A GLANCE

A tick isn't
the same
as done

For anyone who thinks "have everyone fill in a checklist" means it's under control
No. 25Thinking ClearlyPart 5 of 12
1

The short version

A tick on a form is drawn by the person himself. Whether the job was really done takes someone actually going to look.

2

Two kinds of checking, and the difference

SELF-REPORT
A form on the wall; tick it yourself when done
Like asking students to report "homework finished" themselves: the reports always outnumber the homework actually done
SOMEONE ELSE LOOKS
Not the person who did the job, but someone who looks at the thing itself
Is the floor really clean, was the trash really taken out? You look at the floor and the bin, not the tick

Put simply: a self-report says "I think I did it." Someone else looking tells you "it was done."

3

Hospital handwashing: reported vs. done, off by double

Doctors and nurses must wash their hands going in and out of patient rooms, a rule that saves lives. Researchers checked both sides: first they asked staff how often they washed, then sent people to actually watch.

Nurses at two US hospitals
95%said they
washed
46%actually seen
washing
A hospital in Kenya: said 80%, actual 24%
Several studies, published 2021–2025

They weren't lying on purpose. People sincerely feel they did it, and the times they skipped when things got busy, they simply don't remember.

4

Sending someone to watch has a catch too

A hospital in Canada installed automatic sensors in its corridors to log every handwash. Then they compared: what difference does it make whether an inspector is present?

3×
In the stretch of corridor the inspector could see, handwashing was 3 times the usual rate
Published in BMJ Quality & Safety (2014)

The moment people see the inspector, they put on a show; once he leaves, they go back to normal. So even a surprise spot check shows you the "performance version."

This is the famous "Hawthorne effect": when people know they're being watched, they act differently.

5

So how do you check accurately?

1. Whoever did the work doesn't sign it offThe person who did it shouldn't be the one to tick it
2. Look at the thing itselfA photo of the floor or a glance at the bin beats asking "did you do it?"
3. Look every day, not in surprise raidsWhen it's always there, people stop performing. What looks the same every day is the real picture
6

One thing this is not

Not saying checklists are useless A checklist is for reminding you which things to do, and it's very good at that. The surgical checklist in the page "Why Print a Reminder on Paper?" is exactly that kind of form. It just can't prove that something was done. Reminding is for the form; proof is for the eyes.
"I ticked everything. You still don't trust me?"
It's not that we don't trust you.
Even you can't
remember everything.
Let someone else go look at the table and the bin, and you'll never have to defend a form again.
UP NEXT

Does Watching People Work Actually Help?

392 restaurants installed audit software: 22% less theft, 7% more sales. A factory hung a curtain: 10-15% more output. Watch the work, not the people.

No. 26 · 3 minKeep going →
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