When we think about just culture, we usually think about accidents and incidents, associated ‘honest mistakes’ and ‘negligence’ (by whatever name), as well as official responses to these, at company and judicial level. The notion of just culture is driven partly by fear; fear of being judged and blamed, especially fear of being blamed unfairly. The fear is felt most strongly by operational staff, who are at the sharp end of organisations and have sometimes faced disciplinary … Continue Reading ››
For the last century, the evolution of accident investigation can be tied to research and the scientific advancements in how we view our work systems
. Three major lenses of scientific research emerge as we begin to examine key influences on accident investigation processes: Classic mid-century faith in engineering was termed, Scientific Management, which was followed by Systems Thinking and, ultimately, an emerging understanding of Complex Adaptive Systems.
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We have long struggled with trying to capture the facts associated with an accident in order to prevent the next one. This has been largely effective when applied to machines. In mechanical systems things are measurable, observable and more objective.
The information we get from people is always subjective. There are always issues of memory, shame, fear and politics that influence the ever-changing stories we tell. If you think about it, you have probably altered a story to … Continue Reading ››
Editor’s Note – Following a post from Gary Wong’s post on Should We Do a Safety Audit or Do Safety Differently, Tim Austin commented in the Safety Differently LinkedIn group about the important role of psychological safety in making such a different auditing approach successful. So we asked Tim to share his thoughts on what psychological safety is and how to create it in an organization. Enjoy!
A worker in a high pressure manufacturing plant notices … Continue Reading ››
Understanding and improving human work is relevant to most people in the world, and a number of professions are dedicated to improving human work (e.g. human factors/ergonomics, quality management, industrial/work/organizational psychology; management science). The trouble with many of these professions is that the language and methods mystify rather than demystify. Work becomes something incomprehensible and hard to think about and improve by those who actually design and do the work. Recently, some notions that help to demystify work have gained popular acceptance. One of these … Continue Reading ››
A little while ago, I participated in a workshop for CEOs discussing health and safety matters. We did the usual workshop thing of breaking into table discussions and feeding back to the group in time-honoured fashion. It is relatively rare to bring together such a large group of influencers, so I was looking forward to the output and the opportunity it could give to drive wholesale improvements across a number of businesses and … Continue Reading ››
Picture the scene: The car carrier Hoegh Osaka
has just departed from the port of Southampton, at which point the master calls up the mate and says that the ship did “not feel right”, to which the mate in charge at the loading computer replies “I am working on it”. Soon afterwards the vessel runs aground and eventually capsizes, leading to a catastrophic accident off the port approaches. The investigation into the case finds that the vessel was … Continue Reading ››
This is a continuation of Daniel Hummerdal's 2016 April 06 "Safety Audits Differently"
Imagine you work in a company with a good safety record. By "good", you are in the upper quartile as per the benchmarking stats in your industry. Things were rolling along nicely until this past year. There was a steep increase in failures which has led to concerns over the safety culture.
Historically there have 2 safety-related events but last year there … Continue Reading ››