Thank you so much Sidney Dekker for this sparkling X-Mas gift!
As ex-team member of Dedale’s both Paris and Melbourne offices, we (driven by Jean Pariès and Brent Hayward brilliant minds) enjoyed and used your work very much!
Have a beautiful X-Mas Eve! 🙂
What a wonderful gift of compassion for the Holiday Season. When guilt and fear are removed what is left is insight into reality. From there, springs the clarity to see the way to continuous improvement and leaves everyone the better for it.
Thank you for this job aid for prompting and encouraging a different way to think about incidents and those involved.
I wonder if a question about “Who benefited from the conditions that led to this event?” should be included in this model? It could help complete the picture of “who is hurt?”
Ralph Stuart, that’s interesting. What would be a potential answer that would enlighten the situation?
Good question. Off the top of my head, I’m not sure. I’m still thinking about the model presented here.
However, it occurred to me recently, that the traditional approach of thinking of risk in terms of (hazard * exposure) omits the participants in an event. One clear participant is the people who suffer the loss, but there are also people who have benefited from the situation(s) that led to the event. Sometimes those situation(s) are oversights, other times, they are the result of the intentional transfer of risk to other people. If we don’t include the people who benefit from the risk being in place, then we have may have missed a big part of the story.
Ralph, I thought you might be alluding to political issues. Until the incident happens when managers are meeting their deadlines and goals, there may be some rewards to not heeding the signs of impending problems. This isn’t necessarily conscious.
Great man! I will be translating it to brazilian portuguese and also sharing and discussing it in some local safety foruns.