Searched: "just culture"

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We judge based on outcomes, not on process...

One of the most powerful psychological effects is the feeling of social conformance. As humans we are wired to be part of a group, we want to be associated with others who are similar in fashion, outlook, activity, training or just enjoying the same sport. Diving, in the main, is a social activit...

Congratulations on surviving. Dude, you’re one lucky f***er

This is the opening line of a candid interview between the owner of TopGunBASE, which is a wing-suit BASE jumping blog aimed at improving safety in this extreme sport, and a wing suit BASE jumper called Eric who ‘died’. The interview is extremely useful, not because it is about a...

"Human Error" or "Diver Error": Are they just an easy way of blaming the individual?

Human error is normal. Human error is part of the way we learn. It is almost impossible to remove human error from any system. Therefore, 'Human error' should not be the conclusion of an investigation. If it is, then we are not likely to improve the situation for the future. Depending o...

We all make errors. Let’s not judge those involved without understanding the ‘how’ it made sense.

“People make errors, which lead to accidents. Accidents lead to deaths. The standard solution is to blame the people involved. If we find out who made the errors and punish them, we solve the problem, right? Wrong. The problem is seldom the fault of an individual; it is the fault of t...

Why is it so hard to talk about failure?

About ten years ago I started up a small section on a UK diving forum (YD then TDF) called “I learned about diving from that…” (ILADFT)  which was based on the RAF Flight Safety magazine section “I learned about flying from that…” where aircrew would write in about their mistakes and cl...

Incompetent and Unaware: You don't know what you don't know...

This is a summary of my presentation at TekDiveUSA as recordings weren't allowed. The interactive presentation was just short of an hour so this is a bit of a long post!! The simple premise is that we don’t know what we don’t know. Even worse, we don’t know that we don’t know!! This double hit i...

A Just Culture - What the SEWOL ferry disaster can do to help improve diving performance and safety.

This story has recently hit the news and refers to a British Diving instructor who has been operating in Thailand and one of his students suffered a fatality. Fairly quickly the social media assumed that standards had been breached and he would be in real trouble but then the story has changed sl...

Looking in the (Cultural) Mirror...

Today I attended an international cultural awareness programme at Abbey Communication - the key aim wasn't to specifically raise my awareness about international cultures, indeed we didn't cover much in terms of international cultures, but to allow me to understand my own culture and how that was...

Big Data - Use as a Predictor? Or Not?

I love reading articles like this http://www.nytimes.com/2014/04/07/opinion/eight-no-nine-problems-with-big-data.html?_r=0 because it both prompts positive thought (how to make it work) and at the same time reinforces the complexity of the environment we live in, especially when it comes to devel...

Technical Solution, New Process/Rule or Behavioural Change? - LFI Seminars Part 1

I recently attended a seminar in London where the aims of the sessions were to understand how different organisations and individuals learned from incidents. Those attending included legal professionals, Health and Safety experts, academics covering safety, behaviour and learning and operators / ...