Searched: "just culture"

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We’ve got an attitude problem!

I’ve written a number of blogs on here but one of them got considerably more discussion (especially in the Facebook group) than the others. It was this one: My biggest mistake. It was fascinating to read the comments from people both publicly in the Facebook group and ones that were privately sen...

HF in Diving for Dummies: Part 1: Human Factors

This is a 10-part series of blogs that will be published once a fortnight to bring the basics about human factors in diving to the fore. They won’t be long, they won’t have lots of jargon in them, and they will have a case study or series of examples to bring the theory to life. The reason for t...

Normalisation of Deviance: It's not about rule-breaking

“As we sat ready to get into the water for a normoxic trimix dive in 50m, I looked down on my 21m stage and realised that I hadn’t analysed the gas in it that morning. The date on the analysis tape was from yesterday. We had a strict approach to analysing gas each day. No analysis, no diving. I q...

They broke the rules! So...?

When something goes wrong, and there has been a deviation which appears to be a ‘root cause’ of the event, one of the first cries that come out is that they broke the rules, and therefore those involved should be punished because of their behaviour. This cry comes out because the rules are there ...

Nie wyciągniemy wniosków z niepożądanych zdarzeń, jeśli będziemy szukać winnych

Niedawno opublikowałem w mediach społecznościowych post o wpływie kar na uczenie się, który był fragmentem pracy badawczej dotyczącej tego, co się stanie, jeśli zmienimy podejście do " śledztwa". "Wbrew sugestii zawartej w literaturze dotyczącej zgłaszania wypadków, że kara jest korzystnym ...

Łączenie kropek jest łatwe. Szczególnie gdy zna się ostateczny wzór.

Historia w skrócie, jest taka że Instruktor techniczny nie przeanalizował gazów przed nurkowaniem na 55 m, co spowodowało, że nurek oddychał gazem o pO2 1,8. Przeżył. Długa historia jest tym, o czym pisałem w zeszłotygodniowym blogu (przeczytaj ją tutaj, bo nie jest to tak proste, jak jest to op...

Surely if we blame and punish, things will be safer?

A recent post on a Facebook Group described a situation where a novice diver was taken to 45m and through an arch, well beyond their certification limits of either 18m or 30m (they only had 12 dives).  “A few of my dive friends saw this dive watch picture and were really concerned for my safety ...

The problem with bringing Human Factors into Diving is...

Human Factors! ‘Human factors’ is a huge topic. It is a scientific discipline that covers many different sorts of activities depending on where you are: Anthropometrics – how the human body fits or works with physical design. Cognitive psychology – how we make sense of the world and ‘make ch...

Quarks and Meows - the state of diving safety!

This particular blog is not intended to give you a simple answer to a complex problem, rather it is to encourage you to think about how you consider safety in diving, how you achieve it, and how the industry and communities help maintain it. The questions to consider are: Can you be safe and ...

Are there Cobras in diving?

The rational thing about human behaviour is that it is irrational! It is rational at the time to those involved, but it might appear to be irrational after the event by those outside the event, given that we know the outcome and we can easily join the dots. Humans respond well to positive reward...