HMS Scylla Wreck Penetration Tragedy: Two Perspectives on Learning

HMS Scylla Wreck Penetration Tragedy: Two Perspectives on Learning

HMS Scylla Wreck Penetration Tragedy: Two Perspectives on LearningGareth Lock
Published on: 11/03/2026

Two divers died penetrating HMS Scylla's engine room. This LEODSI analysis contrasts blame-focused social media narratives with systems thinking, revealing how experience, time pressure, and environmental assumptions interacted to produce tragedy—not individual failure but systemic factors needing improvement.

EnglishLearning, Incidents & Just Culture
The death of a child in diver training. There are no ‘silver bullet’ solutions

The death of a child in diver training. There are no ‘silver bullet’ solutions

The death of a child in diver training. There are no ‘silver bullet’ solutionsGareth Lock
Published on: 08/02/2026

A systems-based analysis of a 12-year-old diver’s death during certification training. Examining training standards, supervision, visibility, fatigue, and organisational pressures, this article explores how normalised practices and eroded margins combined to produce a tragic outcome—and what must change to prevent recurrence.

EnglishLearning, Incidents & Just Culture
What story gets told? What words are used? Who gets to the tell the multiple stories?

What story gets told? What words are used? Who gets to the tell the multiple stories?

What story gets told? What words are used? Who gets to the tell the multiple stories?Gareth Lock
Published on: 04/02/2026

A tragic child diving fatality in Texas is examined through two narratives: blame-focused media framing versus a systems-based LEODSI analysis. This article shows how training design, organisational pressures, and normalised conditions shape outcomes—and where real safety learning begins.

EnglishLearning, Incidents & Just Culture
Language Matters: An HF Approach to Reviewing an ‘Accident Analysis’

Language Matters: An HF Approach to Reviewing an ‘Accident Analysis’

Language Matters: An HF Approach to Reviewing an ‘Accident Analysis’Gareth Lock
Published on: 17/08/2024

How we frame learning opportunities and the language we use is critical: firstly, we need to create the environment for others to learn, and because when we focus on the context and the conditions, we create an empathetic response. This blog looks at what happens when you don't do that.

EnglishSense-making, Decision-making, & Psychology