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HMS Scylla -dwie perspektywy na tragiczne nurkowanie

Andrzej Gornicki

Published on: 10/05/2026

Dwóch nurków zginęło podczas penetracji maszynowni okrętu HMS Scylla. Niniejsza analiza LEODSI zesta

THD-PolishTHD-Learning, Incidents & Just Culture

HMS Scylla Wreck Penetration Tragedy: Two Perspectives on Learning

Gareth 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.

THD-EnglishTHD-Learning, Incidents & Just Culture

The Tower Was Already Full of Holes

Gareth Lock

Published on: 03/03/2026

When diving incidents occur, we blame the last person to touch the tower. But the holes were already there. Real learning comes from asking "how did it make sense?" not "who's to blame?" Systems thinking changes everything. Be better than yesterday.

THD-EnglishTHD-Safety & Risk Management