HindSight is a magazine on human and organisational factors in operations. HindSight magazine is free and published around twice a year, reaching tens of thousands of readers in aviation and other sectors worldwide. Published in September 2023, HindSight 35 focused on the theme of Just Culture…Revisited. You will find an introduction to this Issue below, along with links to the magazine and the individual articles to download from SKYbrary.
Download the full HindSight 35 magazine here
Welcome
Welcome to issue 35 of EUROCONTROL’s HindSight magazine, the magazine on human and organisational factors in operations, in air traffic management and beyond.
This issue is on the theme of Just Culture…Revisited. Once again you will find a diverse set of articles from a diverse set of authors in the context of aviation, maritime, rail and healthcare. The articles reflect Just Culture at the corporate and judicial levels from the perspectives of personal experience, professional practice, theory, research, regulation, and law.
At the heart of HindSight magazine is the idea that we can and should learn from multiple perspectives. Especially for topics such as Just Culture, there can be tensions between these perspective, which are opportunities for learning and growth. There are differences between the perspectives of front-line staff, safety specialists, legal experts, managers, and social scientists, and senior managers, and of course citizens. What is ‘just’? How should we conceptualise Just Culture? How should we design and implement regulations, policies and protocols relating to Just Culture? What gets in the way of Just Culture? More than most other topics, this is one that can arouse strong feelings and opinions.
In this issue, leading voices from the ground and air share perspectives on these questions. It is also recommended to review issue 18 of HindSight on Justice & Safety. The two issues together offer a rare and comprehensive set of insights.
Special thanks are extended to the authors and the operational reviewers, who help to ensure that HindSight magazine is relevant, interesting and useful. While the primary readers are operational staff, especially those involved in aviation, it is read much more widely, by different people in different sectors, especially those where safety and business continuity is critical.
We hope that the articles trigger conversations between you and others. Do your operational and nonoperational colleagues know about HindSight? Please let them know. Search ‘SKYbrary HindSight’ for all issues, covering a wide variety of themes.
HindSight 35 Articles
Forewords
Editorial
Reflections on Just Culture
- Unravelling the complexities of justice: Lessons from the Erebus disaster, by Lea-Sophie Vink
- Moving beyond the good, the bad and the ugly: Just, blame, and no-blame cultures revisited, by Martina Ivaldi, Fabrizio Bracco and Marcello Scala
- Epistemic injustice: The dog has now been removed from the tail, by Joji Waites and Captain James Burnell
- Why is it just so difficult? Barriers to ‘Just Culture’ in the real world, by Steven Shorrock
Just Culture in Practice
- Just Culture: What have we done for you?, by Tony Licu, Radu Cioponea, and Steven Shorrock
- Implementing Just Culture in practice: The ‘JC 11’ methodology, by Maria Kovacova
- Whether report? Understanding Just Culture through safety reporting, by James Norman
Artificial Intelligence
- Artificial intelligence and the Just Culture principle, by Federico Franchina
- Just Culture and artificial intelligence: Do we need to expand the Just Culture playbook?, by Marc Baumgartnerand Stathis Malakis
Legal and Judicial Perspectives
- Reconciling criminal law enforcement with Just Culture, by Katja van Bijsterveldt and Aco Verhaegh
- Just Culture done to you or with you? An alternative to prosecution in general aviation, by Bram Couteaux and Anthony Smoker
- Just Culture in Switzerland: An eight-year ordeal, by Fabian Hummel and Marc Baumgartner
Views from Elsewhere
- Just Culture in healthcare: The dawn of a new era, by Suzette Woodward
- Just Culture or safety learning culture? The maritime industry charts its course, by Barry Kirwan
- Embracing a learning culture at a UK rail operator, by Adam Johns
- Applying Just Culture in rail: Drawing parallels from aviation, by Michaela Schwarz and Nora Balfe
Human Performance in the Spotlight
Diversity and Inclusion
In Conversation
- From cockpits to courtrooms: Looking back on a 50-year journey. A conversation with Tom Lintner, by Steven Shorrock
The Lighter Side
- Cartoons, by Daniel Avram
Other Content
All Formats of HindSight 35
- Low resolution
- High resolution (to follow)
- High resolution with crop marks (for printshop) (to follow)
Humanistic Systems 