Tag Archives: just culture

Four Kinds of ‘Human Factors’: 1. The Human Factor

This is the first of a short blog post series, on four kinds of ‘Human Factors’: ‘The Human Factor. Continue reading

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Just Culture in La La Land

It was always going to happen. The wrong Best Picture winner was read out live on air at The Oscars. Someone had to take the blame. Attention first turned to Warren Beatty and Faye Dunaway. They, after all, ‘touched it last’. But … Continue reading

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Just culture: Who are we really afraid of?

When we think about just culture, we usually think about accidents and incidents, associated ‘honest mistakes’ and ‘negligence’ (by whatever name), as well as official responses to these, at company and judicial level. The notion of just culture is driven … Continue reading

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Human Factors at The Fringe: My Eyes Went Dark

Written and directed by Matthew Wilkinson. A thrilling modern tragedy about a Russian architect driven to revenge after losing his family in a plane crash. Cal MacAninch and Thusitha Jayasundera give electrifying performances in this searing new play about the … Continue reading

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Never/zero thinking

There has been much talk in recent years about ‘never events’ and ‘zero harm’, similar to talk in the safety community about ‘zero accidents’. It sounds obvious: no one would want an accident. And we all wish that serious harm would not result from accidents. But as expressed and implemented top-down, never/zero is problematic for many reasons. In this post, I shall outline just a few, as I see them. Continue reading

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Occupational Overuse Syndrome – Human Error Variant (OOS-HEV)

Occupational Overuse Syndrome – Human Error Variant (OOS-HEV) is a condition involving the overuse of the notion of ‘human error’ to explain unwanted events in complex systems. The condition develops as the result of a number of factors such as the desire … Continue reading

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Safety-II and Just Culture: Where Now?

When things go wrong, we seem to display a reliable tendency to do one thing: blame those at the ‘sharp end’. No matter how complex the system, how uncertain the situation, or how inadequate the conditions, our attention post-accident seems … Continue reading

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