People in Control: A Conversation With Captain James Burnell

Aviation is heavily reliant on procedures, but procedures can never replace human adaptivity in all…

“Why Are We Having More Incidents?” Causal Loops in Reactions to Unwanted Events

One way to understand the links between unwanted events, conditions and interventions is via causal…

Why Is It Just So Difficult? Barriers to ‘Just Culture’ in the Real World

This article is a reproduction of an article published in HindSight magazine issue 35 in September 2023 (all issues available…

HindSight 35: Just Culture…Revisited is out now

HindSight is a magazine on human and organisational factors in operations. HindSight magazine is free and…

Work-As-Imagined Solutioneering: Ten Traps Along the Yellow Brick Road

On major projects, some surprises unfold slowly via ‘work-as-imagined solutioneering’. Based on observations in several industries, Steven Shorrock presents ten traps that we can all fall into.

Shorrock’s Law of Limits

“When you put a limit on a measure, if that measure relates to efficiency, the limit will be used as a target.”