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Tag Archives: safety-I
The Real Focus of Safety-II
Safety-II has become a talking point. It is discussed not only among safety professionals, but – perhaps more importantly – among front line practitioners, managers, board members and regulators in a wide array of industries. Its practical and inclusive focus … Continue reading
Work and how to survive it: Lesson 2. Understand variation inside your organisation
In this sporadic series of posts, I share a few insights, as they might apply to work and organisations, from ‘Life and How To Survive It’ and ‘Families and How to Survive Them’, by psychotherapist (late) Robin Skynner and comedian John Cleese. Continue reading
Work and how to survive it: Lesson 1. Understand ‘how work goes’
In this sporadic series of posts, Icshare a few insights, as they might apply to work and organisations, from ‘Life and How To Survive It’ and ‘Families and How to Survive Them’, by psychotherapist (late) Robin Skynner and comedian John Cleese. Continue reading
The Varieties of Human Work
The analysis of work cannot be limited to work as prescribed in procedures etc (le travail prescrit), nor to the observation of work actually done (le travail réalisé). Similarly, it cannot be limited to work as we imagine it, nor work as people talk about it. Only by considering all four of these varieties of human work can we hope to understand what’s going on. Continue reading
Posted in Human Factors/Ergonomics, Safety, systems thinking
Tagged aviation, ergonomics, field experts, focus groups, healthcare, human factors, interviews, observation, oil and gas, policy, procedures, QF32, rail, safety, safety-I, safety-II, systems thinking, task analysis, WebOps, work to rule, work-as-disclosed, work-as-done, work-as-imagined, work-as-judged
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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
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
Posted in Human Factors/Ergonomics, Safety, systems thinking
Tagged accidents, blame, human error, human factors, just culture, management, never events, safety, safety-I, safety-II, systems thinking, targets, zero harm
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‘Human error’ in the headlines: Press reporting on Virgin Galactic
Again, a familiar smoke pattern has emerged from the ashes of a high-profile accident. The National Transportation Safety Board held a hearing in Washington D.C. on 28 July 2015 on the Virgin Galactic crash over California on October 31, 2014. … Continue reading
Posted in Human Factors/Ergonomics, Safety, systems thinking
Tagged accidents, blame, ergonomics, human error, human factors, Language, safety-I, safety-II, social media, systems thinking
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