SH03: HF for Dummies. Part 3. Just Culture.

SH03: HF for Dummies. Part 3. Just Culture.

Part 3 of the Dummies series. This one is looking at Just Culture and why we need it in order to learn.

In this episode, we unravel the concept of a Just Culture in the context of Human Factors and its critical role in facilitating learning from mistakes. We start by clarifying the notion of culture, emphasizing its subjective nature rooted in fairness. Contrary to common misconceptions, a Just Culture is not about assigning blame but about understanding what went wrong and why individuals made certain decisions.

We illustrate this with two poignant examples: the MV Conception sinking and a tragic diving incident in the UK. In both cases, a deeper examination of the system and circumstances, rather than immediate blame, led to valuable lessons and, in some instances, legal outcomes that diverged from initial perceptions.

We underscore the importance of asking "How did this happen?" rather than "Who is to blame?" and advocate for a shift in language and culture within the diving community to foster a shared belief in learning from incidents and enhancing safety.

Original blog URL: https://www.thehumandiver.com/blog/hf-in-diving-for-dummies-part-3-just-culture

Links:

National Transportation Safety Board accident report

https://www.ntsb.gov/investigations/AccidentReports/Reports/MAR2003.pdf

Press reports on the “out of gas” incident

https://divernet.com/scuba-news/hung-jury-discharged-in-stoney-manslaughter-trial/

https://divernet.com/scuba-diving/diving-instructor-cleared-in-safety-stop-death-case/

Information about IPO

https://www.bsac.com/news-and-blog/the-hidden-killer-immersion-pulmonary-oedema-ipo/

Gareth’s blog on InDepth about Just Culture

https://gue.com/blog/is-a-just-culture-needed-to-support-learning-from-near-misses-and-diving-accidents/

Tags:

- English Dummies Incident Analysis Incident Investigation Incident Reporting Jenny Lord Just Culture

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(294)

SH294: Clickbait, trolls and comments. How dive incident posts can teach us — if we let them

SH294: Clickbait, trolls and comments. How dive incident posts can teach us — if we let them

Discussions about diving incidents on social media often follow a predictable pattern: a short, simplified post describes what happened, and comments quickly focus on blaming the individual involved, ...

8 Heinä 13min

SH293: Why does nothing change? Why do the same failures keep happening?

SH293: Why does nothing change? Why do the same failures keep happening?

Over the past decade, diving fatalities have remained stubbornly consistent despite better equipment, more training, and growing participation, suggesting the problem isn’t just technical or individua...

4 Heinä 22min

SH292: Learning or Blaming: The Choice the Diving Industry Needs to Make. Part 3 of 3.

SH292: Learning or Blaming: The Choice the Diving Industry Needs to Make. Part 3 of 3.

This final blog explores what the research means and how the diving community can realistically improve learning and safety. It argues that the problem is not broken individuals but a system that quie...

1 Heinä 14min

SH291: What the Data Told Us: Fear, Trust, and the Stories That Never Get Told. Part 2 of 3.

SH291: What the Data Told Us: Fear, Trust, and the Stories That Never Get Told. Part 2 of 3.

This blog explains how a mixed-methods study explored why divers struggle to share honest, learning-focused stories about incidents. Using a large international survey, focus groups, and expert interv...

27 Kesä 13min

SH290: What Happens Underwater, Stays Underwater — And That's a Problem. Part 1 of 3

SH290: What Happens Underwater, Stays Underwater — And That's a Problem. Part 1 of 3

This episode introduces the problem behind learning in diving safety, using the 2020 death of Linnea Mills to highlight how incidents are often caused by deeper system issues, not just individual mist...

24 Kesä 12min

SH289: Chac Mool - Diving Deeper into a Triple Fatality with Human Factors

SH289: Chac Mool - Diving Deeper into a Triple Fatality with Human Factors

This episode examines a 2012 triple fatality at Cenote Chac Mool in Mexico using a Human Factors approach, showing how accidents are rarely caused by a single mistake but by a combination of small, in...

20 Kesä 24min

SH288: The 'Obvious Thing' Nobody Noticed

SH288: The 'Obvious Thing' Nobody Noticed

This episode explores the fatal case of 18-year-old Linnea Mills to show how visible hazards can go unnoticed when an instructor lacks the mental capacity to recognise them. Linnea was overweighted, u...

17 Kesä 15min

SH287: When the Picture Goes Dark

SH287: When the Picture Goes Dark

This episode explores why divers don’t truly “lose” situation awareness, but instead run out of the mental capacity needed to maintain it. Through the story of James on a challenging wreck dive, it sh...

13 Kesä 16min

Suosittua kategoriassa Koulutus

rss-murhan-anatomia
psykopodiaa-podcast
rss-narsisti
rss-liian-kuuma-peruna
voi-hyvin-meditaatiot-2
adhd-podi
kesken
rss-arkea-ja-aurinkoa-podcast-espanjasta
rahapuhetta
rss-rahamania
filocast-filosofian-perusteet
psykologia
rss-psykalab
rss-laadukasta-ensihoitoa
aamupore
puhutaan-koiraa
aamukahvilla
rss-metropolia-ammattikorkeakoulu
rss-positiivisesti-vittumainen
rss-ihana-elamani