Understanding safety holistically –
without oversimplification.
Weekly articles from research and consulting practice: safety culture, human factors, high-reliability organisations, learning from incidents, and risk management. Every Monday.
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Nothing About Apollo 13 Was Improvised
Read article: Nothing About Apollo 13 Was ImprovisedApollo 13 is remembered as the greatest improvisation in engineering history. Almost none of it was improvised. The rescue procedures came out of the debrief…
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Endsley: Situation Awareness, and What Accident Reports Made of It
Mica Endsley built a tool for system design and measurement. Accident investigation turned it into a finding: “loss of situation awareness”, cause, full stop. A…
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Planning the Return or Building Adaptation? Why BCM Is No Proof of Resilience
When the pandemic came, few organisations had a pandemic plan. Where one existed, it described the wrong pandemic. Organisations with plans and organisations without came…
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What a Good Audit Can Do – Beyond Audit Theatre
“Audit theatre” is a convenient diagnosis. It mistakes the tool for its use. There are organisations that train before an audit not to say anything…