Iceberg thinking and safety defences WIDESCREEN 16 9 · Iceberg Thinking and Safety Defences Chris...
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Iceberg Thinking and Safety Defences Chris Langer CIRAS April 2016
Transcript of Iceberg thinking and safety defences WIDESCREEN 16 9 · Iceberg Thinking and Safety Defences Chris...
IcebergThinkingandSafetyDefencesChrisLangerCIRAS
April2016
TheIceberg
• newreps’meetings• askingquestions:• drivers• culture
• UKinterest:• acrosstransportsectors
• Internationalinterest:• Spain,Germany,SouthKorea,andUS
Driversofreportingbehaviour?
Events
• performancebeforesafety
• blame
• complacency:individualandmanagement
• apathy
Performancebeforesafety
Events
‘BestperformingrigintheGulf’
Blameandcomplacency
Events• Driverblamedinimmediateaftermath,but:
• Driveralertsystemswitchedofftwoyearsbeforeaccident
• Oneriskanalystestimatedtheprobabilityas‘onceeverysixmonths’
Apathy
• staffbegintosay:• ‘Ican’tbebotheredtoreportit.’• ‘Ican’tbebotheredaboutsafety.’
• farmoredifficulttouncoverandinvestigate• maybecomeembeddedwithintheculture• gettingpeopletoengage…• NewZealandpolicerecruitmentstrategyexample• fewerthan2percentengagedwitha‘homeless’childactor>>videoclip
FromSafety-I toSafety-II
Safety-I
Safety-II
• Reactiveapproach• Focusesonthings thatgowrong• Emphasisonhumanerror• Inclinationtoblamefrontlinestaff
• Proactiveapproach• Focusesonthings thatgoright• Emphasisonvariabilityin
humanperformance• Sharedresponsibility forsystem
outcomes
Safety-I
ConfidentialreportingcanhelpdriveSafety-II
