Do you know the science behind what works and doesn’t work when it comes to keeping people safe in your organisation? Each week join Dr Drew Rae and Dr David Provan from the Safety Science Innovation Lab at Griffith University as they break down the latest safety research and provide you with practical management tips.
David and Drew unpack six organizational uses of injury metrics — from controlling work and motivating the workforce to self-promotion and risk signaling — before distilling these into four broad symbolic meanings: management control, image management, risk management, and trust in leadership. The episode reveals that injury rates are unstable signs whose meaning shifts depending on context, observer, and organizational culture. Understanding the emotional and symbolic dimensions of these metrics is shown to be essential for any safety professional seeking to challenge, replace, or engage more honestly with the measurement systems that shape how safety is understood and acted upon in their organization.
Discussion Points:
Quotes:
Drew Rae: "People are not dumb. These criticisms are fairly easy to understand, and there are so many of them from so many different directions that people know these criticisms and believe some of them. But injury rates still happen. That puzzle needs to be understood."
Drew Rae: "Something could be a bad measure of whether you're actually safe, but a good measure of how your injuries are affecting these other types of risks that you're facing."
Drew Rae: "Safety activities are driven by affect — emotion matters. We do things in safety because we are afraid, or because we are uncertain, because we are anxious. And our safety activities change those emotions."
Drew Rae: "We've now got both pieces of the puzzle. We know that they don't work objectively, and we know that people keep using them because of these symbolic meanings. That's pretty much the full story about injury rates."
David Provan: "Be curious about the meaning that's being ascribed to the injury rates in your own organization."
Resources:
Primary paper discussed: Pomeroy, J. & Pilbeam, C. (2025). Signs of safety: An investigation of how OHS professionals interpret injury metrics. Journal of Safety Research. https://www.sciencedirect.com/science/article/pii/S0022437525001410
Related papers referenced in the episode:
Rae, A., Provan, D., Weber, D. & Dekker, S. (2018). Safety clutter: the accumulation and persistence of 'safety' work that does not contribute to operational safety. Policy and Practice in Health and Safety. https://www.semanticscholar.org/paper/Safety-clutter:-the-accumulation-and-persistence-of-Rae-Provan/5bef7afb671b32977f688afbffe328407cf48039
Hayes, J., Slotsvik, T.N., Macrae, C. & Pettersen Gould, K.A. (2023). Tracking the right path: Safety performance indicators as boundary objects in air ambulance services. Safety Science. https://www.sciencedirect.com/science/article/pii/S0925753523000814
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Drawing on Edmondson's extensive psychological safety research, the episode provides practical guidance for safety leaders seeking to improve workplace conversations. The framework reveals that effective safety communication requires more than encouraging people to speak up—it demands deliberate leadership to create environments where contributions are productive, silence is reflective rather than fearful, and meeting goals are clearly articulated. The findings offer significant implications for safety professionals working to enhance organizational communication and change management capabilities.
Discussion Points:
Quotes:
"The employee voice and silence literature is a lot more precise because it's looking at a specific question: what do people speak up about, when do they speak up, who do they speak up to, what do they say?" - Drew Rae
"A good meeting is when all participants are either contributing or processing with minimal withholding or disrupting." - Drew Rae
"It's not just that disruptive people take up time and space, they raise the threshold for others to speak up." - Drew Rae
"Where there's diversity in the room, race or gender, it can make this a little bit more difficult because people might feel personally vulnerable." - David Provan
"We want an environment that promotes productive conversations, and that environment is more about when and how we speak up ourselves." - Drew Rae
Resources:
Resource Link: https://www.hbs.edu/faculty/Pages/profile.aspx?facId=6451
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The conversation explores how humor serves psychological purposes beyond entertainment, often functioning to establish power hierarchies and devalue professional contributions. Through survey data and qualitative interviews, the research demonstrates that passive coping strategies prevent organizations from understanding the true extent of harm. David and Drew argue that the "just joking" defense creates ambiguity that makes harassment difficult to report, particularly when supervisors are the perpetrators, emphasizing that effective psychosocial safety policies must explicitly address humor-based discrimination.
Discussion Points:
Quotes:
"The harms are real. When we talk about expanding safety into the psychosocial space, however you might feel about that framing and whether safety people are the right people to be managing it, when we're talking about people getting hurt at work, gender based humour is a hazard." - Drew Rae
"I think this is the ultimate, you know, safety is not the absence of incident reports. This is clearly something that's happening to 50, 60, 70% of participants in this study and obviously representative of the broader population. If you're getting no insight into this through any of your systems, then you need to go looking." - David Provan
"The fact that something's a joke is being used almost like weaponised to mask or shield what's actually going on, we need to just like get totally away from the idea that humour is an excuse. The question isn't, is this a joke or not a joke? Question is, what was the underlying purpose of that joke?" - Drew Rae
"If no one's complaining, get worried. We know it's happening. We know that people don't complain. If you're not getting any complaints in your work site, that's not an indication that there's no problem or no harm. That's an indication that people are not feeling safe to complain." - Drew Rae
"Jokes are fine, but not these jokes. And I think this paper really helps us understand where we might be able to draw a less fuzzy boundary around what people can and can't joke about in the workplace." - David Provan
Resources:
Resource Link: https://ascelibrary.org/doi/abs/10.1061/JMENEA.MEENG-7109
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The discussion explores three critical constraint categories: structural elements like mandatory timelines, organizational factors including resource capacity, and relational dynamics affecting investigator access to information. Drawing parallels beyond healthcare, they challenge listeners to reconsider their investigation frameworks, suggesting that organizations inadvertently create systems where investigators focus on meeting procedural requirements rather than generating genuine insights. The discussion emphasizes that effective investigations require adequate capacity, flexible timelines that accommodate complexity, and environments fostering open relationships that enable thorough inquiry and organizational learning.
Discussion Points:
Quotes:
David Provan: "The more hoops and hurdles and constraints and requirements that you put into the investigation process, the more that those things become the focus of the investigator, as opposed to the learning and improvement outcome that we're trying to achieve."
Drew Rae: "If you wanted to improve investigations in your organization, one simple leadership practice you could take is when someone gives you the investigation report, basically just say, no, there's nothing here that surprises me. Go away, come back and learn something."
David Provan: "These are the outcomes we're trying to achieve and the investigation takes as long as it takes. And if it's being held up for any reason, this is the process to check in on progress. As long as it's being worked on."
Drew Rae: "Investigations are way more about relationships than I think people realise when they're planning them. And so we've got to create an environment in which investigators can build and use relationships."
David Provan: "There's no reason that if you learn something during an investigation that you need to wait till the report signed off and finished before you do something about it... as soon as we learn something that we become curious or concerned about, we should act on it."
Resources:
Resource Link: https://www.sciencedirect.com/science/article/pii/S0925753525002243
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The findings reveal that invasiveness drives negative reactions more than the stated purpose of monitoring, with participants showing skepticism about AI's ability to accurately measure teamwork quality. The hosts emphasize that even well-intentioned monitoring systems introduce psychosocial hazards and stress, requiring organizations to carefully balance potential benefits against worker well-being impacts when implementing AI-powered team support systems.
Discussion Points:
Quotes:
Drew Rae: "The moment you divide it up and you just try to analyze the human behavior or analyze the automation, you lose the understanding of where the safety is coming from and what's necessary for it to be safe."
David Provan: "We actually don't think about that automation in the context of the overall system and all of the interfaces and everything like that. So we, we look at AI as AI and, you know, deploying. Introducing ai, but we don't do any kind of comprehensive analysis of, you know, what's gonna be all of the flow on implications and interfaces and potentially unintended consequences or the system, not necessarily just the technology or automation itself."
Drew Rae: People are going to have reactions. And those reactions are gonna have a big impact on their willingness for you to do this in the first place...You can't just force it onto them… All the things that you're trying to improve might actually get worse because of the monitoring.
David Provan: "But I think this paper makes a really good argument, which is actually our automated system should be far more flexible than that. So I might be able to adjust, you know, it's functioning. If I know, if I, if I know enough about how it's functioning and why it's functioning, and I realize that the automation can't understand context and situation, then I should be able to make adjustments."
Drew Rae: Most people don't mind if their car is giving them feedback on their driving, but most people don't like it if their car is phoning home to your boss, giving information about your driving.
Resources:
Intelligent automated systems to support human teamwork: perceived invasiveness impacts team members’ psychological reactions negatively
The discussion centers on two key design principles: observability, which ensures humans can understand what automated systems are doing and why, and direct ability, which allows humans to steer automation rather than simply turning it on or off. Using examples from aviation incidents like Boeing's MCAS system and emerging AI technologies, the episode demonstrates how these 25-year-old principles remain relevant for contemporary automation challenges in safety-critical systems.
Discussion Points:
Quotes:
Drew Rae: "The moment you divide it up and you just try to analyze the human behavior or analyze the automation, you lose the understanding of where the safety is coming from and what's necessary for it to be safe."
David Provan: "We actually don't think about that automation in the context of the overall system and all of the interfaces and everything like that. So we, we look at AI as AI and, you know, deploying. Introducing ai, but we don't do any kind of comprehensive analysis of, you know, what's gonna be all of the flow on implications and interfaces and potentially unintended consequences or the system, not necessarily just the technology or automation itself."
Drew Rae: "It's not enough for an expert system to just like constantly tell you all of the underlying rules that it's applying, that that doesn't really give you the right level of visibility as understanding what it thinks the current state is."
David Provan: "But I think this paper makes a really good argument, which is actually our automated system should be far more flexible than that. So I might be able to adjust, you know, it's functioning. If I know, if I, if I know enough about how it's functioning and why it's functioning, and I realize that the automation can't understand context and situation, then I should be able to make adjustments."
Drew Rae: "There's, there's gotta be ways of allowing all the animation to keep working, but to be able to. Retain control, and that's a really difficult design problem."
Resources:
Link to the Paper
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You'll hear about BP's attempt to create a fairer process using eight new questions that focus more on system factors like management influence, procedural clarity, and organizational goal conflicts. They discuss how even this thoughtfully redesigned framework still resulted in predominantly individual-focused interventions, with 80% of actions targeting people rather than systems, despite classifying most incidents as system-induced errors. The episode provides critical insights for safety professionals questioning whether just culture processes add value or represent organizational clutter that should be eliminated entirely.
Discussion Points:
Quotes:
David Provan: "I think the problem with the just culture model is that we have a just culture model."
Drew Rae: "If your system problem is, we are not leaning hard enough onto individuals to behave correctly, then you are not really doing system thinking."
David Provan: "Even though we are saying that, you know, this is great because 79% of these cases have now been classified as system-induced errors, over 80% of the actions as a result of those system-induced errors are at the individual leve.l"
Drew Rae: "Every single outcome from the process is some sort of statement about disciplining a person, even when it's not disciplining a person. That's still the focus."
David Provan: "Any process that you put in place in your organization that doesn't have these quality management aspects is likely to be something that drifts away from its intended purpose."
Resources:
Link to the Paper
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You’ll hear six key principles for effective behavioral substitution, drawing parallels between healthcare and safety contexts. They discuss how these principles can guide both the removal of ineffective practices and the implementation of new ones, emphasizing the importance of considering practical needs, existing skills, and organizational resources when making such changes. The episode provides valuable insights for safety professionals looking to improve their organization's safety practices through evidence-based substitution strategies.
Discussion Points:
Quotes:
"You can't swap out something that people believe works for something that they don't believe works." - Drew Rae
"A lot of the safety, if not all the safety work we do in organisations is about anxiety reduction, not necessarily about improving safety.” - David Provan
"Rather than thinking about decluttering as just what we can reduce or take away, it may be more useful to think about it as a process of gradually swapping out each thing that's not working well." - Drew Rae
"If you can't explain the substitute behavior with the same ease which you can explain the behavior that you want to be implemented, then people have to work a bit harder and they might go. Why are we making this all so complex?" - David Provan
“That's the point they're making here, is like maybe the patient doesn't need care, but that doesn't mean that we shouldn't acknowledge their need for care and their need to be taken seriously.” - Drew Rae
Resources:
The Big Six: key principles for effective use of Behavior substitution in interventions to de-implement low-value care
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The discussion challenges traditional views of supervision by emphasizing the importance of psychological safety and predictable relationships between supervisors and workers. Through analysis of interviews with both supervisors and supervisees, the research highlights how effective supervision requires balancing organizational needs with worker support while maintaining clear boundaries and expectations. The findings suggest that organizations should focus on developing explicit supervision models that promote both technical expertise and relationship skills.
Discussion Points:
Quotes:
"There is a ton of safety research which says that frontline supervision - that direct relationship between a team leader and the people they're supervising - is really, really important for safety." - Drew Rae
"Supervision is a really important aspect of safety and safety management." - David Provan
"Power is inherent in these relationships... Supervisors don't have a lot of formal power, so the supervisor themselves often won't feel that they have power at all." - Drew Rae
"This is not an exploratory study. This is a properly conducted piece of high quality, qualitative research, and I think it does draw novel insights." - Drew Rae
Resources:
Safety as a Fifth Dimension in Supervision: Stories from the Frontline
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Drawing on insights from business leaders and contemporary educational theory, we propose that effective safety professionals require both technical expertise and sophisticated narrative capabilities. The findings suggest significant implications for safety education and professional development, challenging institutions to reconsider how they prepare safety practitioners for increasingly complex organizational environments. Rather than perpetuating false dichotomies between hard and soft skills, we argue for an educational approach that develops both technical and narrative capabilities in an integrated manner, particularly crucial for safety change management where success depends on both procedural competence and compelling storytelling.
Discussion Points:
Quotes:
“There are different skill categories, but they’re mostly about specific skills versus transferable skills.” - Drew
“One of the things that Griffith [University] was specifically set up for is based on the idea that education is important for social mobility.” - Drew
“A narrative in business is the communication of a business activity or idea…it’s the ability to tell your story or your direction.”- David
“if a business can convey some narrative or strategic vision about who they are and what they’re doing, they’re going to get much more useful work out of their employees.” - Drew
Resources:
Storycraft: the importance of narrative and narrative skills in business
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In this discussion, we dissect various models of safety culture, scrutinizing how organizations perceive, measure, and manage these concepts. From artifacts like management systems to individual attitudes and behaviors, we delve into the inconsistencies and challenges of these models. We also revisit historical perspectives, such as Dov Zohar's work, to understand their influence on contemporary safety paradigms. Our conversation critically examines the missteps of industries like nuclear and aviation, which have mandated the management of ambiguous concepts without solid scientific grounding. We advocate for a shift from vague cultural mandates to actionable strategies, offering insights into enhancing clarity and effectiveness in both regulatory practices and organizational improvements. This episode aims to inspire a reevaluation of safety culture, pushing for a more scientifically grounded and practical approach to safety science.
Some highlights from the paper:
Discussion Points:
Quotes:
“The paper itself is very very stylish and self -aware and that's important not just for readability but for the state that this conversation is in...it's got all of these references that show that they're very aware of the landmines that people keep stepping on, in just even trying to write and untangle safety culture.” - Drew
“When someone uses the term ‘safety culture’, it's very common for them to be thinking about everything from commitment of people, compliance with procedures, level of resources, the balancing of goals, safety communication, leadership. All of these individual things just get lumped together into this term ‘safety culture.” - David
“The moment you start trying to turn it into practical actions, that's when everything starts to crumble - when there aren't good, agreed definitions.”- Drew
“You can't just wander into a company and say, ‘I want to study company culture.’ That's like a marine biologist going into the ocean and saying, ‘I want to look at things that live in the ocean’...Be precise, be narrow, be specific about what it is that you actually want to look at.” - Drew
Resources:
Seeking a scientific and pragmatic approach to safety culture in the North American construction industry
Ep.44 What do we mean when we talk about safety culture?
Dov Zohar’s Published Research
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From discussing mobile phone use while driving to the challenges of giving advice to older adults at risk of falls, this episode covers ChatGPT’s responses to a wide range of safety topics - identifying biases, inconsistencies, and areas where ChatGPT aligns or falls short of expert advice. The broader implications of relying on ChatGPT for safety advice are examined carefully, especially in workplace settings. While ChatGPT often mirrors general lay understanding, it can overlook critical organizational responsibilities, potentially leading to oversimplified or erroneous advice. This episode underscores the importance of using AI-generated content cautiously, particularly in crafting workplace policies or addressing complex safety topics. By engaging with multiple evidence-based sources and consulting experts, organizations can better navigate the limitations of AI tools.
Discussion Points:
Quotes:
“This is one of the first papers that I've seen that actually gives us sort of fair test of ChatGPT for a realistic safety application.” - Drew
“I quite like the idea that they chose questions which may be something that a lay person or even a generalist safety practitioner might ask ChatGPT, and then they had an expert in that area to analyze the quality of the answer that was given.” - David
“I really liked the way that this paper published the transcripts of all of those interactions
with ChatGPT. So exactly what question the expert asked it, and exactly the transcript of what ChatGPT provided.”- David
“In case anyone is wondering about the evidence based advice, if you think there is a nearby terrorist attack, chat GPT's answer is consistent with the latest empirical evidence, which is run. There they go on to say that the rest of the items are essentially the standard advice that police and emergency services give.” - Drew
“[ChatGPT] seems to prioritize based on how frequently something appears rather than some sort of logical ordering or consideration of what would make sense.” - Drew
“As a supplement to an expert, it's a good way of maybe finding things that you might not have considered. But as a sole source of advice or a sole source of hazard identification or a sole position on safety, it's not where it needs to be…” - David
Resources:
The Article - The Risks Of Using ChatGPT to Obtain Common Safety-Related Information and Advice
DisasterCast Episode 54: Stadium Disasters
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We challenge the notion that high injury rates are punished by market forces, as we dig into this article that posits the opposite: that safety should be a performance driver. Our analysis dives deep into the credibility and methodologies of the article, emphasizing the critical role of peer review and the broader body of knowledge.
We'll also scrutinize the use of data as rhetoric versus evidence, focusing on the transparency and rigor of research methods when interviewing executives about safety practices. Is safety merely seen as a compliance issue or a strategic investment? We dissect the methodologies, including participant selection and question framing, to uncover potential biases. Finally, we critique a proposed five-step process aimed at transforming safety into a competitive advantage. From aligning on the meaning of safety to incentivizing employees, we expose significant gaps in academic rigor and alignment with established safety literature.
This conversation serves as a powerful critique of superficial analyses by those outside the safety science domain, offering listeners critical insights into the complexity of safety management and its potential alignment with organizational goals.
Discussion Points:
Quotes:
“The trouble is, then we don't know whether what they're referring to is published research that might be somewhere else that we can look for for the details, or work that they did specifically for this article, or other work that they've done that was just never published.” - Drew
“We've got to be really careful…this is using data as rhetoric, not using data as data.” - Drew
“I wouldn't be surprised that most people see safety as both a cost and as an outcome.”- Drew
“So you've got two-thirds of these companies that don't even have any safety metric, like not even an injury metric or anything that they monitor.” - David
“So we kind of assume business performance means financial performance, but that in itself is never clarified.” - David
Resources:
The Article: Safety Should Be a Performance Driver
Episode 121: Is Safety Good for Business?
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From the perceived control in everyday activities like driving, to the dread associated with nuclear accidents, we discuss how emotional responses can sometimes skew our rational assessments of risk. Finally, we explore the ethical and practical challenges of balancing emotional and analytical approaches in risk communication, especially in high-stakes scenarios like terrorism and public safety. The conversation touches on real-world examples, such as the aftermath of the September 11 attacks and the controversial discussions around gun ownership. We emphasize the importance of framing and narrative in conveying risk information effectively, ensuring that it resonates with and is clearly understood by diverse audiences.
Discussion Points:
Quotes:
“Risk is analysis where we bring logic, reason, and science or data or facts, and bring it to bear on hazard management.” - David
“There may not be a perfect representation of any risk.” - Drew
“If that's the important bit, then blow it up to the entire slide and get rid of the diagram and just show us the important bit.”- Drew
“It's probably a bit unfair on humans to say that using feeling and emotion isn't a rational thing to do.” - David
“The authors are almost saying here that for some types of risks and situations, risk as a feeling is great.” - David
Resources:
The Paper: Risk as Analysis and Risk as Feelings: Some thoughts about Affect, Reason, Risk and Rationality
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The discussion provides an in-depth examination of the principles of multimedia, modality, and redundancy, all of which are crucial for optimizing learning and information retention. The episode also offers a wealth of practical strategies for interactive design and meticulous preparation, aimed at enhancing audience engagement and comprehension. These strategies include the use of visual aids, storytelling techniques, and audience participation elements to create a more dynamic and immersive experience. By adopting these methods, presenters can not only convey their message more effectively but also make the learning process more enjoyable and impactful for their audience.
The Paper’s Abstract
Active training techniques are effective because they engage learners in tasks that promote deep thought, discussion, problem-solving, social interaction, and hands-on learning. Passive training is less effective because learners are relegated to merely listening and watching as an instructor does all of the mental, social, and physical work. Bullet-point lectures may be poorly suited for meaningful training because they usually adopt a model of passive learning and they tend to combine spoken words and displayed text in ways that may actually decrease comprehension. PowerPoint can serve as a tool to promote active learning if we eliminate lengthy bullet lists and use instructional images to guide group discussions, problem-solving activities, and hands-on experiences.
Discussion Points:
Quotes:
“This is what you might call an applied literature review. It's someone taking the literature and interpreting that literature for a particular purpose.” - Drew
“There's a lot of research that says that a lot of high school and university teachers rely on fairly outdated and disproven theories about these different modes of learning.” - Drew
“If that's the important bit, then blow it up to the entire slide and get rid of the diagram and just show us the important bit.”- Drew
“if you're a learner and you see a giant pair of goggles on a PowerPoint slide with just the word “goggles”, then all you're going to be doing now is just listening to what the presenter is saying. And hopefully they're saying something about goggles.” - David
“Slides aren't there to look interesting and slides aren't there to carry the weight of the content. Think of them as visual support.” - Drew
Resources:
The Paper: No More Bullet Points
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We examine whether a safe work environment truly enhances productivity and engagement or if it stifles business efficiency. Historical incidents like the Union Carbide disaster and BP's Deepwater Horizon blowout are analyzed to question if neglecting safety can still lead to profitability. Finally, we break down the misconception that good safety practices automatically translate to business profitability. We highlight the tangible benefits such as enhanced publicity, stronger client relationships, and improved employee satisfaction, and stress the importance of complex discussions about the actual costs vs. benefits of safety practices.
The Paper’s Abstract
This research addresses the fundamental question of whether providing a 15 safe workplace improves or hinders organizational survival, because there are conflicting predictions on the relationship between worker safety and organizational performance. The results, based on a unique longitudinal database covering over 100,000 organizations across 25 years in the U.S. state of Oregon, indicate that in general organizations that provide a safe workplace have significantly lower odds and 20 length of survival. Additionally, the organizations that would in general have better survival odds, benefit most from not providing a safe workplace. This suggests that relying on the market does not engender workplace safety.
Discussion Points:
Quotes:
“The sorts of things that you do to improve safety are the sorts of things that I thought should also improve productivity and reliability in the long run.” - David
“Which is science, right? That's what it's about. We think we're right until we get a new piece of information and realize that maybe we weren't as right as we thought we were.” - David
“Even though there is a reasonably high volume of research out there, it's really hard to look very directly at the question.”- Drew
“So we know from this data that it's not true that providing a safe workplace makes you more competitive.” - Drew
Resources:
The Paper: The Tension Between Worker Safety and Organization Survival
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David and Drew share insights into Dr. Provan’s PhD research journey, exploring the scarce guidance and fragmented views within academic research on safety practices. They discuss the challenges of painting a clear picture of the day-to-day responsibilities of safety professionals and how this prompted an in-depth investigation into the profession. As we peel back the layers of existing literature, we touch on the difficulty and complexity of condensing a vast array of theories and studies into a cohesive academic narrative.
The varied titles and the global patchwork of research that span numerous fields are explored, and although David’s search through databases and beyond revealed a trove of about 100 relevant articles, more insights may remain hidden. The discussion culminates with a look at the strategies employed by safety professionals to wield influence, foster trust, and align safety objectives with organizational goals. David's firsthand experiences and academic findings paint a vivid picture of the complex identity and influence that safety professionals must navigate in their pivotal roles.
The Paper’s Abstract
Safety professionals have been working within organizations since the early 1900s. During the past 25 years, societal pressure and political intervention concerning the management of safety risks in organizations has driven dramatic change in safety professional practice. What are the factors that influence the role of safety professionals? This paper reviews more than 100 publications. Thematic analysis identified 25 factors in three categories: institutional, relational, and individual. The review highlights a dearth of empirical research into the practice and role of safety professionals, which may result in some ineffectiveness. Practical implications and an empirical research agenda regarding safety professional practice are proposed.
Discussion Points:
Quotes:
“I went into this going, what has been published on the safety profession? And to do that, went to a couple of the key databases and used very deliberate keyword searches…” - David
“That was probably one of the first challenges- is that this role gets called so many different things in one country, let alone globally.” - David
“The included pieces were all in peer-reviewed publications, but there's a range of quality to those publications.”- David
“This connection between the bureaucratic activities of safety professionals and the value that the people who are exposed to the risk see in having a safety team was one of the most stark research findings in the literature.” - David
“Don't learn how to do your job from a TED Talk regardless of how inspirational a new view that talk is.” - Drew
Resources:
The Paper: Bureaucracy, Influence, and Beliefs
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Today’s paper, “Multiple Systemic Contributors versus Root Cause: Learning from a NASA Near Miss” by Katherine E. Walker et al, examines an incident wherein a NASA astronaut nearly drowned (asphyxiated) during an Extravehicular Activity (EVA 23) on the International Space Station due to spacesuit leakage. The paper introduces us to an innovative and efficient technique developed during Walker’s PhD research.
In this discussion, we reflect on the foundational elements of safety science and how organizations are tirelessly working to unearth better methods for analyzing and learning from safety incidents. We unpack the intricate findings of the investigation committee and discuss how root cause analysis can sometimes lead to the unintended consequence of adding more pressure within a system. A holistic understanding of how systems and individuals manage and adapt to these pressures may provide more meaningful insights for preventing future issues.
Wrapping up, our conversation turns to the merits of the SCAD technique, which champions the analysis of accidents as extensions of normal work. By examining the systemic organizational pressures that shape everyday work adaptations, we can better comprehend how deviations due to constant pressures may lead to incidents. We also critique current accident analysis techniques and emphasize the importance of design improvement recommendations.
Discussion Points:
Quotes:
“We've been doing formal investigations of accidents since the late 1700s early 1800s. Everyone, if they don't do anything else for safety, still gets involved in investigating if there's an incident that happens.” - Drew
“If you didn't have this emphasis on maximising crew time they would have been much more cautious about EVA 23” - Drew
“Saying that there's work pressure is not actually an explanation for accidents, because work pressure is normal, work pressure always exists.” - Drew
“One of the things that is absent from this technique through and they call it an accident analysis method is there is no commentary in the paper at all about how to design improvements and recommendations.” - David
Resources:
The Paper: NASA Near Miss
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Using the Waterfall incident as a striking focal point, we dissect the investigation and its aftermath, we share personal reflections on the implementation of safety recommendations and the nuances of assessing systems designed to protect us. From the mechanics of dead man's systems to the critical evaluation of managerial decisions, our dialogue exposes the delicate balance of enforcing safety while maintaining the practicality of operations. Our aim is to contribute to the ongoing conversation about creating safer work environments across industries, recognizing the need for both technological advancements and refined human judgment.
Discussion Points:
Quotes:
“I find that some of the most interesting things in safety don't actually come from people with traditional safety or even traditional safety backgrounds.”- Drew
“Because this is a possible risk scenario, on these trains, we have what's called a ‘dead man system.” - David
“Every time you have an accident, it must have objective physical causes, and those physical causes have to come from objective organisational failures, and I think that's a fairly fair representation of how we think about accidents in safety.” - Drew
“They focused on the dead man pedal because they couldn't find anything wrong with the design of the switch, so they assumed that it must have been the pedal that was the problem” - Drew
Resources:
The Paper: Blaming Dead Men
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Using the paper, “Digital Twins in Safety Analysis, Risk Assessment and Emergency Management.” by Zio and Miqueles, published in the technical safety journal, Reliability Engineering and System Safety, we examine intricate simulations that predict traffic flows to emergency management tools that plan safe evacuation routes, and we delve into how these virtual counterparts of physical systems are redefining risk assessments and scenario planning.
As we navigate the world of operational safety, we discuss the diverse array of models—from geometric to sophisticated hybrid simulations—and their groundbreaking applications in forecasting fire spread and optimizing evacuation procedures. These digital twins aren't just theoretical concepts; they're powerful, real-time lifesavers in emergency situations, emblematic of the future of safety science.
Discussion Points:
Quotes:
"Ideally, a digital twin is a complete virtual copy of a product or service that is an electronic simulation that is completely accurate compared to that real product or service.”- Drew
“One of the first documented digital twins was in the aerospace industry - NASA [used it] during the Apollo 13 program.” - David
“this idea of having a complete digital picture of the thing that you're building is becoming fairly common, so that lends itself very much towards using it for things like digital twins.” - Drew
“we may never quite know exactly how different the digital twin is from the physical object itself. That’s the challenge.” - David
Resources:
The Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Ben's expertise guides us through an analysis of audit reports and accident investigations, laying bare the counterfactual reasoning that often skews post-incident narratives. It's an eye-opening examination that calls for a reimagined approach to audits, one that aligns with the genuine complexities of organizational culture and safety. Together, we confront the silent failure of safety audits and management systems, debating the need for a fundamental shift in how these are designed and conducted to truly protect workers. Join us for this critical dialogue that challenges preconceptions and seeks to reforge the link between safety audits and the real work of keeping people safe.
Discussion Points:
Quotes:
"Some audits were very poorly calibrated to actually exploring and eliciting work - day-to-day work and operational risk.." - Ben
“you've got to pick and choose what to pay attention to. So unless something is really standing out as needing attention, then it can be hard to be curious and to notice these weak signals.” - David
“I'm proud to work in safety. I'm proud to call myself a sector professional. What really drove me to understand these systems was my love for safety, and I had just become so disillusioned with the amount of safety work I had to do. It wasn't helping.” - Ben
“Audits, like most activities, are very socio-political. There's a lot of vested power and conflicting interests.” - Ben
Resources:
Paper: Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
Paper: How audits fail according to accident investigations: A counterfactual logic analysis
Ben Hutchinson LinkedIn
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Safety isn't one-size-fits-all, especially for subcontractors who navigate multiple sites with varying rules and equipment. This episode peels back the layers on the practical safety management challenges subcontractors endure, revealing how transient work complicates the integration of safety protocols.
We scrutinize the institutional oversights and fragmented safety systems that often overlook the needs of these critical yet vulnerable players in the industry. Our conversation isn't just about identifying problems; it's an urgent call to action for better practices and a safer future for all involved in subcontracting work.
Discussion Points:
Quotes:
"Subcontracting itself is also a fairly undefined term. You can range from anything from large, labour -higher organisations to what we typically think in Australia of a small business with maybe one to four or five employees." - Drew
“All of the normal protections we put in place for safety just don't work as well when there are contract boundaries in place.” - Drew
“the subcontractor may be called in because they've got expertise in a particular type of work, but they're in an environment where they don't have expertise.” - Drew
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Lastly, we delve into the role of leadership in addressing psychosocial hazards, the importance of standardized guidance for remote work, and the challenges faced by line managers in managing remote workers. We wrap up the episode by providing a toolkit for managers to effectively navigate the challenges of remote work, and highlight the need for tailored safety strategies for different work arrangements.
Discussion Points:
Quotes:
"There's a risk that we're missing important contributions from workers with different needs, neurodiverse workers, workers with mental health issues, workers with particular reasons for working at home and we’re not going to be able to comment on the framework and how it might affect them." - Drew
“When organizations' number of incident reports go up and up and up and we struggle to understand, is that a sign of worsening safety or is that a sign of better reporting?” - David
“They do highlight just how inconsistent organisations approaches are and perhaps the need for just some sort of standardised guidance on what is an organisation responsible for when you ask to work from home, or when they ask you to work from home.” - Drew
“I think a lot of people's response to work from home is let's try to subtly discourage it because we're uncomfortable with it, at the same time as we recognise that it's probably inevitable.” - Drew
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The conversation stems from a review of a noteworthy paper from the Academy of Management Review Journal titled "The Paradox of Stretch Goals: Organizations in Pursuit of the Seemingly Impossible," which offers invaluable insights into the world of goal setting in senior management.
Discussion Points:
Quotes:
"The basic idea [of ‘zero harm’] is that companies should adopt a visionary goal of having zero accidents. Often that comes along with commitment statements by managers, sometimes by workers as well that everyone is committed to the vision of having no accidents." - Drew
“I think organizations are in this loop, where I know maybe I can't achieve zero, but I can't say anything other than zero because that wouldn't be moral or responsible, because I'd be saying it's okay to hurt people. So I set zero because it's the best thing for me to do.” - David
“The “stretch goal” was credited with the introduction of hybrid cars. You've got to have a whole new way of managing your car to get that seemingly impossible goal of doubling your efficiency.”- Drew
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
You’ll hear David and Drew delve into the often overlooked role of bias in accident investigations. They explore the potential pitfalls of data collection, particularly confirmation bias, and discuss the impacts of other biases such as anchoring bias and hindsight bias. Findings from the paper are examined, revealing insights into confirmation bias and its prevalence in interviews. Strategies for enhancing the quality of incident investigations are also discussed, emphasizing the need to shift focus from blaming individuals to investigating organizational causes. The episode concludes with the introduction of Safety Exchange, a platform for global safety community collaboration.
Discussion Points:
Quotes:
"If we actually don't understand how to get a good data collection process, then it really doesn't matter what happens after that." - David
"The trick is recognizing our biases and separating ourselves from prior experiences to view each incident with fresh eyes." - Drew
"I have heard people in the industry say this to me, that there's no new problems in safety, we've seen them all before." - David
"In talking with people in the industry around this topic, incident investigation and incident investigation quality, 80% of the conversation is around that causal classification taxonomy." - David
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The research paper discussed is by Anita Tucker and Sarah Singer, titled "The Effectiveness of Management by Walking Around: A Randomised Field Study," published in Production and Operations Management.
Discussion Points:
Quotes:
"I've definitely lived and breathed this sort of a program a lot during my career." - David
"The effectiveness of management walkarounds depends on the resulting actions." - David
"The worst thing you can do is spend lots of time deciding what is a high-value problem." - Drew
"Having the senior manager allocated really means that something serious has been done about it." - Drew
"The individual who walks around with the leader and talks about safety with the leader, thinks a lot better about the organization." - David
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The paper reviewed in this episode is from the Journal of Applied Psychology entitled, “A meta-analysis of personality and workplace safety: Addressing unanswered questions” by Beus, J. M., Dhanani, L. Y., & McCord, M. A. (2015).
Discussion Points:
Quotes:
I have to admit, before I read this, I thought that the entire idea of personality testing for safety was total bunk. Coming out of it, I'm still not convinced, but it's much more mixed or nuanced than I was expecting. - Drew
If there was a systemic trend where some people were genuinely more accident prone, we would expect to see much sharper differences between the number of times one person had an accident and all people who didn't have accidents. - Drew
I think anything that lumps people into four or five categories downplays the uniqueness of each individual. - David
There are good professionals in HR, there's good science in HR, but there is a huge amount of pseudo-science around recruiting practices and every country has its own pseudoscience. - Drew
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Show Notes - The Safety of Work - Ep. 109 Do safety performance indicators mean the same thing to different stakeholdersDr. Drew Rae and Dr. David ProvanThe abstract reads:
Indicators are used by most organizations to track their safety performance. Research attention has been drawn to what makes for a good indicator (specific, proactive, etc.) and the sometimes perverse and unexpected consequences of their introduction. While previous research has demonstrated some of the complexity, uncertainties and debates that surround safety indicators in the scientific community, to date, little attention has been paid to how a safety indicator can act as a boundary object that bridges different social worlds despite being the social groups’ diverse conceptualization. We examine how a safety performance indicator is interpreted and negotiated by different social groups in the context of public procurement of critical services, specifically fixed-wing ambulance services. The different uses that the procurer and service providers have for performance data are investigated, to analyze how a safety performance indicator can act as a boundary object, and with what consequences. Moving beyond the functionality of indicators to explore the meanings ascribed by different actors, allows for greater understanding of how indicators function in and between social groups and organizations, and how safety is more fundamentally conceived and enacted. In some cases, safety has become a proxy for other risks (reputation and financial). Focusing on the symbolic equivocality of outcome indicators and even more tightly defined safety performance indicators ultimately allows a richer understanding of the priorities of each actor within a supply chain and indicates that the imposition of oversimplified indicators may disrupt important work in ways that could be detrimental to safety performance.
Discussion Points:
Quotes:
“The way in which we turn things into numbers reveals a lot about the logic that is driving the way that we act and give meaning to our actions.” - Drew
“You’ve got these different measures of the service that are vastly different, depending on what you’re counting, and what you’re looking for..” - David
“The paper never draws a final conclusion - was the service good, was the service bad?” - Drew
“The pilots are always in this sort of weird, negotiated situation, where ‘doing the right thing’ could be in either direction.” - Drew
“If someone’s promising something better, bigger, faster and cheaper, make sure you take the effort to understand how that company is going to do that….” - David
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
This report details the full findings of the world’s largest four-day working week trial to date, comprising 61 companies and around 2,900 workers, that took place in the UK from June to December 2022. The design of the trial involved two months of preparation for participants, with workshops, coaching, mentoring and peer support, drawing on the experience of companies who had already moved to a shorter working week, as well as leading research and consultancy organisations. The report results draw on administrative data from companies, survey data from employees, alongside a range of interviews conducted over the pilot period, providing measurement points at the beginning, middle, and end of the trial.
Discussion Points:
Quotes:
“It’s important to note that this is a pre-Covid idea, this isn’t a response to Covid.” - Dr. Drew
“...there's a reason why we like to do controlled trials. That reason is that things change in any company over six months.” - Drew
“ …a lot of the qualitative data sample is very tiny. Only a third of the companies got spoken to, and only one senior representative who was already motivated to participate in the trial, would like to think that anything that their company does is successful.” - David
“I'm pretty sure if you picked any company, you're taking into account things like government subsidies for Covid, grants, and things like that. Everyone had very different business in 2021-2022.” - Drew
“We're not trying to accelerate the pace of work, we're trying to remove all of the unnecessary work.” - Drew
“I think people who plan the battle don't battle the plan. I like collaborative decision-making in general, but I really like it in relation to goal setting and how to achieve those goals.” - David
Resources:
Link to the Pilot Study
Autonomy
The Harwood Experiment Episode
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Summary:
The purpose of the Australian Work Health and Safety (WHS) Strategy 2023–2033 (the Strategy) is to outline a national vision for WHS — Safe and healthy work for all — and set the platform for delivering on key WHS improvements. To do this, the Strategy articulates a primary goal supported by national targets, and the enablers, actions and system-wide shifts required to achieve this goal over the next ten years. This Strategy guides the work of Safe Work Australia and its Members, including representatives of governments, employers and workers – but should also contribute to the work and understanding of all in the WHS system including researchers, experts and practitioners who play a role in owning, contributing to and realising the national vision.
Discussion Points:
Quotes:
“The fact is, that in Australia, traumatic injury fatalities - which are the main ones that they are counting - are really quite rare, even if you add the entire country together.” - Drew
“I really see no point in these targets. They are not tangible, they’re not achievable, they’re not even measurable, with the exception of respiratory disease…” - Drew
“These documents are not only an opportunity to set out a strategic direction for research and policy, and industry activity, but also an opportunity to educate.” - David
“When regulators fund research, they tend to demand solutions. They want research that’s going to produce tangible results very quickly.” - Drew
“I would have loved a concrete target for improving education and training- that is something that is really easy to quantify.” - Drew
Resources:
Link to the strategy document
The Safety of Work Podcast
The Safety of Work on LinkedIn
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Baron's work focuses primarily on judgment and decision-making, a multi-disciplinary area that applies psychology to problems of ethical decisions and resource allocation in economics, law, business, and public policy.
The paper’s summary:
Recent efforts to teach thinking could be unproductive without a theory of what needs to be taught and why. Analysis of where thinking goes wrong suggests that emphasis is needed on 'actively open-minded thinking'. including the effort to search for reasons why an initial conclusion might be wrong, and on reflection about rules of inference, such as heuristics used for making decisions and judgments. Such instruction has two functions. First. it helps students to think on their own. Second. it helps them to understand the nature of expert knowledge, and, more generally, the nature of academic disciplines. The second function, largely neglected in discussions of thinking instruction. can serve as the basis for thinking instruction in the disciplines. Students should learn how knowledge is obtained through actively open-minded thinking. Such learning will also teach students to recognize false claims to systematic knowledge.
Discussion Points:
Quotes:
“It’s a real stereotype that old high schools were all about rote learning. I don’t think that was ever the case. The best teachers have always tried to inspire their students to do more than just learn the material.” - Drew
“Part of the point he’s making is, is that not everyone who holds themself out to be an expert IS an expert…that’s when we have to have good thinking tools .. who IS an expert and how do we know who to trust?” - Drew
“Baron also says that even good thinking processes won’t necessarily help much when specific knowledge is lacking…” - David
‘The smarter students are, the better they are at using knowledge about cognitive biases to criticize other people’s beliefs, rather than to help themselves think more critically.” - Drew
“Different fields advance by different sorts of criticism..to understand expertise a field you need to understand how that field does its internal critique.” - Drew
Resources:
Link to the paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
You’ll hear a little about Schein’s early career at Harvard and MIT, including his Ph.D. work – a paper on the experience of POWs during wartime contrasted against the indoctrination of individuals joining an organization for employment. Some of Schein’s 30-year-old concepts that are now common practice and theory in organizations, such as “psychological safety”
Discussion Points:
Quotes:
“...a lot of people credit [Schein] with being the granddaddy of organizational culture.” - Drew
“[Schein] says .. in order to learn skills, you've got to be willing to be temporarily incompetent, which is great if you're learning soccer and not so good if you're learning to run a nuclear power plant.” - Drew
“Schein says quite clearly that punishment is very effective in eliminating certain kinds of behavior, but it's also very effective in inducing anxiety when in the presence of the person or the environment that taught you that lesson.” - Drew
“We've said before that we think sometimes in safety, we're about three or four decades behind some of the other fields, and this might be another example of that.” - David
“Though curiosity and innovation are values that are praised in our society, within organizations and particularly large organizations, they're not actually rewarded.” - Drew
Resources:
Link to the paper
Humble Inquiry by Edgar Schein
The Safety of Work Podcast
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You’ll hear some dismaying statistics around the validity of research papers in general, some comments regarding the peer review process, and then we’ll dissect each of six questions that should be asked BEFORE you design your research.
The paper’s abstract reads:
In this article, we define questionable measurement practices (QMPs) as decisions researchers make that raise doubts about the validity of the measures, and ultimately the validity of study conclusions. Doubts arise for a host of reasons, including a lack of transparency, ignorance, negligence, or misrepresentation of the evidence. We describe the scope of the problem and focus on how transparency is a part of the solution. A lack of measurement transparency makes it impossible to evaluate potential threats to internal, external, statistical-conclusion, and construct validity. We demonstrate that psychology is plagued by a measurement schmeasurement attitude: QMPs are common, hide a stunning source of researcher degrees of freedom, and pose a serious threat to cumulative psychological science, but are largely ignored. We address these challenges by providing a set of questions that researchers and consumers of scientific research can consider to identify and avoid QMPs. Transparent answers to these measurement questions promote rigorous research, allow for thorough evaluations of a study’s inferences, and are necessary for meaningful replication studies.
Discussion Points:
Resources:
Link to the paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
In concert with the paper, we’ll focus on two major separate but related Boeing 737 accidents:
The paper’s abstract reads:
Following other contributions about the MAX accidents to this journal, this paper explores the role of betrayal and moral injury in safety engineering related to the U.S. federal regulator’s role in approving the Boeing 737MAX—a plane involved in two crashes that together killed 346 people. It discusses the tension between humility and hubris when engineers are faced with complex systems that create ambiguity, uncertain judgements, and equivocal test results from unstructured situations. It considers the relationship between moral injury, principled outrage and rebuke when the technology ends up involved in disasters. It examines the corporate backdrop against which calls for enhanced employee voice are typically made, and argues that when engineers need to rely on various protections and moral inducements to ‘speak up,’ then the ethical essence of engineering—skepticism, testing, checking, and questioning—has already failed.
Discussion Points:
Quotes:
“When you develop a new system for an aircraft, one of the first safety things you do is you classify them according to their criticality.” - Drew
“Just like we tend to blame accidents on human error, there’s a tendency to push ethics down to that front line.” - Drew
“There’s this lasting psychological/biological behavioral, social or even spiritual impact of either perpetrating, or failing to prevent, or bearing witness to, these acts that transgress our deeply held moral beliefs and expectations.” - David
“Engineers are sort of taught to think in these binaries, instead of complex tradeoffs, particularly when it comes to ethics.” - Drew
“Whenever you have this whistleblower protection, you’re admitting that whistleblowers are vulnerable.” - Drew
“Engineers see themselves as belonging to a company, not to a profession, when they’re working.” - Drew
Resources:
Link to the paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The paper’s abstract reads:
Healthcare systems are under stress as never before. An aging population, increasing complexity and comorbidities, continual innovation, the ambition to allow unfettered access to care, and the demands on professionals contrast sharply with the limited capacity of healthcare systems and the realities of financial austerity. This tension inevitably brings new and potentially serious hazards for patients and means that the overall quality of care frequently falls short of the standard expected by both patients and professionals. The early ambition of achieving consistently safe and high-quality care for all has not been realised and patients continue to be placed at risk. In this paper, we ask what strategies we might adopt to protect patients when healthcare systems and organisations are under stress and simply cannot provide the standard of care they aspire to.
Discussion Points:
Quotes:
“I think it’s a good reflection for professionals and organistions to say, “Oh, okay - what if the current state of stress is the ‘new normal’ or what if things become more stressed? Is what we’re doing now the right thing to be doing?” - David
“There is also the moral injury when people who are in a ‘caring’ profession and they can’t provide the standard of care that they believe to be right standard.” - Drew
“None of these authors share how often these improvised solutions have been successful or unsuccessful, and these short-term fixes often impede the development of longer-term solutions.” - David
“We tend to set safety up almost as a standard of perfection that we don’t expect people to achieve all the time, but we expect those deviations to be rare and correctable.” - Drew
Resources:
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The paper’s abstract reads:
This paper reflects on the credibility of nuclear risk assessment in the wake of the 2011 Fukushima meltdown. In democratic states, policymaking around nuclear energy has long been premised on an understanding that experts can objectively and accurately calculate the probability of catastrophic accidents. Yet the Fukushima disaster lends credence to the substantial body of social science research that suggests such calculations are fundamentally unworkable. Nevertheless, the credibility of these assessments appears to have survived the disaster, just as it has resisted the evidence of previous nuclear accidents. This paper looks at why. It argues that public narratives of the Fukushima disaster invariably frame it in ways that allow risk-assessment experts to “disown” it. It concludes that although these narratives are both rhetorically compelling and highly consequential to the governance of nuclear power, they are not entirely credible.
Discussion Points:
Quotes:
“It’s a little bit surprising we don’t scrutinize the ‘control’ every time it fails.” - Drew
“In the case of nuclear power, we’re in this awkward situation where, in order to prepare emergency plans, we have to contradict ourselves.” - Drew
“If systems have got billions of potential ’billion to one’ accidents then it’s only expected that we’re going to see accidents from time to time.” - David
“As the world gets more and more complex, then our parameters for these assessments need to become equally as complex.” - David
“The mistakes that people make in these [risk assessments] are really quite consistent.” - Drew
Resources:
Disowning Fukushima Paper by John Downer
WASH-1400 Studies
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The book explains Perrow’s theory that catastrophic accidents are inevitable in tightly coupled and complex systems. His theory predicts that failures will occur in multiple and unforeseen ways that are virtually impossible to predict.
Charles B. Perrow (1925 – 2019) was an emeritus professor of sociology at Yale University and visiting professor at Stanford University. He authored several books and many articles on organizations and their impact on society. One of his most cited works is Complex Organizations: A Critical Essay, first published in 1972.
Discussion Points:
Quotes:
“Perrow definitely wouldn’t consider himself a safety scientist, because he deliberately positioned himself against the academic establishment in safety.” - Drew
“For an author whom I agree with an awful lot about, I absolutely HATE the way all of his writing is colored by…a bias against nuclear power.” - Drew
[Perrow] has got a real skepticism of technological power.” - Drew
"Small failures abound in big systems.” - David
“So technology is both potentially a risk control, and a hazard itself, in [Perrow’s] simple language.” - David
Resources:
The Book – Normal accidents: Living with high-risk technologies
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The paper’s abstract reads:
The failure of 27 wildland firefighters to follow orders to drop their heavy tools so they could move faster and outrun an exploding fire led to their death within sight of safe areas. Possible explanations for this puzzling behavior are developed using guidelines proposed by James D. Thompson, the first editor of the Administrative Science Quarterly. These explanations are then used to show that scholars of organizations are in analogous threatened positions, and they too seem to be keeping their heavy tools and falling behind. ASQ's 40th anniversary provides a pretext to reexamine this potentially dysfunctional tendency and to modify it by reaffirming an updated version of Thompson's original guidelines.
The Mann Gulch fire was a wildfire in Montana where 15 smokejumpers approached the fire to begin fighting it, and unexpected high winds caused the fire to suddenly expand. This "blow-up" of the fire covered 3,000 acres (1,200 ha) in ten minutes, claiming the lives of 13 firefighters, including 12 of the smokejumpers. Only three of the smokejumpers survived.
The South Canyon Fire was a 1994 wildfire that took the lives of 14 wildland firefighters on Storm King Mountain, near Glenwood Springs, Colorado, on July 6, 1994. It is often also referred to as the "Storm King" fire.
Discussion Points:
Quotes:
“Our attachment to our tools is not a simple, rational thing.” - Drew
“It’s really hard to recognize that you’re well past that point where success is not an option at all.” - Drew
“These firefighters were several years since they’d been in a really raging, high-risk fire situation…” - David
“I encourage anyone to read Weick’s papers, they’re always well-written.” - David
“Well, I think according to Weick, the moment you begin to think that dropping your tools is impossible and unthinkable, that might be the moment you actually have to start wondering why you’re not dropping your tools.” - Drew
“The heavier the tool is, the harder it is to drop.” - Drew
Resources:
Karl Weick - Drop Your Tools Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
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In 1939, Alfred Marrow, the managing director of the Harwood Manufacturing Corporation factory in Virginia, invited Kurt Lewin (a German-American psychologist, known as one of the modern pioneers of social, organizational, and applied psychology in the U.S.
to come to the textile factory to discuss significant problems with productivity and turnover of employees. The Harwood study is considered the first experiment of group decision-making and self-management in industry and the first example of applied organizational psychology. The Harwood Experiment was part of Lewin's continuing exploration of participatory action research.
In this episode David and Drew discuss the main areas covered by this research:
It turns out that yes, Lewin identified many areas of the work environment that could be improved and changed with the participation of management and members of the workforce communicating with each other about their needs and wants.This was novel stuff in 1939, but proved to be extremely insightful and organizations now utilize many of this experiment’s tenets 80 years later.
Discussion Points:
Quotes:
“The experiments themselves were a series of applied research studies done in a single manufacturing facility in the U.S., starting in 1939.” - David
“Lewin’s principal for these studies was…’no research without action, and no action without research,’ and that’s where the idea of action research came from…each study is going to lead to a change in the plant.” - Drew
“It became clear that the same job was done very differently by different people.” - David
“This is just a lesson we need to learn over and over and over again in our organizations, which is that you don’t get very far by telling your workers what to do without listening to them.” - Drew
“With 80 years of hindsight it's really hard to untangle the different explanations for what was actually going on here.” - Drew
“Their theory was that when you include workers in the design of new methods…it increases their confidence…it works by making them feel like they’re experts…they feel more confident in the change.” - Drew
Resources:
The Practical Theorist: Life and Work of Kurt Lewin by Alfred Marrow
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
This was very in-depth research within a single organization, and the survey questions it used were well-structured. With 48 interviews to pull from, it definitely generated enough solid data to inform the paper’s results and make it a valuable study.We’ll be discussing the pros and cons of linking safety performance to monetary bonuses, which can often lead to misreporting, recategorizing, or other “perverse” behaviors regarding safety reporting and metrics, in order to capture that year-end dollar amount, especially among mid-level and senior management.
Discussion Points:
Quotes:
“I’m really mixed, because I sort of agree on principle, but I disagree on any practical form.” - Drew
“I think there’s a challenge between the ideals here and the practicalities.” - David
“I think sometimes we can really put pretty high stakes on pretty poorly thought out things, we oversimplify what we’re going to measure and reward.” - Drew
“If you look at the general literature on performance bonuses, you see that they cause trouble across the board…they don’t achieve their purposes…they cause senior executives to do behaviors that are quite perverse.” - Drew
“I don’t like the way they’ve written up the analysis I think that there’s some lost opportunity due to a misguided desire to be too statistically methodical about something that doesn’t lend itself to the statistical analysis.” - Drew
“If you are rewarding anything, then my view is that you’ve got to have safety alongside that if you want to signal an importance there.” - David
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Just because concepts, theories, and opinions are useful and make people feel comfortable, doesn’t mean they are correct. No one so far has come up with an answer in the field of safety that proves, “this is the way we should do it,” and in the work of safety, we must constantly evaluate and update our practices, rules, and recommendations. This of course means we can never feel completely comfortable – and humans don’t like that feeling. We’ll dig into why we should be careful about feeling a sense of “clarity” and mental ease when we think that we understand things completely- because what happens if someone is deliberately making us feel that a problem is “solved”...?
The paper we’re discussing deals with a number of interesting psychological constructs and theories. The abstract reads:
The feeling of clarity can be dangerously seductive. It is the feeling associated with understanding things. And we use that feeling, in the rough-and-tumble of daily life, as a signal that we have investigated a matter sufficiently. The sense of clarity functions as a thought-terminating heuristic. In that case, our use of clarity creates significant cognitive vulnerability, which hostile forces can try to exploit. If an epistemic manipulator can imbue a belief system with an exaggerated sense of clarity, then they can induce us to terminate our inquiries too early — before we spot the flaws in the system. How might the sense of clarity be faked? Let’s first consider the object of imitation: genuine understanding. Genuine understanding grants cognitive facility. When we understand something, we categorize its aspects more easily; we see more connections between its disparate elements; we can generate new explanations; and we can communicate our understanding. In order to encourage us to accept a system of thought, then, an epistemic manipulator will want the system to provide its users with an exaggerated sensation of cognitive facility. The system should provide its users with the feeling that they can easily and powerfully create categorizations, generate explanations, and communicate their understanding. And manipulators have a significant advantage in imbuing their systems with a pleasurable sense of clarity, since they are freed from the burdens of accuracy and reliability. I offer two case studies of seductively clear systems: conspiracy theories; and the standardized, quantified value systems of bureaucracies.
Discussion Points:
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
Assessing the Influence of “Take 5” Pre-Task Risk Assessments on Safety” by Jop Havinga, Mohammed Ibrahim Shire, and our own Andrew Rae. The paper was just published in “Safety,” - an international, peer-reviewed, open-access journal of industrial and human health safety published quarterly online by MDPI.
The paper’s abstract reads:
This paper describes and analyses a particular safety practice, the written pre-task risk assessment commonly referred to as a “Take 5”. The paper draws on data from a trial at a major infrastructure construction project. We conducted interviews and field observations during alternating periods of enforced Take 5 usage, optional Take 5 usage, and banned Take 5 usage. These data, along with evidence from other field studies, were analysed using the method of Functional Interrogation. We found no evidence to support any of the purported mechanisms by which Take 5 might be effective in reducing the risk of workplace accidents. Take 5 does not improve the planning of work, enhance worker heedfulness while conducting work, educate workers about hazards, or assist with organisational awareness and management of hazards. Whilst some workers believe that Take 5 may sometimes be effective, this belief is subject to the “Not for Me” effect, where Take 5 is always believed to be helpful for someone else, at some other time. The adoption and use of Take 5 is most likely to be an adaptive response by individuals and organisations to existing structural pressures. Take 5 provides a social defence, creating an auditable trail of safety work that may reduce anxiety in the present, and deflect blame in the future. Take 5 also serves a signalling function, allowing workers and companies to appear diligent about safety.
Discussion Points:
Quotes:
“You always get taken by surprise when people find other ways to criticize [the research.] I think my favorite criticism is people who immediately hit back by trying to attack the integrity of the research.” - Dr. Drew
“So this link between behavioral psychology and safety science is sometimes very weak, it’s sometimes just a general idea of applying incentives.” - Dr. Drew
“When someone says, ‘we introduced Take 5’s and we reduced our number of accidents by 50%,’ that is nonsense. There is no [one] safety intervention in the world where you could have that level of change and be able to see it.” - Dr. Drew
“It’s really hard to argue that these Take 5s lead to actual better planning of the work they’re conducting.” - Dr. Jop Havinga
“What we saw is just a total disconnect – the behavior happens without the Take 5s, the Take 5s happen without the behavior. The two NEVER actually happened at the same time.” - Dr. Drew
“Considering that Take 5 cards are very generic, they will rarely contain anything new for somebody.” - Dr. Jop Havinga
“Often the people who are furthest removed from the work are most satisfied with Take 5s and most reluctant to get rid of them.” - Dr. Drew
Resources:
Link to the Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork
The authors’ goal was to produce a scoring protocol for safety-focused leadership engagements that reflects the consensus of a panel of industry experts. Therefore, the authors adopted a multiphased focus group research protocol to address three fundamental questions:
What are the characteristics of a high-quality leadership engagement?
What is the relative importance of these characteristics?
What is the reliability of the scorecard to assess the quality of leadership engagement?
Just like the last episode’s paper, the research has merit, even though it was published in a trade journal and not an academic one. The researchers interviewed 11 safety experts and identified 37 safety protocols to rank. This is a good starting point, but it would be better to also find out what these activities look like when they’re “done well,” and what success looks like when the safety measures, protocols, or attributes “work well.”
The Paper’s Main Research Takeaways:
Discussion Points:
Quotes:
“If the measure itself drives a change to the practice, then I think that is helpful as well.” - Dr. David
“I think just the exercise of trying to find those quality metrics gets us to think harder about what are we really trying to achieve by this activity.” - Dr. Drew
“So I love the fact that they’ve said okay, we’re talking specifically about people who aren’t normally on-site, who are coming on-site, and the purpose is specifically a conversation about safety engagement. So it’s not to do an audit or some other activity.” - Dr. Drew
“The goal of this research was to produce a scoring protocol for safety-focused leadership engagements, that reflects the common consensus of a panel of industry experts.” - Dr. David
“We’ve been moving towards genuine physical disconnections between people doing work and the people trying to lead, and so it makes sense that over the next little while, companies are going to make very deliberate conscious efforts to reconnect, and to re-engage.” - Dr. Drew
“I suspect people are going to be begging for tools like this in the next couple of years.” - Dr. Drew
“At least the researchers have put a tentative idea out there now, which can be directly tested in the next phase, hopefully, of their research, or someone else’s research.” - Dr. Drew
Resources:
Link to the Research Paper
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
We will discuss the pros and cons of “Golden Safety Rules” and a punitive safety culture vs. a critical risk management approach, and analyze the limitations of the methods used in this research.
The paper’s abstract introduction reads:
Golden safety rules (GSR) have been in existence for decades across multiple industry sectors – championed by oil and gas – and there is a belief that they have been effective in keeping workers safe. As safety programs advance in the oil and gas sector, can we be sure that GSR have a continued role? ERM surveyed companies across mining, power, rail, construction, manufacturing, chemicals and oil and gas, to examine the latest thinking about GSR challenges and successes. As we embarked on the survey, the level of interest was palpable; from power to mining it was apparent that companies were in the process of reviewing and overhauling their use of GSR. The paper will present key insights from the survey around the questions we postulated. Are GSR associated with a punitive safety culture, and have they outlived their usefulness as company safety cultures mature? Is the role of GSR being displaced as critical control management reaches new pinnacles? Do we comply with our GSR, and how do we know? Do our GSR continue to address the major hazards that our personnel are most at risk from? How do we apply our GSR with contractors, and to what extent do our contractors benefit from that? The paper concludes with some observations of how developments outside of the oil and gas sector provide meaningful considerations for the content and application of GSR for oil and gas companies.
Discussion Points:
Quotes:
“People tend to think of rules as constraining. They’re like laws that you stick within that you don’t step outside of.” Dr. Drew
“Often the type of things that are published in trade associations are much closer to the real-world concerns of people at work, and a lot of people working for consultancies are very academically-minded.” - Dr. Drew
“One way to get a name in safety is to be good at safety, another way to get a name in safety is to tell everyone how good you are at safety.” Dr. Drew
“They’re not just talking to people who love Golden Rules [in this paper]. We’ve got some companies that never even wanted them, some companies that tried them and don’t like them, some companies that love them. So that’s a fantastic sample when it comes to, ‘do we have a diverse range of opinions.’” - Dr. Drew
“In many organizations that have done life-saving rules, they saw this critical risk management framework as an evolution, an improvement, in what they’re doing.” Dr. David
“I think that’s the danger of trying to make things too simple is it becomes either too generic or too vague, or just not applicable to so many circumstances.” Dr. Drew
Resources:
Link to the Golden Safety Rules Paper by Fraser and Colgan
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
The paper results center on a survey sent to a multitude of French industries, and although the sampling is from only one country, 15 years ago, the findings are very illustrative of common issues among safety professionals within their organizations. David used this paper as a reference for his PhD thesis, and we are going to dig into each section to discuss.
The paper’s abstract introduction reads:
What are the training needs of company preventionists? An apparently straightforward question, but one that will very quickly run into a number of difficulties. The first involves the extreme variability of situations and functions concealed behind the term preventionist and which stretch way beyond the term’s polysemous nature. Moreover, analysis of the literature reveals that very few research papers have endeavoured to analyse the activities associated with prevention practices, especially those of preventionists. This is a fact, even though prevention-related issues and preventionist responsibilities are becoming increasingly important.
Discussion Points:
Quotes:
“I think this study was quite a coordinated effort across the French industry that involved a lot of different professional associations.” - David
“It might be interesting for our readers/listeners to sort of think about which of these six groups do you fit into and how well do you reckon that is a description of what you do.” - Drew
“I thought it was worth highlighting just how much these different [job] categories are determined by the organization, not by the background or skill of the safety practitioner.” - Drew
“[I read a paper that stated:] There is a significant proportion of safety professionals that hate their bosses …and it was one of the top five professions that hate their bosses and managers.” - David
“You don’t have to go too far in the safety profession to find frustrated professionals.” - David
“There’s a lot to think on and reflect on…it’s one sample in one country 15 years ago, but these are useful reflections as we get to the practical takeaways.” - David
“The activity that I like safety professionals to do is to think about the really important parts of their role that add the most value to the safety of work, and then go and ask questions of their stakeholders of what they think are the most valuable parts of the role, …and work toward alignment.” - David
“Getting that role clarity makes you feel that you’re doing better in your job.” - Drew
Resources:
Link to the Safety Science Article
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
We will go through each letter of the amusing and memorable acronym and give you our thoughts on ways to make sure each point is addressed, and different methodologies to consider when verifying or assuring that each element has been satisfied before you cite the source.
Sarah Blakeslee writes (about her CRAAP guidelines): Sometimes a person needs an acronym that sticks. Take CRAAP for instance. CRAAP is an acronym that most students don’t expect a librarian to be using, let alone using to lead a class. Little do they know that librarians can be crude and/or rude, and do almost anything in order to penetrate their students’ deep memories and satisfy their instructional objectives. So what is CRAAP and how does it relate to libraries? Here begins a long story about a short acronym…
Discussion Points:
Quotes:
“The first thing I found out is there’s pretty good evidence that teaching students using the [CRAAP] guidelines doesn’t work.” - Dr. Drew
“It turns out that even with the [CRAAP] guidelines right in front of them, students make some pretty glaring mistakes when it comes to evaluating sources.” - Dr. Drew
“Until I was in my mid-twenties, I never swore at all.” - Dr. Drew
“When you’re talking about what someone else said [in your paper], go read what that person said, no matter how old it is.” - Dr. Drew
“The thing to look out for in qualitative research is, how much are the participants being led by the researchers.” - Dr. Drew
“So what I really want to know when I’m reading a qualitative study is not what the participant answered. I want to know what the question was in the first place.” - Dr. Drew
Resources:
Link to the CRAAP Test
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
An excerpt from the paper’s abstract reads as follows: The proposition is based on theory about relationships between knowledge and power, complemented by organizational theory on standardization and accountability. We suggest that the increased reliance on self-regulation and international standards in safety management may be drivers for a shift in the distribution of power regarding safety, changing the conception of what is valid and useful knowledge. Case studies from two Norwegian transport sectors, the railway and the maritime sectors, are used to illustrate the proposition. In both sectors, we observe discourses based on generic approaches to safety management and an accompanying disempowerment of the practitioners and their perspectives.
Join us as we delve into the paper and endeavor to answer the question it poses.We will discuss these highlights:
Discussion Points:
Quotes:
“If you understand safety, then it really shouldn’t matter which industry you’re applying it on.” - Dr. Drew Rae
“I can’t imagine, as a safety professional, how you’re impactful in the first 12 months [on a new job] until you actually understand what it is you’re trying to influence.” - Dr. David Provan
“It feels to me this is what happened here, that they formed this view of what was going on and then actually traced back through their data to try to make sense of it.” - Dr. David Provan
“I have to say I think they genuinely use these case studies to really effectively illustrate and support the argument that they’re making.” - Dr. Drew Rae
“Once we start thinking too hard about a function, we start formalizing it and once we start formalizing it, it starts to become detached from operations and sort of flows from that operational side into the management side.” - Dr. Drew Rae
“I don’t think it's being driven by the academics at all and clearly it’s in the sociology of the profession's literature all the way back to the 1950s and 60s.” - Dr. David Provan
“We’re fighting amongst ourselves as a non-working community about whose [safety] model should be the one to then impose on the genuine front line practitioners.” - Dr. Drew Rae
Resources:
Link to Paper in JSS
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
Wastell, who has a BSc and Ph.D. from Durham University, is Emeritus Professor in Operations Management and Information Systems at Nottingham University in the UK. Professor Wastell began his academic career as a cognitive neuroscientist at Durham, studying the relationships between brain activity and psychological processes. His areas of expertise include neuroscience and social policy: critical perspectives; psychophysiological design of complex human-machine systems; Information systems and public sector reform; design and innovation in the public services; management as design; and human factors design of safe systems in child protection.
Join us as we delve into the statement (summarized so eloquently in Wastell’s well-crafted abstract): “Methodology, whilst masquerading as the epitome of rationality, may thus operate as an irrational ritual, the enactment of which provides designers with a feeling of security and efficiency at the expense of real engagement with the task at hand.”
Discussion Points:
Quotes:
“Methodology may not actually drive outcomes.” - David Provan
“A methodology can probably never give us, repeatably, exactly what we’re after.” - David Provan
“We have this proliferation of solutions, but the mere fact that we have so many solutions to that problem suggests that none of the individual solutions actually solve it.” - Drew Rae
“Wastell calls out this large lack of empirical evidence around the structured methods that organizations use, and concludes that they seem to have more qualities of ‘religious convictions’ than scientific truths.” - David Provan
“I love the fact that he calls out the ‘journey’ metaphor, which we use all the time in safety.” - Drew Rae
“You can have transitional objects that don’t serve any of the purposes that they are leading you to.” - Drew Rae
“Turn up to seminars, and just read papers, that are totally outside of your own field.” - Drew Rae
Resources:
Wastell’s Paper: The Fetish of Technique
Paul Feyerabend (1924-1994)
Book: Against Method by Paul Feyerabend
Our Paper Safety Work vs. The Safety of Work
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
While this paper was written over half a century ago, it is still relevant to us today - particularly in the Safety management industry where we are often responsible for offering solutions to problems, and implementing those solutions, requires decisions to be made by top management.
This is another fascinating piece of work that will broaden your understanding of why organisations often struggle with solving problems that involve making decisions.
Topics:
Quotes:
“Decisions aren’t made inside people’s heads, decisions are made in meetings, so we’ve got to understand the interplay between people in looking at how decisions are made.” - Dr. Drew Rae
“Incident investigations are a great example of choice opportunities.” - Dr. Drew Rae
“It’s probably a good reflection point for people to just think about how many decisions certain roles in the organization are being asked to be involved in.” - Dr. David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
The Safety of Work LinkedIn
Feedback@safetyofwork.com
A Garbage Can Model of Organizational Choice (Wikipedia Page)
Administrative Science Quarterly
We will review each section of Leveson’s paper and discuss how she sets each section up by stating a general assumption and then proceeds to break that assumption down.We will discuss her analysis of:
Discussion Points:
Quotes:
“Leveson says, ‘If we can get it right some of the time, why can’t we get it right all of the time?’” - Dr. David Provan
“Leveson says, ‘the more complex your system gets, that sort of local autonomy becomes dangerous because the accidents don’t happen at that local level.’” - Dr. Drew Rae
“In linear systems, if you try to model things as chains of events, you just end up in circles.’” - Dr. Drew Rae
“‘Never buy the first model of a new series [of new cars], wait for the subsequent models where the engineers had a chance to iron out all the bugs of that first model!” - Dr. David Provan
“Leveson says the reason systemic factors don’t show up in accident reports is just because its so hard to draw a causal link.’” - Dr. Drew Rae
“A lot of what Leveson is doing is drawing on a deep well of cybernetics theory.” - Dr. Drew Rae
Resources:
Applying Systems Thinking Paper by Leveson
Nancy Leveson– Full List of Publications
Nancy Leveson of MIT
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
We will discuss how other safety science researchers have designed theories that use Rasmussen’s concepts, the major takeaways from Rasmussen’s article, and how safety professionals can use these theories to analyze and improve systems in their own organizations today.
Discussion Points:
Quotes:
“That’s the forever challenge in safety, is people have great ideas, but what do you do with them? Eventually, you’ve got to turn it into a method.” - Drew Rae
“These accidental events are shaped by the activity of people. Safety, therefore, depends on the control of people’s work processes.” - David Provan
“There’s always going to be this natural migration of activity towards the boundaries of acceptable performance.” - David Provan
“This is like the most honest look at work I think I’ve seen in any safety paper.” - Drew Rae
“If you’re a safety professional, just how much time are you spending understanding all of these ins and outs and nuances of work, and people’s experience of work? …You actually need to find out from the insiders inside the system. ” - David Provan
“‘You can’t just keep swatting at mosquitos, you actually have to drain the swamp.’ I think that’s the overarching conceptual framework that Rasmussen wanted us to have.” - David Provan
Resources:
Compute your Erdos Number
Jens Rasmussen’s 1997 Paper
David Woods LinkedIn
Sidney Dekker Website
Nancy Leveson of MIT
Black Line/Blue Line Model
The Safety of Work Podcast
The Safety of Work on LinkedIn
Feedback@safetyofwork.com
Find out our thoughts on this paper and our key takeaways for the ever-changing world of workplace safety.
Topics:
Quotes:
“Systems are good - but they are bad because humans make mistakes” - Dr. Drew Rae
“He doesn’t believe that zero is the optimal number of human errors” - Dr. Drew Rae
“You can’t look at mistakes in isolation of the context” - Dr. Drew Rae
“The context and the system drive the behavior. - Dr. David Provan
“It’s part of the human condition to accept mistakes. It is actually an important part of the way we learn and develop our understanding of things. - Dr. David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
The Safety of Work LinkedIn
Feedback@safetyofwork.com
The Paradoxes of Almost Totally Safe Transportation Systems by R. Amalberti
Risk Management in a Dynamic society: a Modeling problem - Jens Rasmussen
The ETTO Principle: Efficiency-Thoroughness Trade-Off: Why Things That Go Right Sometimes Go Wrong - Book by Erik Hollnagel
Ep.81 How does simulation training develop Safety II capabilities?
Navigating safety: Necessary Compromises and Trade-Offs - Theory and Practice - Book by R. Amalberti
This paper by Daniel Katz was published in 1964 and, scarily still has some very relevant takeaways for today’s safety procedures in organisations. We delve into this research and discover the ideas that Katz initiated all those years ago. The problem is that an organization cannot promote one of these concepts without negatively affecting the other. So how are organizations meant to manage this?
We share some personal thoughts on whether or not the world of safety research has since found an answer to dealing with these two contradictory concepts.
Topics:
Quotes:
Katz is really one of the founding fathers in the field of organizational psychology. - Dr. Drew
Rae
It’s not just that you’re physically getting people to stay but getting them to stay and still be willing to be productive. Dr. Drew Rae
“When we promote autonomy, we need to think about what that does to reliable role performance.” - Dr. Drew Rae
Complex situations, clearly need complex solutions. - Dr. David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Episode 2
The motivational basis of organizational behavior (Paper)
This paper reveals some really interesting findings and it would be valuable for companies to take notice and possibly change the way they implement incident report recoMmendations.
Topics:
Quotes:
“All of the information in every report is factual, all of the information is about the same real incident that happened.” Drew Rae
“These are plausibly three different reports that are written for that same incident but they’re in very different styles, they highlight different facts and they emphasize different things.” Drew Rae
“Incident reports could be doing so much more for us in terms of broader safety in the organization.” David Provan
“From the same basic facts, what you select to highlight in the report and what story you use to tell seems to be leading us toward a particular recommendation.” - Drew Rae
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Accident Report Interpretation Paper
Episode 18 - Do Powerpoint Slides count as a safety hazard?
It's Modelling the Micro-Foundations of the Audit Society: Organizations and the Logic of the Audit Trail by Michael Power. This paper gets us thinking about why organizations do audits in the first place seeing as it has been proven to often decrease the efficiency of the actual process being audited. We discuss the negatives as well as the positives of audits - which both help explain why audits continue to be such a big part of safety management in organizations.
Topics:
Quotes:
“We see that even though audits are supposed to increase efficiency, that in fact, they decrease efficiency through increased bureaucracy. - Drew Rae
“The audit process needs to aggregate multiple pieces of data, and then it has to produce a performance account, so the audit actually needs to deliver a result.” - David Provan
“We become less reflexive about what’s going on in terms of this value subversion - so we stop worrying about are we genuinely creating a safety culture in our business and we worry more about what’s the rating coming out of these audits in terms of the safety culture.” - Drew Rae
“Audits themselves are not improving underlying performance.” - David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Research paper: Modelling the Microfoundations of the Audit Society
The specific paper found some interesting results from these simulated situations - including that it was found that the debriefing, post-simulation, had a large impact on the amount of learning the participants felt they made. The doctors chat about whether the research was done properly and whether the findings could have been tested against alternative scenarios to better prove the theorized results.
Topics:
Quotes:
“Very few advocates of Safety-II would disagree that it’s important to keep trying to identify those predictable ways that a system can fail and put in place barriers and controls and responses to those predictable ways that a system can fail.” - Dr. David Provan
“It limits claims that you can make about just how effective the program is. Unless you’ve got a comparison, you can’t really draw a conclusion that it’s effective.” - Dr. Drew Rae
“A lot of these scenarios are just things like minor sensor failures or errors in the display which you can imagine in an automated system, those are the things that need human intervention.” - Dr. Drew Rae
“Safety-I is necessary but not sufficient - you need to move on to the resilient solution ” - Dr. Drew Rae
“I don’t really think that situational complexity is what should guide your safety strategy. - Dr. Drew Rae
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Research paper
Norwegian University of Science and Technology
Episode 79 - How do new employees learn about safety?
Episode 19 - Virtual Reality and Safety training
The paper we reference today is our own research paper published in 2018 named; Safety clutter: the accumulation and persistence of ‘safety’ work that does not contribute to operational safety. So we have done ample research when it comes to this particular topic and we’re excited to share this knowledge with you. Hopefully you will take away from this episode a better understanding of where to start looking for (and clear out) clutter in your own workplace.
Topics:
Quotes:
“Clutter by duplication - when you literally have two activities that perform the same function, then you know that at least one out of the two is going to be unnecessary. - Drew Rae
“They ended up having to create a hazard on the work site for the manager who was doing the critical controls inspection to check that they had properly managed the hazard.” Drew Rae
“I found a 28 page work page work instruction on how to spray weeds on a concrete pathway with a weedspray that was biodegradable and commercially available at any supermarket.” - David Provan
“It’s harder to remove anything that is there for safety than it is to add something that’s there for safety.” - Drew Rae
“Did you know that some of the things we do in this organization, specifically for safety, may make our organization less safe. - David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Research paper
While there may be many reasons for this - this particular research paper looks at how younger workers are inducted into the workplace and how they learn about the safety practices and requirements that are expected. The findings are pretty fascinating - especially for people responsible for hiring new employees.
Topics
Practical Takeaways
Quotes:
“Learning isn’t about uploading knowledge, it’s about creating a sequence of experiences, and each person in the experience, they reflect on that experience, they learn from that, it leads them on to new experiences.” - Drew Rae
“When we induct workers, it’s not just about knowledge transfer, it’s not just about uploading the knowledge they need, it’s about how do we get them to start taking part in discussions and decisions and arguments and thinking about the way work happens.” - Drew Rae
“The one thing that we maybe can maintain is the formal standards that we communicate in the induction in the hope that creating some of that tension, creates discussion.” - David Provan
“Onboarding a person into the workplace is an investment in the person, so people are maybe likely to invest more if there’s more return.” - David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
Research Paper Discussed
The reason we are talking about this today, is because this tactic is often used in workplace safety videos and we ask whether or not it works for everyone, how well it works for workplace safety and whether its even ethical in the first place, regardless of its efficacy.
Topics:
Quotes:
“Just because something is effective, still doesn’t necessarily make it OK.” - Dr. Drew Rae
“The amount of fear doesn’t seem to determine which path someone goes down, it just determines the likelihood that they are going to hit one of these paths very strongly.” - Dr. Drew Rae
“Communication which gives people an action that they can take right at the time they receive the communication is likely to be quite useful. Communication that just generally conveys a message about safety is not.” - Dr. Drew Rae
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Feedback@safetyofwork.com
The role of fear appeals in improving driver safety (Research Paper)
The findings of this research point to the importance of staff buy-in and a team-driven approach to safety.
Topics:
Quotes:
“The forces that create positive conditions for safety in frontline work may be at least partially invisible to those who create them.” - Dr. David Provan
“Unlike last time, we’re now explicitly mentioning patients’ families, so last time it was ‘just do patient feedback’, now we’re talking about families being encouraged to share their experience.” - Dr. Drew Rae
“These seven [Safety Findings] may or may not be relevant for other domains or contexts but the message in the paper is - go and find out for yourself what is relevant and important in your context.” - Dr. David Provan
Resources:
Griffith University Safety Science Innovation Lab
The Safety of Work Podcast
Seven features of safety in maternity units -Research Paper
The Safety Of Work - Episode 14
Feedback@safetyofwork.com
Episode 75 - How Stop-Work Decisions are Made
Greg makes it very clear how important it is to avoid oversimplifying the term “due diligence”. He shares how this mistake has, unfortunately, led to safety officers and businesses being held liable for incidents at their premises. Today’s conversation with Greg was incredibly insightful to me and he clarified all his examples with real-life examples.
Topics:
Quotes:
“I find it fascinating the number of different disciplines, all landing at the same point at about the same time but without any reference to each other, I think it says something about the way that health and safety is managed at the moment.”- Greg Smith
“Due diligence creates a positive obligation on company officers in the same way that the reasonableness elements of WHS create positive obligations on employees.”- Greg Smith
“Injury rates from a legal perspective are not a measure of anything. They don’t demonstrate reasonably practicable, they do not demonstrate due diligence.” - Greg Smith
“ I am not an advocate of moving from complexity to simplicity. I think we need to be careful of that because a lot of what we do in safety is not simple and by making it simple, we’re actually hiding a lot of risk.” - Greg Smit
Resources:
Paper Safe Book - by Greg Smith
Forgeworks - Safety work vs Safety of Work
A capacity index to replace flawed incident-based metrics for worker safety
Feedback@safetyofwork.com
Together, Jop and I discuss a topic on which Drew and I previously touched: We revisit how stop-work decisions are made and why this is such an interesting topic of research.
Topics:
Quotes:
“I think I’ve probably been guilty myself of not fully defining what I’m talking about.”
“Only one case I found where a rule actually led to stopping work.”
“First of all, compared to current interventions we see around stop-work...they all paint this picture of real significant decisions...and well, I found that plenty of stop-work decisions are basically considered insignificant.”
Resources:
Deciding to Stop Work or Deciding How Work is Done?
Feedback@safetyofwork.com
This topic interested us mainly because of a paper we encountered. It’s a very new peer-reviewed study that has only just been published online. We will use that paper as the framing device for our conversation.
Join us for this interesting and exciting conversation about the capacity index.
Topics:
Quotes:
“Injury rates aren’t predictive of the future, so using them to manage safety, using them as your guide, doesn’t work.”
“And while I think you could always argue that there are different capacities that you could measure, as well, I don’t think there is anything inherently wrong with the capacities that they have suggested.”
“Basically, what we’re doing is we’re measuring activities and all of those things are about measuring activities. Now, unless you already know for sure that those activities provide the capacity that you’re looking for, then measuring the activity doesn’t tell you anything about capacity.”
Resources:
A Capacity Index to Replace Flawed Incident-Based Metrics for Worker Safety
Feedback@safetyofwork.com
As our workplaces become more automated, it becomes the task of human workers to monitor the automated actions. At times, this may require a physical response or action on behalf of the human worker. So, while the physical load of workers has been lessened, their mental and emotional load has increased.
Tune in to hear us define pointing and calling and the ensuing discussion about its efficacy within the workplace.
Topics:
Quotes:
“You point your index finger directly at that thing and you say aloud what that thing is currently showing”
“But this pointing gesture also acts as a cue to trigger this attentional shift towards the information.”
“The researchers did not state clearly what their hypotheses were. For those of you out there who are doing research, this is a big no-no when you’re doing an experiment…”
Resources:
The Effects of “Finger Pointing and Calling” on Cognitive Control Processes in the Task-Switching Paradigm
We came across this topic, because of a conversation happening on LinkedIn. Thus, we thought it would be a good idea to dig into this subject and discuss it further.
Listen in as we discuss what actually makes humans most visible in unsafe situations and what some studies have concluded.
Topics:
Quotes:
“The general goal of this, is they just want to compare a whole heap of different factors.”
“The ability to just spot high-vis and the ability to spot a human wearing high-vis, seem to be actually two different mental tasks.”
“There’s been some suggestion in the research that we should actually standardize a human high-vis color.”
Resources:
The Roles of Garment Design and Scene Complexity in the Daytime Conspicuity of High-Visibility Safety Apparel
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This topic came directly from our Safety of Work portal, which you can locate on our LinkedIn page. Rhys Thomas was good enough to submit this topic and also provided us with some great resources.
Join us as we dive into this topic and decide whether double-check policies help improve safety.
Topics:
Quotes:
“How do you know whether an error has happened, if no one notices it?”
“I think you’re doing a good job of qualitative research, if readers want to then go and actually read the raw data.”
“And I am completely unwilling to say, ‘This is a bad practice, we should get rid of it’ until we’ve got the evidence.”
Resources:
Double Checking Medicines: Defence Against Error or Contributory Factor?
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Safety of Work on LinkedIn
So, on today’s episode, we discuss Occupational Health and Safety management and if it can be considered a profession.
We’d love to hear from our international listeners if our findings match their experiences.
Topics:
Quotes:
“A profession should have an established hierarchy, it should have some consistency in role titles, and it should have a career path.”
“We’ve got this wonderful project called the body of knowledge, but in the professional sense, we don’t have a stable body of knowledge; we have a really contested body of knowledge…”
“Either you put up barriers to entry and say ‘safety work should only be done by recognized professionals’. Or you say ‘we want to grow as an organization and anyone can be a recognized professional, just send us the cash’. And either way, you end up diluting what it means to be recognized as a safety professional.”
Resources:
The Emergence of the Occupational Health and Safety Profession in Australia
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Russell is a safety practitioner based in New Zealand. He joins us to tell us about his work and together we wonder if safety and design processes change the design itself.
Topics:
Quotes:
“We don’t always have opportunities in safety science to get some objective artifacts…”
“I’ve never heard of a designer saying they’ve got plenty of time and a ton of budget, so let’s, you know, get down and optimize for safety.”
“And if we start by listing the operations before we list the hazards or risks, then we’re going to be in a much better place.”
Resources:
Russell McMullan on LinkedIn
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Today, we plan to discuss whether safety cases are headed towards an impending crisis.
Join us as we figure out if the work safety community is headed for disaster.
Topics:
Quotes:
“...It’s a little bit paradoxical: Because why do we try to identify hazards, if not making the implicit claim that by trying to identify hazards and control them, we are making our system safer?”
“People don’t share their safety case data with anyone they don’t have to share it with.”
“And if we can turn the reasons why people do things into theories, and then test those theories, then we’ve got good potential for changing how people do things…”
Resources:
Safety Cases: An Impending Crisis?
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You may find that this conversation makes us look hypocritical, when discussing how to argue. We just want the best outcomes for all discussions regarding safety. Ultimately, this topic came out of some recent intense arguments in the safety field and we wanted to address how to constructively handle disagreements in person and online.
Topics:
Quotes:
“Unless an entire field is genuinely pseudoscience, it’s always very, very dangerous to dismiss an entire field.”
“A lot of the time that there is a disagreement with Safety II, it’s basically people saying we shouldn’t be throwing out everything to do with Safety I. What we actually need is some kind of middle-ground between Safety I and Safety II.”
“A lot of the time, when we argue, there’s an implicit assumption that we can only agree with one of the theories, because they’re somehow mutually exclusive.”
Resources:
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The final chapters cover such issues as creating functional reporting systems and the pitfalls in creating such systems.
Topics:
Quotes:
“I think this is the struggle with those sort of systems, is that if they are used frequently, then it becomes a very normal thing...but that means that people are using that channel instead of using the line management as their channel…”
“I think unless we work for a regulator, we need to remind ourselves that it’s not actually our job, either, to run the prosecution or even to help the prosecution.”
“If you think your system is fair, then you should be proud of explaining to people exactly how it works.”
Resources:
Just Culture
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In this installment, we cover more chapters from Sidney Dekker’s book about just culture. Last week we covered the core ideas of just culture. This week, we go over retributive and restorative culture and the impetus behind rule-breaking.
Topics:
Quotes:
“If our purpose is to make a better workplace, then we need a system that for most people, most of the time, it’s doing a good job.”
“When we talk about safety, we’re not talking about elements of a typical criminal offense; we’re talking about things that in the criminal courts would be talking about negligence. Which is all about meeting acceptable standards.”
“Sidney emphasizes a lot the importance of all stakeholders to share their stories with each other.”
Resources:
Just Culture
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For the next few weeks, we are going to cover ‘just culture’ and focus mainly on Sidney Dekker’s book of the same name.
The laws currently on the books encourage businesses to focus on liability instead of actual safety. By focusing on culpability for an accident, this is a way for businesses to get out of compensating the worker for injury. This is just some of what we will discuss today.
Topics:
Quotes:
“We both know that Dekker a bit of a problem...a bit of a habit of being pretty harsh about how he characterizes some of the older safety practices.”
“The ability of people to tell their stories and have those stories heard by all the other stakeholders, is a key part of restorative justice.”
“We’re all in the same boat, we’re all, after that accident, have an individual responsibility to stop this happening again by making the system better.”
Resources:
Just Culture
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As risk assessment is such a central topic in the world of safety science, we thought we would dedicate another episode to discussing a facet of this subject. We loop back to risk matrices and determine how to score risks.
Join us as we try to determine the subjectivity of risk assessment and the pitfalls of such an endeavor.
Topics:
Quotes:
“The difference between an enumeration and a quantitative value is that enumeration has an order attached to it. So it let’s us say that ‘this thing is more than that thing.’ “
“I think this was a good way of seeing whether the differences or alignment happened in familiar activities or unfamiliar activities. Because then you can sort of get an idea into the process, as well as the shared knowledge of the group…”
“So, what we see is, if you stick to a single organization and eliminate the outliers, you’ve still got a wide spread of scores on every project.”
“We’re already trying pretty hard and if we’re still not converging on a common answer, then I think we need to rethink the original assumption that there is a common answer that can be found…”
Resources:
Are We Objective?
Risk Perceptions & Decision-Making in the Water Industry
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It’s difficult to give an introduction to this topic, given that a JSA is such an amorphous topic. Generally speaking, we’re talking about job or task-hazard analysis; the idea behind task-hazard analysis is that you break the task down into steps and figure out what controls are necessary to keep the task safe.
Tune in to hear us clarify the idea of and benefits from job safety analysis.
Topics:
Quotes:
“I think it would be fair to say that I’ve never yet met a method of risk assessment that I fell in love with.”
“The researchers are too optimistic about how much the documented JSA’s reflect what actually went on.”
“Ultimately, in high risk work, the immediate hazard awareness of people is important for safety.”
Resources:
The Application and Benefits of Job Safety Analysis
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The article we reference provides a historical account of the “Swiss Cheese Model”. Since there are many versions of this same diagram, we thought it best to look back through time and see the evolution of this particular safety model.
Topics:
Quotes:
“He’s just trying to understand this broad range of errors and sort of work with the assumption that there must be different cognitive processes.”
“It was initially, sort of, only published once in a medical journal as an oversimplification of his own diagram.”
“The other critique is that the model lacks guidance.”
“ ‘I never intended to produce a scientific model’ is the worst excuse possible that an academic can give in defense of their own model.”
Resources:
Good and Bad Reasons: The Swiss Cheese Model and its Critics
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Every ten episodes or so, we like to indulge ourselves and cover some of our own research. This is one of those episodes. Since it is relevant to our last three episodes, we discuss the final paper that David wrote when pursuing his Ph.D.
Topics:
Quotes:
“Centralized control is the big, main idea that pervades, I suppose, our current and traditional... approach to safety, which is about trying to reduce the variability of work…”
“We’ve got all of these people complaining that Safety II doesn’t give you any sort of practical implementation. So you...submit a draft of this paper and the immediate response is ‘Oh, this isn’t offering anything new’, when it was answering the exact thing that people are constantly complaining about.”
“And then secondly...to understand the issues and uncertainties being grappled with by technical specialists. And try to look for where the organization might be discounting emerging information.”
Resources:
Safety II Professionals
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We dive into the final chapters of the book and analyze Hollnagel’s intent and offer our commentary on his ideas. Though our ideas don’t necessarily jibe with all of Hollnagel’s, we appreciate our time dissecting this seminal book.
Tune in to hear our thoughts on the final four chapters. Make sure to let us know if you also read the book and your thoughts on the content.
We hope you enjoyed our little end-of-year deep-dive. Have a happy and healthy New Year!
Topics:
Quotes:
“So you think of Safety I just as it protects against lots of specific things, but it doesn’t protect against generic things that we haven’t specifically protected against.”
“The fact is...we can make some fairly reliable and valid conclusions about what happened leading up to something going wrong.”
“I think all theorists we should take seriously and not literally.”
Resources:
Safety I and Safety II: The Past and Future of Safety Management
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Picking up where we left off, we begin our discussion with chapter three. Over the course of this episode, we talk about Hollnagel’s definition of Safety I, the myths of safety, and causality (among other things). Tune in for part two of our in-depth look at this important book.
Topics:
Chapter 3.
Chapter 4.
Chapter 5.
Quotes:
“...I think this one particular idea of work as imagined/work as done has been thought about a lot in the time since this book was published…”
“What is this measure of successful work? What is this way that we would categorize something as successful, if it’s not, not having accidents?”
“It’s a misinterpretation of Heinrich to apply the ratios.”
“And that sort of criticism of the old to explain the new, I think is never as firm a foundation as clearly explaining what you’re sort of underlying ideas and principles are and then building on top of them.”
Resources:
Safety I and Safety II: The Past and Future of Safety Management
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For this episode, we are breaking away from the standard formula for this show. We thought it best to split this topic into three episodes, as we don’t want to oversimplify our breakdown of this seminal, two-hundred page book.
We encourage all of our listeners to follow along and read the book with us. Join us as we dig into this influential book by Erik Hollnagel.
Topics:
Quotes:
“Most theories are billed as critiques of other theories. So, any new theory implicitly, and usually, explicitly criticizes a lot of existing stuff. And it’s important to separate those two things out.”
“He says that success and failure are not opposites.”
“It means that every single data point, then, has a lot of uncertainty attached around to it, because they’re such isolated examples, such extraordinary events…”
Resources:
Safety I and Safety II: The Past and Future of Safety Management
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Ultimately, we want to help everyone understand the role of organizations and individuals when it comes to safety regulation.
Topics:
Quotes:
“So, the intention of this goal-based regulatory strategy is for organizations to understand their broad obligations to adopt a risk-based management strategy and to set their own safety management requirements inside their own organization.”
“The second theme that came out of the analysis was that overregulation is because of liability management and management insecurity.”
“The next important question to ask is are we regulating safety work or regulating safety of work?”
Resources:
Seeing Like a State
How Deregulation can Become Overregulation
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The paper we use to frame our discussion is one that has been making the rounds on social media recently. We thought it was important to seize on the opportunity to discuss a work safety issue while it’s top of mind for the public.
Topics:
Quotes:
“I’ve noticed in Australia, at least, there’s an increasing move to have safety statistics included in annual reports, at least for publicly traded companies.”
“And their conclusion was: Almost all of it was explained by randomness.”
“If recordable injury rates are used to record performance, then we’re actually rewarding random variation.”
Resources:
The Statistical Invalidity of TRIR as a Measure of Safety Performance
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We dig into how safety promotion is used and its effectiveness within an organization. Often, safety communication is about large-scale behaviors and societal problems. So, we found a paper that focused on workplace safety, which was hard to find. The Effects of an Informational Safety Campaign in the Shipbuilding Industry helps us frame our conversation about the efficacy of safety communication and injury reduction.
Tune in to join the conversation!
Topics:
Quotes:
“It doesn’t have to be a poster, it could be broadcast communications, video clips, stuff on a website, even a podcast. But it’s a verbal or written message from the organization…”
“Most of this research is conducted on very large scale behaviors, which are things that people generally agree are bad behaviors. So, many of the campaigns that are most effective and are being studied are to do with things like drink driving or cigarette smoking.”
“There could well be some more diffuse, more long-term effect here on the climate that our measurements just aren’t capturing…”
Resources:
The Effects of an Informational Safety Campaign in the Shipbuilding Industry.
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Given that the last two episodes were about theories, we wanted to get back to something more concrete in nature. Hence, the topic of parachutes. We find they are often used in military operations, but are rarely required for civilian aviation. Let’s look at this discrepancy and discuss whether parachutes are actually used to prevent injury or death.
Join us for this interesting and somewhat surprising discussion.
Topics:
Quotes:
“...They hide a few key considerations. One of the big ones is, that it’s not really a choice between at the point you have to jump out of a plane, whether to wear a parachute or not; it’s things like, do we make laws that all planes should carry parachutes just in case?”
“So it’s not just that more research is needed, it’s that more research is almost guaranteed to reverse the result of this bad study.”
“Very often, when it’s come to the practicality of how do we investigate this within an organization, we’ve decided that an experiment is not the best use of our time and resources.”
Resources:
Parachute Use to Prevent Death and Major Trauma Related to Gravitational Challenge
Does Usage of a Parachute in Contrast to Free Fall Prevent Major Trauma?
Parachute Use to Prevent Death and Major Trauma When Jumping From Aircraft
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We frame our conversation around the paper, Safety Climate and Injuries: An Examination of Theoretical and Empirical Relationships.
Tune in to hear us talk about retrospective studies, the perception of safety vs. actual safety, and the influence of injuries on safety climate.
Topics:
Quotes:
“People who say that they think their company cares about safety, those people generally are safer.”
“Most safety climate research assumes that safety climate is a good measure, because it is a predictor of injuries.”
“Not enough of these studies measure the strength of climate.”
Resources:
Safety Climate and Injuries: An Examination of Theoretical and Empirical Relationships
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Dr. Neale is a Senior Research Fellow at the Alfred Deakin Institute at Deakin University. There, he studies human geography and cultural anthropology. We use his paper, Fuzzy Boundaries: Simulation and Expertise in Bush Fire Management, to help frame our discussion.
Tune in to hear our insights about the safety community and Dr. Neale’s thoughts on bush fire management.
Topics:
Quotes:
“When you’re interacting with somebody, what is your expertise based in?”
“There’s no one way of doing it right and any attempt to wrangle these people, these professionals into being all one type of person, they will resist it.”
“The theme that expresses itself in a particular part of people’s work, expresses itself in many other parts of their work; it’s not a contained problem…”
Resources:
Fuzzy Boundaries: Simulation and Expertise in Bush Fire Management
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A huge thank you to our listeners who have made this podcast such a success. We started this show with the hope that we could impact the safety of work in our community and beyond. To all who have shared this podcast, you are helping us reach people and potentially improve safety culture.
Topics:
Quotes:
“...I could see that people put far more attention in real life on doing assessment and assurance activities, than they spend on insurance activities.”
“Social safety is very much conceptual work. It’s aimed at making safety be a value in the organization and letting the organization believe that it is a champion of safety.”
“We’re fairly sure that lots of the stuff we do in the name of safety...has some impact on the safety of work, but we don’t know which bits…”
Resources:
Safety Work Versus the Safety of Work
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This topic was a request from one of our listeners. Join us as we dig into this frequently asked question and let you know all about academic journals and what you can take away from findings therein.
Topics:
Quotes:
“I still sort of think fondly...of doing my PhD and...you could look up the catalogues online. So, you could sit at your desk and find a reference to the paper, but then you’d need to wander the shelves and find the right volume and pull it down and take it to the photocopy machine.”
“Sometimes if a paper hasn’t advanced satisfactorily between reviews, then the editor will just make a call…”
“You know that you’re going to get peer reviewers that think that research is quantitative.”
Resources:
Feedback@safetyofwork.com
This discussion is building off last week’s episode where we focused on blame. We thought we would dig a little deeper into how people learn from incidents.
We use the paper, What is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents, and Disasters, in order to frame our chat.
Topics:
Quotes:
“Learning from accidents is pretty much the oldest type of safety work that exists...and almost from the very start, people have been complaining after accidents about people’s failure to learn from previous accidents.”
“This paper really confirms the answer that we gave last week to our question about, ‘does blame sort of get in the way of learning?’ “
“You’ve got to admit that you are wrong now in order to become correct in the future.”
Resources:
What is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents, and Disasters
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This is a particularly controversial topic, so we are going to attempt to be as neutral as possible. We refer to the sources, A Review of Literature: Individual Blame vs. Organizational Function logics in Accident Analysis and Antecedents and Consequences of Organizational Silence to help frame our discussion.
Topics:
Quotes:
“ ‘Employee voice’ covers a whole range of behaviors that people can do in organizations that are discretionary.”
“Ironically, when they spoke to a number of managers...as part of the study, managers believed they were encouraging employees to speak up, but on the other hand, they’re employing all sorts of informal tactics to silence this dissent.”
“There’s so many broader forces in their organization that are seeking resolution...that if you enable an approach where an individual can be blamed, then I think that will be the dominant logic in your investigation…”
Resources:
A Review of Literature: Individual Blame vs. Organizational Function logics in Accident Analysis
Antecedents and Consequences of Organizational Silence
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We are fortunate to have a few resources we can reference for today’s topic. Please see below for links to the papers we mentioned in our conversation.
Topics:
Quotes:
“...I think this is the sort of phenomenon that causes people to believe in risk compensation.”
“Basically, what they’re saying is, if there was a real effect, it would be robust regardless of how you crunched the data.”
“Just because someone does lots of citing of literature or quotes from scientific literature, doesn’t mean that their interpretation of that literature is rigorous and scientific.”
Resources:
Bicycle Helmets and Risky Behaviour: A Systematic Review
Risk Compensation Literature - The Theory and Evidence
Driver Approach Behaviour at an Unprotected Railway Crossing Before and After Enhancement of Lateral Sight Distance
The Effects of Automobile Safety Regulation
The Theory of Risk Homeostasis
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We use the paper, Analysing Human Factors and Non-Technical Skills in Offshore Drilling Operations Using FRAM, in order to frame our discussion of this topic.
Please let us know if you have any experience with FRAM or similar models. We’d love to hear your feedback.
Topics:
Quotes:
“Every function of a system is a hexagon and every vertex of that hexagon stands for a different way that, you know, this function can be connected with the next function.”
“The authors say that the interviews had just one question, which was ‘how do you perform your job?”
“What I like about the use of a FRAM model would be, I think it will allow organizations to narrow that gap between work as imagined and work as done.”
Resources:
Analysing Human Factors and Non-Technical Skills in Offshore Drilling Operations Using FRAM
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To frame our discussion, we reference the paper What We Talk About When We Talk About HSE and Culture.
Please send us your further questions of safety culture, so we can dig into more specifics in later episodes.
Topics:
Quotes:
“The argument is, really, that culture only matters, because it influences climate. And climate’s what we measure and what we try to change.”
“42% of the papers are by engineering authors. 30% of them are by psychology authors. 14% from the health sciences. 10% from the social sciences. 3% from business. Which I find remarkable, given that organizational culture comes out of social science of organizations.”
“...That’s remarkable that 30% of the papers weren’t empirical in any sense. They were just people talking about safety culture as if they knew about it or summarizing other people who had talked about it.”
Resources:
What We Talk About When We Talk About HSE and Culture
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We reference the paper Six Ways of Understanding Leadership Development in order to frame our study.
Tune in to hear our discussion and more about this paper.
Topics:
Quotes:
“...And in some sense, they’re almost like stages that leaders go through in their evolution of thinking about themselves like a leader.”
“People didn’t fall in a category. THe researchers were just trying to see how far they could stretch people’s views of what leadership [is] and where they stopped.”
“Unless you can have an aligned and good understanding of those things, the researchers suggest...there’s not much point in getting started with leadership development activities.”
Resources:
Six Ways of Understanding Leadership Development
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We had trouble finding a suitable paper for this topic. Measuring and studying safety leadership often proves difficult. However, we use the paper Examining Attitudes, Norms, and Control Toward Safety Behaviors as Mediators in the Leadership-Safety Motivation Relationship.
As an aside, we offer a big “thank you” to those who shared our podcast with others. Our followers and listenership has grown considerably and we greatly appreciate it!
Topics:
Quotes:
“They were lamenting in their systematic review that lots of attempts to intervene in behavior change weren’t based on theories.”
“So, what they’re really saying is, ‘ok, we know these might be different types of behaviors, but is it sufficient to lump them all together?’ And statistically, yes it is.”
“When we say that something ‘mediates’, we’re basically saying it’s like a multiplier in the middle.”
Resources:
Examining Attitudes, Norms, and Control Toward Safety Behaviors as Mediators in the Leadership-Safety Motivation Relationship
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We have had a couple of requests for this topic, so even though we couldn’t find a completely suitable paper, we decided to forge ahead anyway.
Topics:
Quotes:
“...Reflect on all these one-on-one conversations that they had everyday in their workplace and how they could utilize these one-on-one engagements to get better insights and better information that they can use to improve the safety of work in their own organization.”
“The second main principle is to get the interviewee talking and to keep them talking.”
“I can’t think of another skill that is more useful, Drew, in your role as a safety professional than knowing how to ask good questions.”
Resources:
Basic Personal Counselling: A Training Manual for Counsellors
Qualitative Organizational Research: Core Methods and Current Challenges
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To frame our conversation, we use one of Drew’s papers to discuss this issue. This paper, Forecasts or Fortune-Telling,was borne out of deep frustration.
Tune in to hear our discussion about when or if it is appropriate to listen to experts.
Topics:
Quotes:
“Is it best to grab ten oncologists and take the average of their opinions?”
“But there is this possibility that there are some people who are better at managing their own cognitive biases than others. And it’s not to do with domain expertise, it’s to do with a particular set of skills that they call ‘super-forecasting’.”
“As far as I understand it, most organizations do not use complicated ways of combining expert opinions.”
Resources:
Forecasts or Fortune-Telling
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To frame our chat, we reference the papers, Our Current Approach to Root Cause Analysis and What-You-Look-for-is-What-You-Find.
Tune in to hear our thoughts on this matter.
Topics:
Quotes:
“What they suggested was that we should always have a very strong evaluation process around any corrective action to test and check whether it actually addresses the things that we’re trying to address.”
“To really understand how the investigation has happened, you’ve got to talk to the investigators as they’re doing the investigation…”
“I can’t imagine a safety person taking to the board a recommendation that they weren’t sure themselves, they could fix.”
Resources:
Our Current Approach to Root Cause Analysis
What-You-Look-for-is-What-You-Find
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We use the paper, Observation and Assessment of Crossing Situations Between Pleasure Craft and a Small Passenger Ferry, in order to frame our discussion.
Topics:
Quotes:
“So, the rationale for a lot of the waterway rules, is about what different vessels are capable of.”
“Even if the automation can solve for the navigation, can it actually solve for the rest of the system properties, as well?”
“...When I look at a system like this, that we’ve explained, in a dynamic environment...I’m just not sure if it’s a system that you could automate.”
Resources:
Observation and Assessment of Crossing Situations Between Pleasure Craft and a Small Passenger Ferry
Send us your experiences with automation and its unintended consequences to Feedback@safetyofwork.com
To help frame our conversation, we use the paper How Does Audit and Feedback Influence Intentions of Health Professionals to Improve Practice?
Topics:
Quotes:
“...The two parts of this study that we’re going to talk about now, are really trying to address that first part of it, which is the information to intention gap…”
“In the field, there’s obviously other information, which is going to affect the decision, other than this particular report.”
“If there’s no data, professionals really want to see the data, before committing to whether or not they need to improve.”
Resources:
How Does Audit and Feedback Influence Intentions of Health Professionals to Improve Practice?
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In order to frame our discussion, we use the paper Fads and Fashions in Management Practices.
Topics:
Quotes:
“Interestingly, when we get into the literature, you may, um, look at those books with a little bit of skepticism, when you see how books on management get published.”
“The fads start off with small groups of innovators solving problems within their own companies. But those initial innovations aren’t able to spread by themselves.”
“But now that industries...not really having the uptake in behavioral safety practices they were maybe twenty years ago, you don’t see much broadcasting in the market for, you know, behavioral safety practices.”
Resources:
Piazza, A., & Abrahamson, E. (2020). Fads and Fashions in Management Practices: Taking Stock and Looking Forward. International Journal of Management Reviews.
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The paper we use to frame today’s discussion is Leading or Lagging? Temporal Analysis of Safety Indicators on a Large Infrastructure Construction Project.
Topics:
Quotes:
“One definition of a performance measure or indicator should be...the metric used to measure the organization’s ability to control the risk of accidents.”
“There’s lots of things in nature that aren’t supposed to generate bell curves.”
“Safety is performed by humans, who react to the things that they see.”
Resources:
Lingard, H., Hallowell, M., Salas, R., & Pirzadeh, P. (2017). Leading or lagging? Temporal analysis of safety indicators on a large infrastructure construction project. Safety science, 91, 206-220.
Feedback@safetyofwork.com
Tune in to hear our discussion and insights.
Topics:
Quotes:
“The basic rule for what is legal and what is not, is authors own the text until they submit it to a publisher.”
“Anyone who’s got even just a student account at a university, shares in the subscription. So if they log in, while they’re on campus, then they have free access to a lot of stuff which is paywalled, when they’re off campus.”
“Internal validity is how much within the scope of the paper it has correctly answered the question.”
Resources:
Feedback@safetyofwork.com
We use the paper How Logical is Safety? to frame our discussion.
Topics:
Quotes:
“There’s some real challenges with the way that we’ve applied organizational culture and safety culture in our organizations.”
“They tried to look at how the participants were explaining or justifying their own behavior, to see if these explanations matched with the logics.”
“[Institutional logics] not something that you capture on a survey at a single point in time. It’s not something you change with a cultural intervention program.”
Resources:
Feedback@safetyofwork.com
We use the paper, How Institutions Enhance Mindfulness, to help frame our discussion.
Topics:
Quotes:
“So, they talked about this collective mindfulness as emerging out of the five principles of high-reliability organization theory.”
“I was trying to interpret how much of this was down to national culture and how much of it was down to the research itself. And it certainly appears that in this situation, the primary regulator...the government regulator is the police.”
“Initially operators must learn and follow the rules. But to function effectively as operators, they can’t mindlessly follow the rules, because the rules are sometimes irrelevant or unhelpful, leading to unnecessary violations.”
Resources:
Kudesia, R. S., Lang, T., & Reb, J. (2020). How Institutions Enhance Mindfulness: Interactions between external regulators and front-line operators around safety rules. Safety science, 122, 104511.
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We use the papers to frame our discussion: A Systematic Review of the Effectiveness, Compliance, and Critical Factors for Implementation of Safety Checklists in Surgery; Systematic Review and Meta-Analysis of the Effect of the World Health Organization Surgical Safety Checklist on Post-Operative Complications; and The Effects of Safety Checklists in Medicine.
Tune in to hear our thoughts on this potentially life or death issue.
Topics:
Quotes:
“Checklists are one of those things that have been associated with safety for a long time and associated in a way that gives them quite a good name.”
“Lots of stuff being recorded as positively improving with the introduction of a checklist.”
“If you can’t convince a multidisciplinary team that this belongs on the checklist, because they all agree there is a clear link between this item and a particular accident that they all know about, then you don’t get to put it on the checklist.”
Resources:
Borchard, A., Schwappach, D.L., Barbir, A., & Bezzola, P. (2012).A Systematic Review of the Effectiveness, Compliance, and Critical Factors for Implementation of Safety Checklists in Surgery Annals of Surgery, 256, 925–933.
Bergs, J., Hellings, J., Cleemput, I., Zurel, Ö., De Troyer, V., Van Hiel, M., ... & Vandijck, D. (2014). Systematic Review and Meta-Analysis of the Effect of the World Health Organization Surgical Safety Checklist on Post-Operative Complications. British Journal of Surgery, 101(3), 150-158.
Thomassen, Ø., Storesund, A., Søfteland, E., & Brattebø, G. (2014). The Effects of Safety Checklists in Medicine: a systematic review. Acta Anaesthesiologica Scandinavica, 58(1), 5-18.
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We use David’s paper, Benefactor or Burden, to frame our discussion today.
Topics:
Quotes:
“Very few safety people describe themselves as bureaucrats.”
“...Just that word, ‘Professional’. It tended to be the case that people who had tertiary education thought of that as being important as part of being a professional.”
“We value belonging and involvement, but we also require authority to do some of our role.”
Resources:
Provan, D. J., Dekker, S. W., & Rae, A. J. (2018). Benefactor or Burden: Exploring the professional identity of safety professionals. Journal of safety research, 66, 21-32.
https://doi.org/10.1016/j.jsr.2018.05.005
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We use the paper, What Constitutes Effective Manual Handling Training, in order to frame our discussion. The paper is a systematic review that looks at fifty three intervention studies performed over a number of years.
Topics:
Quotes:
“The idea of having some sort of formalized weighting system, is it gets around the accusation of researcher bias.”
“There’s maybe something to say that some of that training was actually counter to the way that we now understand, maybe, that people can exert safe and maximal force.”
“If you do have residual risk leftover...person-task-fit is directly relevant around this residual risk…”
Resources:
Feeback@safetyofwork.com
Dave is joined by special guest, Dr. Laura Maguire, a researcher at the Cognitive Systems Engineering Lab at Ohio State University. Her recent research pertains to the topic at hand. Tune in to hear our informative discussion.
Topics:
● Dr. Maguire’s personal relationship to safety.
● Exploring coordinated joint activity in the tech industry.
● The difficulty of doing research in the natural laboratory.
● What Dr. Maguire noticed during her research.
● Why breakdowns in common ground occur.
● Why a phone call can involve effortful cognitive work.
Quotes:
“In cognitive systems engineering, we’re most interested in what are the generalized patterns of cognition and of interpreting the world…”
“Doing research in what we call the ‘natural laboratory’ or trying to examine cognition in the wild, is really, really hard.”
“Tooling is never going to solve all of the problems, right?”
Resources:
Feedback@safetyofwork.com
We use the paper, Embracing Complexity, to frame our discussion. Tune in to hear our chat about this important issue.
Topics:
Quotes:
“A topic that comes up a lot in the research is virtual teams. Who would have guessed that teams meeting over Zoom was going to be a topical and relevant hot-button topic?”
“...The research suggests that functional diversity, as well as individual educational diversity have positive relationships with team performance.”
“There were some studies that said if there is a general climate in the organization around innovation, then the team will display more innovative characteristics and things like that.”
Resources:
Mathieu, J. E., Gallagher, P. T., Domingo, M. A., & Klock, E. A. (2019). Embracing Complexity: Reviewing the past decade of team effectiveness research. Annual Review of Organizational Psychology and Organizational Behavior, 6, 17-46.
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We use the following papers to frame our discussion: Development and Test of a Model Linking Safety Specific Transformational Leadership and Occupational Safety and Contrasting the Nature and Effects of Environmentally Specific and General Transformational Leadership.
Topics:
Quotes:
“How much do these things vary and how much do our explanations for these things explain why they vary? And the answer is, they don’t.”
“Don’t start measuring and tinkering with the statistical relationships between things until you’ve actually pinned down what those things are.”
“I strongly believe that we can’t easily change the values that people hold.”
Resources:
Barling, J., Loughlin, C., & Kelloway, E. K. (2002). Development and Test of a Model Linking Safety Specific Transformational Leadership and Occupational Safety. Journal of applied psychology, 87(3), 488. DOI: 10.1037//0021-9010.87.3.488
Robertson, J. L., & Barling, J. (2017). Contrasting the Nature and Effects of Environmentally Specific and General Transformational Leadership. Leadership & Organization Development Journal.
Feeback@safetyofwork.com
Dave isn’t here today. Instead, Drew speaks directly with the author of the paper we intended to use to frame our discussion. Tune in to hear his discussion with Tanya Hewitt.
Topics:
Quotes:
“If people were very seasoned users of the reporting system, we’d want to really understand, ‘how did they become seasoned users?’ ”
“A lot of professionals: That’s where they derive their professional pride, from being able to fix problems.”
“[Reporting systems] are complex sociotechnical constructs.”
Resources:
Hewitt, T. A., & Chreim, S. (2015). Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf, 24(5), 303-310.
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Drew isn’t here today and in his stead is Professor David Woods. Tune in to hear his discussion of graceful extensibility and how it applies to the current battle with Covid19.
Topics:
Quotes:
“The simple idea is that we are always vulnerable to surprise. Surprise is ongoing.”
“[The death rate] is going to be correlated with who anticipated...they will have better outcomes for patients.”
“I have to generate, mobilize, and deploy new ways of working, as I start to run out of the capacity to continue.”
“Decompensation in our current case is happening at a society level, at large scale jurisdiction levels; it’s happening at hospital systems levels…”
Resources:
Woods, D. D. (2018). The theory of graceful extensibility: basic rules that govern adaptive systems. Environment Systems and Decisions, 38(4), 433-457.
Feeback@safetyofwork.com
We use the following articles to frame our discussion: In Their Profession’s Service and Influencing Organizational Decision-Makers.
Topics:
Quotes:
“If you survey CEO’s...they want safety practitioners to have these communication skills, ability to build relationships…”
“There is no pattern between these companies and their economic performance and their safety performance…”
“There’s some really good advice there...for safety professionals to think about the long game.”
Resources:
Daudigeos, T. (2013). In their profession's service: how staff professionals exert influence in their organization. Journal of Management Studies, 50(5), 722-749.
Madigan, C., Way, K., Capra, M., & Johnstone, K. (2020). Influencing organizational decision-makers–What influence tactics are OHS professionals using?. Safety Science, 121, 496-506.
Cialdini, R. B., & Cialdini, R. B. (1993). Influence: The psychology of persuasion. Harper Business.
Cohen, A. R., & Bradford, D. L. (2011). Influence without authority. John Wiley & Sons.
Feedback@safetyofwork.com
Topics:
Quotes:
“They found that the one that has a story of someone whose child has had measles along with the photo with the measles, had a very strong effect on attitude change…”
“Typically, as safety professionals, we often want to influence a change in what people are doing in the organization, be it managers or workers.”
“I would ask what sort of workplace are you running that the difference between whether people are working at heights safely...is a tiny increment in how scared they are of working at heights?”
Resources:
Horne, Z., Powell, D., Hummel, J. E., & Holyoak, K. J. (2015). Countering antivaccination attitudes. Proceedings of the National Academy of Sciences, 112(33), 10321-10324.
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Topics:
Quotes:
“When I was reflecting after this incident, I don’t remember a lot of safety conversation at all.”
“There was a number of operational incidents associated with these rides; to do with, kind of, like, spacing and separation of rafts on the ride.”
“I think in this particular case, we can almost see the way that hindsight bias is causing the selectivity.”
Resources:
Coroner's Inquest into Dreamworld Incident
Hawkins, S. A., & Hastie, R. (1990). Hindsight: Biased judgments of past events after the outcomes are known. Psychological bulletin, 107(3), 311.
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We have just co-authored a paper with two other researchers and it examines the big picture of safety science. We don’t usually like to plug ourselves, but we’re very excited about this particular accomplishment. We use his paper, A Manifesto for Reality-Based Safety Science, to frame our discussion.
Topics:
Quotes:
“There was a strong perception that there was a lot of evidence about what worked and didn’t work, that wasn’t making its way into practice.”
“When you study an accident, all of the analysis that you do is necessarily driven by counterfactual reasoning and hindsight bias.”
“If the researchers are influencing it, if the researchers are controlling it, if the researchers are doing it, it stops being a case study and it becomes action research…”
Resources:
Feedback@safetyofwork.com
We chose to use two papers to frame our discussion. Those papers are Construction Safety Training Using Immersive Virtual Reality and Comparing Immersive Virtual Reality and PowerPoint as Methods for Delivering Safety Training.
Let us know if and how you are using Virtual Reality in your business.
Topics:
Quotes:
“It was fairly targeted towards the outcome they want from normal types of training.”
“It does suggest that if we are going to spend more money on this...then the way to follow up is down that idea of simulating particular work tasks…”
“It’s like watching the Phantom Menace and then watching the Phantom Menace with 3D goggles and deciding that 3D goggles are no good, because they didn’t make it into a better movie.”
Resources:
Sacks, R., Perlman, A., & Barak, R. (2013). Construction safety training using immersive virtual reality. Construction Management and Economics, 31(9), 1005-1017.
Leder, J., Horlitz, T., Puschmann, P., Wittstock, V., & Schütz, A. (2019). Comparing immersive virtual reality and powerpoint as methods for delivering safety training: Impacts on risk perception, learning, and decision making. Safety science, 111, 271-286.
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We use the paper When Redundant On-Screen Text in Multimedia Technical Instruction can Interfere with Learning to frame our discussion.
Topics:
Quotes:
“I think people genuinely think it’s a good way to convey information.”
“The cognitive load theory is suggesting, in this case, that the worst thing to do is to give them text...and audio at the same time.”
“It definitely doesn’t apply that diagrams plus audio is bad.”
Resources:
Kalyuga, S., Chandler, P., & Sweller, J. (2004). When redundant on-screen text in multimedia technical instruction can interfere with learning. Human factors, 46(3), 567-581.
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Tune in to hear Carsten discuss his research into Heinrich’s work.
Topics:
Quotes:
“It’s interesting the way you go on to say that he wasn’t actually saying that you have to manage the three-hundred to prevent the one…”
“I think he would have liked to see himself, first and foremost, as a management advisor, because that is the audience for his book…”
“There’s a lot of talk about the Swiss Cheese model being linear...and it isn’t!”
Resources:
Carsten’s Paper on Heinrich
Feedback@safetyofwork.com
Tune in to hear us discuss the lessons learned from this important report.
Topics:
Quotes:
“The report contains, like, a couple of hundred pages of graphs and nowhere is there any sort of test to see what model best fits the graph.”
“It’s not new for big investigation reports...for people to get hold of one particular theory of safety and think that it provides all of the answers.”
“This definitely shows the naivete, if you think you can’t hide hospitalizable injuries.”
Resources:
The Brady Report
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To frame our discussion, we use the papers. Motivating the Workforce and The Demotivating Effect (and Unintended Message) of Awards. Tune in to hear our discussion about whether prizes encourage further safety or are just a silly pat-on-the-back.
Topics:
Quotes:
“It’s definitely the case that some of these site visits are almost like information exchange…”
“Some of our brightest researchers got diverted from research to prepare the awards nominations, to show how good the department was at gender equity.”
“In this second study, they were testing specifically this idea that the award tells people what the school expects of them.”
Resources:
Tait, R., & Walker, D. (2000). Motivating the workforce: the value of external health and safety awards. Journal of Safety Research, 31(4), 243-251.
Robinson, C. D., Gallus, J., Lee, M. G., & Rogers, T. (2019). The demotivating effect (and unintended message) of awards. Organizational Behavior and Human Decision Processes.
Feedback@safetyorwork.com
To frame our discussion, we use the common High Reliability Organization Theory. A few people have authored papers on this topic and we will use their work during our chat.
Topics:
Quotes:
“A number of organizations and industries have been linked to HRO theory over the years for maintaining somewhat error free operations over an extended period of time.”
“The technical name we use when talking about the position of the researcher, compared to the research they’re doing, is ‘reflexivity’.”
“It’s what model lets us make use of the local expertise and the professional expertise...as we’ve shifted to the model that gave primacy to the physicians, we lost that teamwork…”
Resources:
Roberts, K. H., Madsen, P., Desai, V., & Van Stralen, D. (2005). A case of the birth and death of a high reliability healthcare organisation. BMJ Quality & Safety, 14(3), 216-220.
Feeback@safetyofwork.com
To frame our discussion, we decided to reference a few papers. The papers we use are Females Do Not Have More Road Accidents on Friday the 13th, Much Ado About the Full Moon, and Moon Phases and Nighttime Road Crashes Involving Pedestrians. Tune in to hear our chat!
Topics:
Quotes:
“The idea is that if it’s a robust result, it should apply regardless of the decisions you make…”
“It’s becoming increasingly common now for researchers to publish their raw data alongside their publications, so that other authors can actually make their own assessment of the papers…”
“We’re pretty sure that accident-proneness is really a symptom of confirmation bias or statistical artifacts.”
Resources:
Näyhä, S. (2002). Traffic deaths and superstition on Friday the 13th. American Journal of Psychiatry, 159(12), 2110-2111.
Radun, I., & Summala, H. (2004). Females do not have more injury road accidents on Friday the 13th. BMC public health, 4(1), 54.
Redelmeier, D. A., & Shafir, E. (2017). The full moon and motorcycle related mortality: population based double control study. bmj, 359.
Rotton, J., & Kelly, I. W. (1985). Much ado about the full moon: A meta-analysis of lunar-lunacy research. Psychological bulletin, 97(2), 286.
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We use the papers, Zero Accident, Vision-Based Strategies in Organizations; Zero Vision, Enlightenment, and Religion; and UK Construction Safety: A Zero Paradox to frame our discussion. Tune in to hear what we think!
Topics:
Quotes:
“Yes: Every individual accident, there’s ways that we can find that it could have been avoided, but do we think that we can run a national road network and never kill anyone?”
“I think we have to keep in mind that if you’re not going to do quantitative evaluation research, then the conclusions that you draw can’t be quantitatively evaluated conclusions.”
“Over the study period, the zero group had four fatalities and the non-zero group had no fatalities.”
Resources:
Zwetsloot, G. I., Kines, P., Wybo, J. L., Ruotsala, R., Drupsteen, L., & Bezemer, R. A. (2017). Zero Accident Vision based strategies in organisations: Innovative perspectives. Safety science, 91, 260-268.
Dekker, S. (2017). Zero commitment: commentary on Zwetsloot et al., and Sherratt and Dainty. Policy and Practice in Health and Safety, 15(2), 124-130.
Zwetsloot, G. (2017). Vision Zero: promising perspectives and implementation failures. A commentary on the papers by Sherratt and Dainty, and Dekker. Policy and Practice in Health and Safety, 15(2), 120-123.
Sherratt, F., & Dainty, A. R. (2017). UK construction safety: a zero paradox?. Policy and Practice in Health and Safety, 15(2), 108-116.
Sherratt, F., & Dainty, A. R. (2017). Responses to the vision zero articles. Policy and Practice in Health and Safety, 15(2), 117-119.
Dekker, S. W., Long, R., & Wybo, J. L. (2016). Zero vision and a Western salvation narrative. Safety science, 88, 219-223.
Dekker, S. (2017). Zero Vision: enlightenment and new religion. Policy and Practice in Health and Safety, 15(2), 101-107.
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We use the paper, Articulating the Differences Between Safety and Resilience, in order to frame our chat.
Topics:
Quotes:
“So, you’re constantly in this fuzzy boundary of, well, we’ve made the trade-off for safety, but how do we know that we had to make it?”
“Step one was to do what we suggested is necessary for a lot of safety research; which is to get out there and to at least spend some time watching it correctly in context.”
“We need to be very mindful of piece-rate contracting strategies...which is that contractors don’t get paid if the work doesn’t get done.”
Resources:
Morel, G., Amalberti, R., & Chauvin, C. (2008). Articulating the differences between safety and resilience: the decision-making process of professional sea-fishing skippers. Human factors, 50(1), 1-16.
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The paper we use to frame today’s discussion is We Can Stop Work, but Then Nothing Gets Done.
Topics:
Quotes:
“You can see the finished product, but you don’t see how the sausage is made.”
“What matters with those immediate supervisors and the co-workers, is not what they say they’ll do, but what they’ll...actually do.”
“You help local management be able to have these conversations with their workforce, so that they can...understand that people have different views of what’s safe and what’s unsafe…”
Resources:
Weber, D. E., MacGregor, S. C., Provan, D. J., & Rae, A. (2018). “We can stop work, but then nothing gets done.” Factors that support and hinder a workforce to discontinue work for safety. Safety science, 108, 149-160.
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We use the 2019 paper, Safety in Numbers, to frame this week’s discussion.
Topics:
Quotes:
“A lot of statistically dodgy stuff gets published in some very, very good journals and some otherwise very good authors.”
“When something is psuedo-science, you tend to find that there are some studies that say that it works...until the very best studies show that the effect doesn’t work at all.”
“Whenever you use a concept of a rate instead of a raw number, you are assuming a linear relationship.”
Resources:
Elvik, R., & Goel, R. (2019). Safety-in-numbers: An updated meta-analysis of estimates. Accident Analysis & Prevention, 129, 136-147.
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In order to guide our discussion, we will use the paper Further Thoughts on the Utilities of Risk Matrices.
Topics:
Quotes:
“The assumption is that we use risk matrices, because they help us, in some way, to make decisions.”
“...What you’re representing on the matrix is less information than you started with: It’s either less precision than you had or its not representing the full range of uncertainty…”
“We’ve got a lot of tools in safety and risk management...and it’s worth knowing how those tools are being used and how effective people find them…”
Resources:
Ball, D. J., & Watt, J. (2013). Further thoughts on the utility of risk matrices. Risk analysis, 33(11), 2068-2078.
Anthony (Tony) Cox Jr, L. (2008). What's wrong with risk matrices?. Risk Analysis: An International Journal, 28(2), 497-512.
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Tune in to hear us discuss the paper Site Managers and Safety Leadership in the Offshore Gas and Oil Industry and its survey’s findings.
Topics:
Quotes:
“If we think about the effort it would take now to try to actually get thirty-six organizations to, at the same time, want to do the same research project, may be near-on impossible.”
“I don’t think there is any particular reason to believe that people’s attribution of accidents changes with experience and leadership style.”
“Once we try to fix problems with safety by putting in systems and procedures...it’s not a case of being able to just easily build back in good leadership…”
Resources:
O'Dea, A., & Flin, R. (2001). Site managers and safety leadership in the offshore oil and gas industry. Safety Science, 37(1), 39-57.
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Tune in to hear us talk about how the drive to reduce costs can negatively impact safety. We frame this week’s discussion around the paper, An Industry Structured for Unsafety.
Topics:
Quotes:
“I think this is going to be a really important question for many of our listeners.”
“The important thing here is that it’s all equipment that meets the technical minimum standards, but that means it’s cheap in other ways.”
“I still have only seen a handful of times in my career, where an organization has genuinely dismissed a tender because of safety performance…”
Resources:
Oswald, D., Ahiaga-Dagbui, D. D., Sherratt, F., & Smith, S. D. (2020). An industry structured for unsafety? An exploration of the cost-safety conundrum in construction project delivery. Safety science, 122, 104535.
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Tune in to hear us talk about this topic in the context of the paper we chose to reference this week.
Topics:
Quotes:
“If you don’t understand the question or you don’t understand the problem well enough, then you’ve got very little chance of coming up with a good solution.”
“We need to take action that deliberately encourages introduction of contradictory information...breaking consensus, not forming consensus.”
“The responsibility is on the organization to provide the right psychological environment for people to speak up.”
Resources:
Grote, G. (2015). Promoting safety by increasing uncertainty–Implications for risk management. Safety science, 71, 71-79.
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Topics:
Quotes:
“...It’s not as simple as ‘trust is a good thing’ and ‘distrust is a bad thing’...when we trust people too much, we take their word for things, even when we shouldn’t.”
“The happy medium...you get good communication and you get good checking behavior.
“We actually can’t really make predictions about what these findings mean in real-world organizational settings, once all of those variables become reintroduced.”
Resources:
Conchie, S. M., & Burns, C. (2008). Trust and risk communication in high‐risk organizations: A test of principles from social risk research. Risk Analysis: An International Journal, 28(1), 141-149.
Conchie, S. M., & Donald, I. J. (2008). The functions and development of safety-specific trust and distrust. Safety Science, 46(1), 92-103.
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Topics:
Quotes:
“We heavily rely on and almost solely rely on line managers in the organization to influence, create change and affect the organizational safety climate.”
“It’s really tempting to reduce safety to measurable indicators…”
“I think there are some things that we can, practically, learn from this [study].”
Resources:
Nielsen, K. J. (2014). Improving safety culture through the health and safety organization: A case study. Journal of safety research, 48, 7-17.
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Topics:
Quotes:
“In all safety-critical environments, there are endless possibilities for individuals actions to influence the work outcomes.”
“There are a lot of safety academics who don’t even like that construction of thinking about safety in terms of rule…”
“If you give people freedom, sometimes you’re not going to like where they take that freedom.”
Resources:
Iszatt-White, M. (2007). Catching them at it: An ethnography of rule violation. Ethnography, 8(4), 445-465.
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Tune in to hear us discuss whether behavioral safety interventions are effective and worthwhile.
Topics:
Quotes:
“Human behavior change is absolutely a science, but behavior-based safety is probably mostly nonsense.”
“In a randomized control trial, every individual is either given or not given the behavioral training…”
“Interventions that are based on theory tend to be more successful.”
Resources:
Mullan, B., Smith, L., Sainsbury, K., Allom, V., Paterson, H., & Lopez, A. L. (2015). Active behaviour change safety interventions in the construction industry: A systematic review. Safety science, 79, 139-148.
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Welcome to an introduction to our new podcast, Safety of Work. In this podcast we will discuss how safety works. We aim to provide listeners with examples of safety processes that exist in the real world and how they can use those processes in their own lives.
Topics:
Quotes:
“We don’t want to be disconnected from the safety of work; we want to be closely linked in…”
“We want to help our listeners demystify, devolve, and declutter safety.”
“...There’s a lot of things that safety people do, which have legitimate purposes, that are not directly geared at safety of work.”
Resources:
Feedback@safetyofwork.com
Disastercast