The SEEK approach to investigations (Event Exploration) nothing like any of the Engineering or Behaviourist models in the safety market. SEEK is not bogged down in linear and binary assumptions common to all popular investigation models. Similarly, it departs significantly from the iCam model … [Read more...] about Investigations Using SEEK in SPoR
Investigation
The Bogus Bow-Tie Myth
Continuing our series on Safety Myths – see them all here There’s no doubt about it, Safety loves the linear in-out binary box. This is not just manifest in the swindle swiss-cheese but in many other safety myth models eg. The Bow-Tie that perpetuate the mythologies of certainty, control, order, … [Read more...] about The Bogus Bow-Tie Myth
Investigations and Heuristics
Investigations and Heuristics One of the traps investigators fall into is thinking that people are the sum of inputs and outputs, that the behaviourist myth is true. Decision making in complex and far more sophisticated than the naïve proposals of the behaviourist worldview. Rewards and punishments … [Read more...] about Investigations and Heuristics
A Much Better Way To Think About Incident Investigations
I’ve recently seen and done a few incident investigations which really fell short of any mark except for ticking the box on the form that says ‘investigation completed’. There are ongoing debates about whether ICAM is better than TapRoot or if that is better than Root Cause Analysis or BowTie or … [Read more...] about A Much Better Way To Think About Incident Investigations
20 Cognitive Biases That Affect Risk Decision Making
20 Cognitive Biases That Affect Risk Decision Making Republished by request Thanks to Rob Long for sharing this – originally published here on Business Insider. Ever wondered why your decisions, risk assessments and incident investigations are not as objective as you may think? Rob Long defines … [Read more...] about 20 Cognitive Biases That Affect Risk Decision Making
Don’t Stress on the Investigation
Don’t Stress on the Investigation Whenever we discuss culture and investigations in SPoR we always discuss the nature of stress and temperament (unconscious type) and how both of these affect interviewee, interviewer and the collective unconscious. We know from the Culture Cloud (See Figure 1. … [Read more...] about Don’t Stress on the Investigation
Subjecting and Objecting in Event Analysis
Subjecting and Objecting in Event Analysis The myth of objectivity plagues the safety industry in all of its ‘methods’ of incident investigation. One day when it dawns on Safety that there is no such thing as objectivity, it might begin to explore the nature of events with competence and develop a … [Read more...] about Subjecting and Objecting in Event Analysis
Interrogation by Another Name
Interrogation by Another Name Effective response to events (investigation) is not about Technique, neither is humble enquiry about Technique (Technique is the ideology of efficiency – Ellul) or style of questions. The beginning and foundation for an effective response to any event is ethics. To do … [Read more...] about Interrogation by Another Name
Scapegoating and Safety
Scapegoating and Safety The Scapegoat has always been a part of the way the Sacred deals with harm, suffering, uncertainty and guilt. All civilizations and religions have practiced various forms of scapegoating for millennia. The best way to understand the nature of scapegoating is through … [Read more...] about Scapegoating and Safety
Investigations and The Simplicity Attraction
Investigations and The Simplicity Attraction In the face of so much noise, competing values, diversity and confusion stands the myth of Occam’s Razor, a wish that when faced with multiple factors, humans will always opt for the shortest simplest route. The 14th Century philosopher/theologian … [Read more...] about Investigations and The Simplicity Attraction