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Published by Ben Hutchinson
A podcast dedicated to the thrifty analysis of safety science, risk, systems, and performance research. Jump onto SafetyInsights.Org for more research. Intro/Output "Dark Synth Wave" by ElephantGreen (PixaBay.com)
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Do your investigations often conclude when you've identified 'human error', or a pesky person not following rules?Do you want to improve the quality and depth of your learning opportunities?One way is via local rationality: understanding why decisions & actions made sense to people at the time. It's a core feature in human factors / safety-II / and Human and Organizational Performance (HOP).This episode unpacks Louise Roe's Local Rationality Question Tool in her article presented at the Chartered Institute of Ergonomics & Human Factors (CIEHF) 2025 conference.The tool covers things like: - workload, time pressure & environmental cues; goals, assumptions & information available- training, policies & useable job aids- team dynamics & information flow- Expectations & imagined outcomes/'what ifs'Ref: Roe, L. (2025). Local rationality question tool: understanding why it made sense at the time. In Golightly, D., Balfe, N., & Charles, R. (Eds.), Contemporary Ergonomics and Human Factors 2025: Proceedings of the Chartered Institute of Ergonomics and Human Factors Annual Conference (pp. 360-362). CIEHF. Resources & Links:Website & Articles: https://safetyinsights.orgSupport the channel: https://buymeacoffee.com/benhutchinson
Why are so many procedures technically accurate, but barely workable in practice?In Part 1 of this two part series on procedural systems, we unpack the technical side of writing better, more useable procedures: exploring how to reduce safety clutter, choosing the right type of rule, and structure instructions so they support work.We unpack:• Types of rules: performance goal vs. process vs. action rules & how they limit or enable discretion• Formatting: Action-verb steps, concrete language & single-action steps• Critical steps: Highlighting actions where mistakes cause immediate or unrecoverable harm• Warnings & alerts: What guidelines and research suggests about effective warning placementAnd more.In Part 2, we go beyond technical writing and structure to unpack procedures from a Resilience Engineering and Safety-II perspective – procedures as resources for action.Resources & Links:Website & Articles: https://safetyinsights.orgSupport the channel: https://buymeacoffee.com/benhutchinson
This quickisode races through a Safety-II / HOP inspired debrief tool which can help unearth 'hidden' insights about work that doesn't rely on incidents for learning.Resources & Links:Website & Articles: https://safetyinsights.orgSupport the channel: https://buymeacoffee.com/benhutchinson
Is there a relationship between fatal and minor hazard exposures? Recent SIF research & movements suggest 'NO' - what kills people aren't the same as what hurts them. But is that scientifically accurate? Part 1 discussion with Dr Linda Bellamy, who undertook perhaps the largest study of this kind exploring the connection - and, there ** is ** a connection. We discuss barrier/control systems & how they fail and succeed, weak signals, indicators and more. Resources & Links:Website & Articles: https://safetyinsights.orgSupport the channel: https://buymeacoffee.com/benhutchinson
A bowtie or critical control register may be useful tools, but they aren't the work.In Part 4 of this series, I unpack what control / barrier models can leave out: e.g. changing conditions, competing goals, control dependencies, unintended consequences and the adaptations people make to keep work functioning.I also explore how controls can change the systems they are introduced into, why more barriers don't always mean greater risk control, and why successful work may conceal degraded controls and poor design.We should specify, support and verify barriers but also ask: "What do the people using the control know that the bowtie doesn’t show?"Part 1: https://youtu.be/qQfORHGC4BsPart 2: https://youtu.be/7sPqw5NAyiEPart 3: https://youtu.be/Ly1mEn_KCLQResources & Links:Website & Articles: https://safetyinsights.orgSupport the channel: https://buymeacoffee.com/benhutchinson
Today I interview Dr Marcin Nazaruk, who shares his practical experience and research on learning from normal work / daily work, HOP / New View / Safety-II, to improve learning and risk management.The discussion also explores themes around risk controls, work constraints, risk assessments, and error traps.Support the channel: https://buymeacoffee.com/benhutchinson
How do we set realistic and effective human performance expectations in our barrier approaches?In part 1 we looked at definitions of controls and barriers, whereas in part 2 we explored a deeper dive into their applications and escalation factors.This episode unpacks a few key sources to explore critical human factors and human performance considerations for barrier / control systems.Website & Articles: https://safetyinsights.orgSubscribe to the series for Part 4.Support the channel: https://buymeacoffee.com/benhutchinson
Today I interview Dr Marcin Nazaruk, who shares his practical experience and research on learning from normal work / daily work, HOP / New View / Safety-II, to improve learning and risk management.The discussion also explores themes around risk controls, work constraints, risk assessments, and error traps.Support the channel: https://buymeacoffee.com/benhutchinson
How do we translate a paper barrier system into one that's functional and verified as effective?Whereas part 1 looked at key definitions of control, barrier, safeguard, support, and verification activity - this episode dives deeper into the use of such frameworks.In particular, we unpack escalation / degradation / erosion factors, and the necessary support mechanisms to ensure controls work as intended, when intended.Key sources analysed in this episode:International Council on Mining and Metals (ICMM) – Critical Control Management FrameworkThe Chartered Institute of Ergonomics & Human Factors (CIEHF) – Human Factors in Barrier ManagementConstruction Safety Research Alliance (CSRA) & Professor Matthew HallowellPetroleum Safety Authority (PSA) NorwayResources & Links:Website & Articles: https://safetyinsights.orgSubscribe to the series for Parts 3, and 4.Support the channel: https://buymeacoffee.com/benhutchinson
Part 2 of our interview with Dr. Guido Carim Junior, Associate Professor of Aviation, pilot, researcher, and safety scientist. We pick up the conversation with digital checklists, examining the potential role of AI and how "smart" features risk narrowing human decision-making rather than supporting it.Guido shares critical thoughts on the line between genuine organizational resilience and workarounds that mask underlying brittleness. We discuss the "tragedy of adaptability" and potential blind spots within Safety-II and HOP when organizations over-rely on human adaptation instead of fixing flawed systems.We also cover how to surface informal practices for learning without turning them into rigid, bureaucratic rules, and why safety audits need to look past green-checking compliance documents to tune into weak signals and daily operational reality.Please Like, Subscribe and Share. Also check out my blog at https://SafetyInsights.OrgSupport the channel here: https://buymeacoffee.com/benhutchinson
Is that a control, barrier, safeguard, support, or verification activity? Is it an object, a human act, a system or just a procedure? Does it actually address the hazardous energy, or does it sound good on paper?If we label every single checklist and administrative task a "critical control," do we risk diluting the operational focus required to prevent high-consequence events? If everything is critical, nothing is.Part 1 of this 4-part series unpacks how these terms are used (and misused) across the industry, evaluating the baseline definitions that dictate how we manage risk.Key sources analysed in this episode:International Council on Mining and Metals (ICMM) – Critical Control Management FrameworkThe Chartered Institute of Ergonomics & Human Factors (CIEHF) – Human Factors in Barrier ManagementConstruction Safety Research Alliance (CSRA) & Professor Matthew HallowellPetroleum Safety Authority (PSA) NorwayResources & Links:Website & Articles: https://safetyinsights.orgSubscribe to the series for Parts 2, 3, and 4.Support the channel: https://buymeacoffee.com/benhutchinson
Interview with Guido part 1
When you're standing on the front line making an operational call, risk doesn't come with a green or red light. You have to make a binary decision: stop or go.We don't necessarily make it easy for our decision-makers to make good, defendable decisions.This video unpacks Andrew Hopkins’ 2011 Safety Science article, "Risk Management & Rule Compliance: Decision-making in hazardous industries". Hopkins argues that choosing between risk management and rule compliance is a false choice - they're complementary, not contradictory.Because risk sits on a continuum but decisions require a definitive line in the sand, high-hazard industries must translate broad risk management principles into clear operational rules for the sharp end.What is covered:a. Why risk management and rule compliance must co-exist and complement each other.b. Why frontline workers need clear "do it or don't" thresholds rather than numerical risk criteria.c. Goal, Process, and Action Rulesd. Why risk assessments can be more 'legitimation rituals'Support the channel: https://buymeacoffee.com/benhutchinson
On April 15, 2010, BP CEO Tony Hayward reassured shareholders that the company was safer and more efficient than ever. Five days later, the Deepwater Horizon disaster happened. This video unpacks a study that evaluated CEO speeches and how rhetoric and slogans can be disconnected with actual behaviour and resourcing.It explores how relentless cost-cutting and corporate rhetoric set the stage for catastrophe.Support the channel: https://buymeacoffee.com/benhutchinson
In 1994, two US Air force F15 fighters shot down two friendly US Army Black Hawk helicopters.This event shouldn't have been possible: there were experts, radio communications, radar, AWACS and more.However, this isn't a tragedy due to human error or a lack of safeguards, it happened in spite of the safeguards.This episode unpacks a few findings from the seminal book from Scott Snook called 'Friendly Fire'. We’ll explore how "Practical Drift" - the slow, invisible uncoupling of local practice from centralised procedure, turned a routine mission into a catastrophe. This book is a masterclass in what can happen when our Work-as-Imagined has little to do with the reality of Work-as-Done on the frontline.Support the channel: https://buymeacoffee.com/benhutchinson
Can our safety reporting and indicators mask signals that organizations are drifting to major accident?This episode unpacks two reports from O'Neill and colleagues looking at the pitfalls of safety reporting measures, and also explores weaknesses in annual safety reports - particularly how reports may be 'safewashing'. More research at SafetyInsights.Org Intro/Output "Dark Synth Wave" by ElephantGreen (PixaBay.com) Make sure to subscribe to Safe As on Spotify/Apple, and if you find it useful then please help share the news, and leave a rating and review on your podcast app. I also have a Safe As LinkedIn group if you want to stay up to date on releases.
This ep unpacks two articles from Andrew Hopkins, exploring the similarities between the Gretley and Moura mine disasters.Namely, Hopkins argues that a 'culture of denial' existed at both mines, and probably exists across large, high-risk organisations, too. This culture of denial involved a series of beliefs that dismissed warning signs of danger. More research at SafetyInsights.Org Intro/Output "Dark Synth Wave" by ElephantGreen (PixaBay.com) Make sure to subscribe to Safe As on Spotify/Apple, and if you find it useful then please help share the news, and leave a rating and review on your podcast app. I also have a Safe As LinkedIn group if you want to stay up to date on releases.
Our mental shortcuts (heuristics) serve us well. They help us navigate a complex, ambiguous world normally safely and efficiently. But in modern organisations, they can sometimes lead us astray - via biases. In this context biases are systematic distortions away from an expected decision or judgement. This article, with Daniel Kahneman and colleagues, unpack some ways to help debias critical decisions. In their words: "Dangerous biases can creep into every strategic choice. Here's how to find them--before they lead you astray". More research at SafetyInsights.Org Intro/Output "Dark Synth Wave" by ElephantGreen (PixaBay.com) Make sure to subscribe to Safe As on Spotify/Apple, and if you find it useful then please help share the news, and leave a rating and review on your podcast app. I also have a Safe As LinkedIn group if you want to stay up to date on releases.
Is 'Safety Culture' a nebulous construct, or even a myth, that obscures more than it reveals? Or is its persistence because it provides a useful vehicle for explaining phenomena in organisations and groups? This episode unpacks several articles (at least 10), from authors like Borys, Guldenmund, Schein, Silbey, Hopkins, Cooper and more, to unpack safety culture from both an interpretative and functionalist perspective. The episode covers common critiques from the research, proposed links with areas of performance, and some lingering ambiguity. More research at SafetyInsights.Org Intro/Output "Dark Synth Wave" by ElephantGreen (PixaBay.com) Make sure to subscribe to Safe As on Spotify/Apple, and if you find it useful then please help share the news, and leave a rating and review on your podcast app. I also have a Safe As LinkedIn group if you want to stay up to date on releases.
Leadership walkarounds seem simple on paper: get a leader to walk around, talk with some people, and then bounce out with a gleeful smile, and warm hearts.But is it that simple? Do walkarounds improve any measures of teams or organisations? Do they improve safety climate, engagement, or even safety incidents?Support the channel: https://buymeacoffee.com/benhutchinsonToday's episode explores these questions with these sources:1. Foster, M., Mha, B. S., & Mazur, L. (2023). Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Quality, 12(4), e002284.2. Thomas EJ, Sexton JB, Neilands TB, et al. Correction: the effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units [Isrctn85147255]. BMC Health Serv Res 2005; 5.3. Shaw KN, Lavelle J, Crescenzo K, et al. Creating unit-based patient safety walk-rounds in a pediatric emergency Department. Clinical Pediatric Emergency Medicine 2006; 7:231–7.4. Purvis S, Kennedy GD, Knobloch MJ, et al. Incorporation of leadership rounds in CAUTI prevention efforts. J Nurs Care Qual 2017; 32:318–23.5. Luria, G., & Morag, I. (2012). Safety management by walking around (SMBWA): A safety intervention program based on both peer and manager participation. Accident Analysis & Prevention, 45, 248-257.6. Rotteau, L., Shojania, K. G., & Webster, F. (2014). ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient Safety Walkrounds. BMJ quality & safety, 23(10), 823-829.7. Singer SJ, Tucker AL. The evolving literature on safety Walkrounds: emerging themes and practical messages. BMJ Qual Saf 2014; 23:789–800.
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Observed September 20, 2026.
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