Quote #24 - Investigations are to find real
causes I has occurred to me that what is failing in safety is the investigation
process and of those who do the investigation to find real causes. I have
done a few investigations and in many of those I have listed the main causes of
failure as management/system failure (before i knew of SD)...they were not well
received by my manager/s and in some cases my report was binned and completely
re done by agreeable group-thinking safety people who were to afraid to be
honest and noted the workers as the cause (and don't dare call that orthodox
safety..maybe orthodox ethics!!!).. I can also say I was not liked and outcast
for being honest...which is why I think it is funny the promotion of Just
Cultures...(I have obviously been in the real game unlike these snake oil
academic sellers who live in dreamerstan) I suppose that is why we should adapt
one investigation method...https://lnkd.in/g4jptfN have no internal investigations for any serious event, they
should all be done by 3rd parties to limit bias and corruption. But lets say
the evidence is correct and all investigation were done competently
(cough)...then proof would say that workers are cause... Safety Cynic -
just cause!