Just Culture. “A Seat with A View” Decision Tree for Determining Culpability of Unsafe Acts Reason, J., Managing the Risks of Organizational Accidents.

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Presentation transcript:

Just Culture

“A Seat with A View”

Decision Tree for Determining Culpability of Unsafe Acts Reason, J., Managing the Risks of Organizational Accidents

The Four Behavior Concepts Negligent Conduct Human Error Knowing Violations Reckless Conduct

Managing Risk – The Three Behaviors Normal ErrorAt-Risk Behavior Negligent Behavior Reckless Behavior Product of our current system design Unintentional Risk-TakingIntentional Risk-Taking Manage through Change In: Processes Procedures Training Design Environment Manage through: Understanding Removing Incentives Creating Incentives for healthy behaviors Increasing Situational Awareness Manage through: Disciplinary Action