1. Just Culture

2. “A Seat with A View”

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

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

5. 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