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Balancing Safety and Accountability
Ashgate Publishing
January 2008
On Sale: January 1, 2008
153 pages
ISBN: 0754672662
EAN: 9780754672661
Hardcover
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Non-Fiction
A just culture protects people's honest mistakes from being
seen as culpable. But what is an honest mistake, or rather,
when is a mistake no longer honest? It is too simple to
assert that there should be consequences for those who
'cross the line'. Lines don't just exist out there, ready to
be crossed or obeyed. We-people-construct those lines; and
we draw them differently all the time, depending on the
language we use to describe the mistake, on hindsight,
history, tradition, and a host of other factors.What matters
is not where the line goes-but who gets to draw it. If we
leave that to chance, or to prosecutors, or fail to tell
operators honestly about who may end up drawing the line,
then a just culture may be very difficult to achieve.The
absence of a just culture in an organization, in a country,
in an industry, hurts both justice and safety. Responses to
incidents and accidents that are seen as unjust can impede
safety investigations, promote fear rather than mindfulness
in people who do safety-critical work, make organizations
more bureaucratic rather than more careful, and cultivate
professional secrecy, evasion, and self-protection. A just
culture is critical for the creation of a safety culture.
Without reporting of failures and problems, without openness
and information sharing, a safety culture cannot
flourish.Drawing on his experience with practitioners (in
nursing, air traffic control and professional aviation)
whose errors were turned into crimes, Dekker lays out a new
view of just culture. This book will help you to create an
environment where learning and accountability are fairly and
constructively balanced.
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