Full index of all Just Culture Top Tips.
Just because the accident was very big does not mean the people involved are very bad.
Stay calm at all times. Be aware that one human error easily leads to another unintended human error.
People took action to help others understand and operate the system better.
Although the person knew about the rule, he or she decided that for some reason this was not applicable.
Person knew there was a rule and he/she knew she broke it, but that suited him or her just fine.
This tool proposes eight classes of human behaviour, 4 positive, 4 negative.
Your responsibility is the safety management system. And to make it work!
Give your general managers / directors / management team the assignment to have the just culture process designed.
Recognizing exceptional behaviour is an important element in a just culture.
Improving the system effectively demonstrates a high level of skill. This should be recognised and rewarded.
Becoming a teacher is a major milestone in the development of a professional.
Working effectively with a system, and working it well, is no trivial achievement.
Hm! You must be puzzled and want to know WHY this happened.
O dear… Is it him again? Why can he not understand how this system works…!
Time to look for the work circumstances!
First time it happened... okay, let's dig in and go deeper.
It is him again... Yes, he does have a problem following rules.
Either your rules are not clear or your safety culture is down.
Because this has not happened before, your principle assumption remains that the procedures as specified normally work and are understood by everyone.
Yes, he does have a problem following rules.
Your safety culture is down and no-one is correcting this.
This is one of the hardest part. Comes AFTER the internal Just Culture
Some safety departments are set up as independently as possible from the operations.
Focus on human behaviour and intent. Interview with person and other persons involved.
The interpretation of human behavioiur is best done by peers. Not by the investigator.
A safety event is any event in which safety played a role, either positively or negatively.
Do: Observe, question, record, report.
Do not: blame, reject, seek guilt, hide.
It makes a difference as to who’s behaviour you are interpreting.
Expert advice for you on how to do a good safety event investigation in a Just Culture environment.
Perhaps one of the most important parts of a Just Culture in daily practice: here are some tips!
When the balance is clear and the judgment is out, now is the time to follow up and maintain or create that Just Culture!
Here a few tips for you as worker in a Just Culture environment.
Invaluable insight for you as one of the most important role-models in the company!
Here are a few tips for you when you are a safety officer, safety director, safety manager or similar.
As the big boss of the company you need to be EXTRA careful and set some steps in the right direction for a good Just Culture. Get one step wrong and you loose.