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by _n_b_
3004 days ago
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I work in the nuclear industry, where most places are pretty good about maintaining a "blame-free" culture. You focus on what processes and procedures failed, what controls were missing, etc., that allowed somebody to make a mistake. As this attitude was adopted, things shifted too far (at least in the opinion of industry groups, and my observation) to the point where people underperforming to the point of negligence weren't blamed, and the corrective actions to prevent reoccurrences of problems they caused ended up being cumbersome and expensive without really improving safety. (And in this industry, everything relates back to safety.) In recent years, things have shifted back towards a more pragmatic middle ground. There are tools to assess if a problem was organizational (and it still almost always is) or if there was some element of personal negligence involved. This follows with an industry wide trend of trying to fix the real problems that affect safety and operations, not over-engineer cumbersome corrective actions. |
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Every problem is organizational, even those caused by individuals, because it's the organization's job to recognize and remove those individuals where appropriate.