It is amazing how even as a child you know the outcome of judgement versus learning, but as adults we have to be reminded of the obvious to achieve success. To "place learning ahead of blame" is to be a leader versus being a boss in my opinion. Dr. P make some very valid and useful points in this review that I believe should be shared in leadership team meetings across all industries and organizations. Having accountability in a professional role (especially safety) is a true strength and testament to serving the people by being a leader and change agent versus just being a boss for your organization. The question is, why is it so hard to do and why is this conversation still one that needs to have a seat at the table?! Like Dr. P said, we have to consider the system and the conditions that surround human actions. Well put Dr. P, this review will be the opener to my next Core Team and Central Safety Committee meeting. Excellent topic and presentation to turn the gears of future leaders as well as a novice safety professional such as myself that's always looking to learn and grow and challenge the status quo.

I find the beginning statements very fascinating. "I'ts impossible for a machine to be error free", although as human, we try our best to design "error free" machines. As an engineer and humans, we fail ourselves and make mistakes everyday. No one is perfect. Amazing presentation, that I actually grasped the concept.

This is an important change in institutional thinking that will benefit both individuals & organizations. I can't help thinking that is would be good to put this concept into action on a daily personal level as well. Excellent topic & presentation

Just Culture and Learning culture. Safety II at its finest

Unfortunately, the learning review Ivan pushed on the Forest Service is ineffective in preventing future accidents. They tell a great story, but rarely get to the cause and further, to actual, effective prevention measures.