scieee Open visual document viewer

"Safe in an unsafe world: Bringing Safety-II into practice"

Hollnagel, Erik

Abstract

The sustained existence of modern societies depends on the safe and efficient functioning of multiple systems, functions, and specialised services. Because these often are tightly coupled, safety cannot be managed simply by responding whenever something goes wrong. Both theory and practice make clear that safety management that follows developments rather than leads them runs a significant risk of lagging behind and of becoming reduced to uncoordinated and fragmentary fire-fighting. (The same, of course, goes for the management of quality and productivity.) In order to prevent this from happening, safety management must look ahead, not only to avoid that things go wrong but also – and more importantly – to ensure that they go right.1 Proactive safety management must focus on how everyday performance usually goes well rather than on why it occasionally fails, and must actively try to improve the former rather than simply prevent the latter.

Full text

“Sa e in an unsa e wo ld: B inging Sa e y-II in o p ac ice" P o . E ik Hollnagel, P o esso a he Uni e si y o Sou he n Denma k The sus ained exis ence o mode n socie ies depends on he sa e and e icien unc ioning o mul iple sys ems, unc ions, and specialised se ices. Because hese o en a e igh ly coupled, sa e y canno be managed simply by esponding whene e some hing goes w ong. Bo h heo y and p ac ice make clea ha sa e y managemen ha ollows de elopmen s a he han leads hem uns a signi ican isk o lagging behind and o becoming educed o uncoo dina ed and agmen a y i e- igh ing. (The same, o cou se, goes o he managemen o quali y and p oduc i i y.) In o de o p e en his om happening, sa e y managemen mus look ahead, no only o a oid ha hings go w ong bu also – and mo e impo an ly – o ensu e ha hey go igh .1 P oac i e sa e y managemen mus ocus on how e e yday pe o mance usually goes well a he han on why i occasionally ails, and mus ac i ely y o imp o e he o me a he han simply p e en he la e .