AugAccident Prevention through Learning Workshop
Venue: University of Canterbury, Forestry Building, F3 Lecture Theatre
Cost: $55.00 (GST included)
Traditionally and currently, incident investigations based on causal analysis typically just scratch the surface of what we can learn from an incident. We try to make plausible conclusions regarding the outcomes of an event, classify the root cause, justify actions and allocate responsibility. Unfortunately, this leads to an incomplete understanding of an incident beyond basic labels like ‘failure’, ‘error’ and ‘violation’. These common causal labels often masquerade as explanations and lead to overly simplified findings and impractical recommendations.
It is more important to understand why something happened, than to simply say what happened. In understanding the ‘why’, we can build the context and identify the conditions that shaped actions and decisions of those involved to learn from their experiences. Research has shown that this commitment to learning is a key pathway to accident prevention. The WORKSHOP is a practical, interactive demonstration of the impact and success of accident prevention through learning, using a process developed by Dr Ivan Pupulidy and employed by the US Forest Service: The Learning Review.
The Learning Review is specifically designed to develop an understanding of human action(s) in context to facilitate a learning culture and improve industry resilience to incidents. If we remove the assumptions of the causality model by looking at errors as decisions in context, we can determine the conditions which supported them to give a more realistic representation of what the individuals experienced as the incident unfolded and why it made sense to them to do what they did. Revealing the context of the event will assist the industry in understanding how to recognise, change and react to conditional pressures. We can then use this approach to maximise incident learning opportunities and utilise those learnings to develop strategies that result in meaningful change.
THERE ARE NO FAILURES, ONLY LEARNING EXPERIENCES.
Workshop Guest Speaker and Facilitator: Dr Ivan Pupulidy
Dr Pupulidy is currently the Director of the U.S. Forest Service, Office of Human Innovations and Organizational Learning (HIOL), where guides research and development to create tools that facilitate sensemaking organizational learning and resilience. He led the development of the Coordinated Response Protocol and Learning Review Processes (CRP/LR). Field study and experimental practices were coupled with detailed academic research in the fields of Resilience Engineering, Organizational Culture, High Reliability Organizing, Dialogue, Team Dynamics, Social Construction, Technical Investigation, Complexity (complex adaptive system theory), Organizational Learning and Social Psychology. Dr Pupulidy’s research has resulted in a new approach to the organizational response to incidents, which has received international acclaim and is now being used on three continents.
For further information please contact:
+64 27 322 9999