Donovan Sarah-Louise, Salmon Paul M, Lenné Michael G, Horberry Tim
a Human Factors Group , Monash University Accident Research Centre (MUARC), Monash University , Clayton , Australia.
b Centre for Human Factors and Sociotechnical Systems, Faculty of Arts and Business , University of the Sunshine Coast , Maroochydore , Australia.
Ergonomics. 2017 Oct;60(10):1336-1350. doi: 10.1080/00140139.2017.1308562. Epub 2017 Apr 7.
Safety leadership is an important factor in supporting safety in high-risk industries. This article contends that applying systems-thinking methods to examine safety leadership can support improved learning from incidents. A case study analysis was undertaken of a large-scale mining landslide incident in which no injuries or fatalities were incurred. A multi-method approach was adopted, in which the Critical Decision Method, Rasmussen's Risk Management Framework and Accimap method were applied to examine the safety leadership decisions and actions which enabled the safe outcome. The approach enabled Rasmussen's predictions regarding safety and performance to be examined in the safety leadership context, with findings demonstrating the distribution of safety leadership across leader and system levels, and the presence of vertical integration as key to supporting the successful safety outcome. In doing so, the findings also demonstrate the usefulness of applying systems-thinking methods to examine and learn from incidents in terms of what 'went right'. The implications, including future research directions, are discussed. Practitioner Summary: This paper presents a case study analysis, in which systems-thinking methods are applied to the examination of safety leadership decisions and actions during a large-scale mining landslide incident. The findings establish safety leadership as a systems phenomenon, and furthermore, demonstrate the usefulness of applying systems-thinking methods to learn from incidents in terms of what 'went right'. Implications, including future research directions, are discussed.
安全领导力是支持高风险行业安全的一个重要因素。本文认为，应用系统思维方法来审视安全领导力有助于从事故中获得更好的经验教训。对一起未造成人员伤亡的大规模矿山滑坡事故进行了案例研究分析。采用了一种多方法途径，其中应用关键决策方法、拉斯穆森风险管理框架和事故地图方法来审视促成安全结果的安全领导力决策和行动。该方法使得能够在安全领导力背景下检验拉斯穆森关于安全和绩效的预测，研究结果表明安全领导力在领导者和系统层面的分布情况，以及垂直整合的存在是支持成功安全结果的关键。在此过程中，研究结果还证明了应用系统思维方法从“进展顺利”的事故中进行审视和学习的有用性。文中讨论了相关影响，包括未来的研究方向。从业者总结：本文呈现了一个案例研究分析，其中系统思维方法被应用于审视一起大规模矿山滑坡事故期间的安全领导力决策和行动。研究结果将安全领导力确立为一种系统现象，此外，还证明了应用系统思维方法从“进展顺利”的事故中学习的有用性。文中讨论了相关影响，包括未来的研究方向。
