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Counter-Errorism in Diving: Applying Human Factors to Diving
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Counter-Errorism in Diving: Applying Human Factors to Diving

Author: Gareth Lock at The Human Diver

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Human factors is a critical topic within the world of SCUBA diving, scientific diving, military diving, and commercial diving. This podcast is a mixture of interviews and 'shorts' which are audio versions of the weekly blog from The Human Diver.

Each month we will look to have at least one interview and one case study discussion where we look at an event in detail and how human factors and non-technical skills contributed (or prevented) it from happening in the manner it did.
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In this podcast episode, we delve into the necessity of change, exploring why it's crucial and who should be driving it. Drawing insights from Winston Churchill's quote, "To improve is to change, to be perfect is to change often," we examine how change is an inherent part of life and essential for progress. While some resist change due to comfort or reluctance to adapt teaching methods, advancements in knowledge, equipment, and teaching methodologies underscore the importance of evolving practices in diving instruction. From teaching students while neutrally buoyant to embracing new equipment setups like wings and long hoses, the diving community is witnessing transformative shifts aimed at enhancing safety and efficacy. Despite challenges like the reluctance to break from tradition or financial constraints, we explore the imperative of staying abreast of modern best practices and fostering a culture of continuous improvement in diving education.   Original blog: https://www.thehumandiver.com/blog/why-we-need-change Tags:  English, Jenny Lord, Safety Culture
In this podcast episode, we explore the pitfalls of using "shoulda, woulda, coulda" in discussions about diving mistakes and accidents, emphasizing the need for constructive language and learning-oriented approaches. Drawing from real-life diving scenarios, we highlight how counterfactual responses hinder progress and fail to address the root causes of incidents. Instead, we advocate for reframing language to focus on actionable solutions and future improvements. By shifting from "would" to "will," "could" to "can," and "should" to proactive suggestions, we empower divers to learn from mistakes and enhance safety practices. Additionally, we stress the importance of understanding the context behind errors and offering supportive guidance for continuous improvement.   Original blog: https://www.thehumandiver.com/blog/shoulda-woulda-coulda Links: Blog about hindsight bias; https://www.thehumandiver.com/blog/joining-dots-is-easy-if-you-know-the-outcome Multiple factors leading to an incident: https://www.thehumandiver.com/blog/one-mistake The Swiss Cheese model: https://www.thehumandiver.com/blog/when-the-holes-line-up Tags:  English, Counterfactuals, Hindsight Bias, Human Error, Jenny Lord
In this podcast episode, we draw parallels between aviation and diving safety, emphasizing the importance of human factors and non-technical skills in preventing accidents. Reflecting on a tragic airplane crash, we explore hazardous attitudes commonly seen in both industries and propose antidotes to mitigate their risks. From anti-authority to resignation, these attitudes can lead to complacency and unsafe practices, impacting instructors and divers alike. Through real-life examples and insights, we underscore the need for awareness and positive attitudes in diving instruction, aiming to foster a culture of safety and responsibility within the diving community.   Original blog: https://www.thehumandiver.com/blog/the-five-hazardous-attitudes Links: National Transportation Safety Board, Aviation Investigation Preliminary Report CAA tutorial about Airmanship: https://infringements.caa.co.uk/tutorial/airmanship/ FAA info about Airmanship: https://www.faasafety.gov/gslac/ALC/course_content.aspx?cID=723&sID=1448&preview=true EASA info about Aeronautical Decision Making: https://www.easa.europa.eu/sites/default/files/dfu/HE4_Single-Pilot-Decision-Making-v1.pdf More about this from a flight instructors perspective: https://www.aviation101.com/deathbyflightinstructor Tags: English, Communication, Human Performance, Incident Analysis, Jenny Lord, Leadership
In this podcast episode, we delve into the dynamics of mentoring in the diving community, exploring how mentor-mentee relationships contribute to personal and professional growth. While traditionally seen as unequal, effective mentoring fosters mutual development, relying on trust, vulnerability, and constructive feedback from both parties. Mentors guide mentees to find solutions independently, balancing support with respectful critique. Through real-life examples, we witness how mentors facilitate learning by encouraging self-reflection and providing targeted guidance. Feedback plays a pivotal role in this relationship, promoting continuous improvement and mutual learning. Ultimately, mentoring in diving cultivates a culture of collaboration and skill development, benefiting both mentors and mentees alike.   Original blog: https://www.thehumandiver.com/blog/mentoring-both-sides-of-the-story Links: Blog about leadership in a short term team: https://www.thehumandiver.com/blog/leadership-in-a-short-term-team Blog about debriefing: https://www.thehumandiver.com/blog/debriefing Tags:  English, Followership, Jenny Lord, Leadership, Psychological Safety
In this podcast episode, we explore the concept of leadership in diving beyond traditional roles like Divemasters and Instructors. Leadership in diving involves guiding a team towards a common goal, prioritizing communication and maintaining situational awareness. Through real-life scenarios, we see how leadership can shift within a dive group, with experienced divers stepping up to lead even without formal titles. Effective leadership entails understanding each diver's goals, ensuring compatibility, and adapting plans accordingly. Whether navigating, monitoring gas levels, or supporting specialists like photographers, leaders prioritize safety and effective teamwork. Trust and communication are key components, fostering psychological safety within the team. Through briefings and debriefings, divers can enhance their leadership skills and ensure successful and safe dives.   Original blog: https://www.thehumandiver.com/blog/leadership-in-a-short-term-team Links: Part 1: building a short term team: https://www.thehumandiver.com/blog/building-a-short-term-team Blogs about how to build psychological safety: https://www.thehumandiver.com/blog/team-building-psych-safety-1 https://www.thehumandiver.com/blog/team-building-psych-safety-2 https://www.thehumandiver.com/blog/team-building-psych-safety-3 https://www.thehumandiver.com/blog/team-building-psych-safety-4 Tags: English, Jenny Lord, Leadership, Teamwork
In this podcast episode, we delve into the crucial role of effective communication and trust in scientific diving. Communication underwater is essential for safety, coordination, and data collection, but it comes with its challenges, including language barriers and equipment limitations like Full Face Masks and helium distortion. Various methods such as hand signals and underwater writing tools facilitate communication but require practice and agreement among divers. Trust is equally vital, involving confidence in team members, equipment, and established procedures. Team cohesion and adherence to safety protocols are crucial for successful diving missions, emphasizing the need for ongoing training and preparation. Ultimately, prioritizing safety and effective communication enhances the efficiency and outcomes of scientific diving projects, ensuring the safety of all involved while gathering valuable research data.   Original blog: https://www.thehumandiver.com/blog/scientific-diving-trust-and-communication-in-the-depths Tags: English, Beatrice Rivoira, Communication, Trust
In this podcast episode, we explore the importance of Human Factors training in the diving industry, drawing parallels with its significance in aviation. A firsthand account reveals how insurance premiums reflect the recognition of this training's value, emphasizing the shift from blaming individuals to fostering a culture of learning for safety improvement. While insurance companies incentivize instructors to undergo such training, diving agencies have yet to mandate it, potentially impacting the industry's sustainability. The discussion underscores the necessity of viewing the issue holistically and integrating Human Factors training into all aspects of diving, beyond just formal instruction. Ultimately, change may only occur when instructors recognize the direct benefits, potentially through increased premiums, prompting a broader industry shift. The episode concludes with a reflection on the potential for a politically relevant event to drive change, echoing insights from Gareth Lock's presentation on the subject.   Original blog: https://www.thehumandiver.com/blog/diving-liability-insurance-enabler-or-barrier-to-diving-safety Links: Compliance to avoid litigation: https://gue.com/blog/compliance-provides-an-illusion-of-safety-in-diving/ Gareth’s presentation at Rebreather Forum 4: https://gue.tv/programs/5-gareth-lock-human-factors-in-diving Relevant slide: https://www.thehumandiver.com/rf4-resources Tags:  English, Decision Making, Guy Shockey, Risk Management
In this episode, we delve into the concept of learning loops in scuba diving, inspired by the works of Chris Argyris and Donald Schön. We explore single-loop learning, focusing on immediate problem-solving like fixing a malfunctioning buoyancy control device (BCD), and double-loop learning, which involves analyzing underlying issues such as calibration errors in a rebreather. Then, we introduce triple-loop learning, which considers broader contexts like team dynamics and learning culture within the dive community. Practical examples illustrate each loop's application, from troubleshooting equipment issues to enhancing training programs. Drawing parallels with other high-risk domains like wildland firefighting, we emphasize the importance of fostering a learning culture and embracing continuous improvement at every level of diving. Whether troubleshooting a BCD or revising safety protocols, remember that each dive offers opportunities for growth and deeper understanding, contributing to a safer and more knowledgeable diving community.   Original blog: https://www.thehumandiver.com/blog/the-value-of-loops-for-learning-don-t-just-fix-the-diver Links: Learning in Loops doc: https://drive.google.com/file/d/1WOy5v81N5zkAAgwVOZD53G6LIVPMnZr5/view?usp=sharing Standards changes: https://fifthpointdiving.com/the-dive-pro-hub-teaching/changes-to-padi-dry-suit-standards/ Blog about moving too quickly through the system: https://www.thehumandiver.com/blog/racing-through-courses-how-fast-is-too-fast Human and Organisational Performance: https://www.thehumandiver.com/blog/five-key-principles-how-to-improve-individually-and-organisationally Brad Mayhew’s blog: https://bradmayhew.substack.com/p/38-the-first-law-of-learning What is a Just Culture?: https://www.thehumandiver.com/blog/a-just-culture-is-not-a-just-do-it-culture Tags: English, Gareth Lock, HOP, Human Performance, Leadership, Learning
In this episode, we explore the dynamics of teamwork in diving, emphasizing that although diving may not be a traditional team sport, divers typically operate in teams to ensure safety underwater. Key factors in team development include communication, shared goals, and role clarity. Whether diving with familiar partners or strangers, effective communication through pre-dive briefings and debriefings is crucial. Trust is built on competency, honesty, and consideration for others, while role clarity ensures everyone understands their responsibilities. These principles apply to both short-term dive teams and longer-term collaborations, fostering a culture of safety and cooperation in the diving community. For more insights, check out the links in the show notes.   Original link: https://www.thehumandiver.com/blog/building-a-short-term-team Links: Debriefing: https://www.thehumandiver.com/blog/debriefing Dummies blog about teamwork: https://www.thehumandiver.com/blog/HFiD-for-dummies-teamwork Dummies blog about communication: https://www.thehumandiver.com/blog/HFiD-for-dummies-comms How to build psychological safety in teams: https://www.thehumandiver.com/blog/team-building-psych-safety-1 https://www.thehumandiver.com/blog/team-building-psych-safety-2 https://www.thehumandiver.com/blog/team-building-psych-safety-3 https://www.thehumandiver.com/blog/team-building-psych-safety-4 Tags:  English, Communication, Jenny Lord, Team, Teamwork, Trust
In this episode, we delve into the complexities of dive training agency standards and the challenges faced by instructors in evaluating student performance. While standards outline specific skills, determining their mastery isn't always straightforward. New instructors, lacking experience and nuanced judgment, often prioritize efficiency over thoroughness due to external pressures like time constraints and financial considerations. This efficiency-thoroughness trade-off (ETTO) can compromise the quality of instruction, leading to pass grades for students who may not be fully prepared. The root issue lies in instructors' limited exposure to diverse student experiences and the reluctance of dive centers to invest in extensive observation opportunities. As an industry, we must reconsider this trade-off, where financial concerns often outweigh safety and quality. Ultimately, the responsibility falls on individual divers to evaluate their skills, raising questions about the integrity of certification processes and the adequacy of diver preparedness.   Original blog: https://www.thehumandiver.com/blog/price-vs-quality-the-efficiency-thoroughness-trade-off Links: Erik Holnagel’s paper: https://erikhollnagel.com/onewebmedia/ETTO.pdf Another blog about ETTO: https://www.thehumandiver.com/blog/ETTO Tags:  English, Decision Making, ETTO, Jenny Lord
In this episode, we reflect on the tragic death of a fellow diver and the tendency within the diving community to rush to conclusions and assign blame rather than focusing on learning from incidents. Highlighting the need for a shift towards a more transparent and constructive approach, Gareth introduces The Human Diver's "Learning Review Guide in Diving," which provides a structured framework for analyzing diving incidents. Drawing on concepts from safety science and human factors, the guide emphasizes understanding the complexity of diving incidents and the role of various factors at play. Through a system-centric approach and steps for conducting a learning review, divers and organizations can work towards enhancing safety and preventing future mishaps. The guide, available for download, offers practical tools and insights for promoting a culture of learning and improvement within the diving community.   Original blog: https://www.thehumandiver.com/blog/learning-reviews-in-diving Links: Jenny’s blog about the death of one of her colleagues: https://www.thehumandiver.com/blog/blame-vs-learning Learning review technique understanding the relationships, tensions, and conflicts within the complex system of diving: https://www.thehumandiver.com/blog/can-divers-learn-from-the-us-forest-service Learning Review in Diving guide here Tags:  English, Gareth Lock, Incident Investigation, Incident Reporting
In this episode, we confront the harsh reality of diving accidents and the lack of transparency within the diving community regarding incident reporting and analysis. Reflecting on a recent tragedy involving a colleague, we emphasize the importance of learning from mistakes rather than engaging in speculation and blame. Unlike other sports, diving lacks a comprehensive reporting system, leading to misinformation and missed opportunities for collective learning. We advocate for a cultural shift towards open discussion and analysis of accidents, recognizing that understanding why incidents occur is essential for improving diver safety. By asking constructive questions and sharing insights, we can honor those who have lost their lives by preventing similar tragedies in the future.   Original blog: https://www.thehumandiver.com/blog/blame-vs-learning Links: Last week’s blog: https://www.thehumandiver.com/blog/racing-through-courses-how-fast-is-too-fast Incident analysis: https://www.thehumandiver.com/blog/why-diving-incident-stories-are-good-and-bad Incident investigation: https://www.thehumandiver.com/blog/don-t-just-focus-on-the-errors Just Culture: https://www.thehumandiver.com/blog/blame-or-learn Tags:  English, Incident Analysis, Incident Investigation, Incident Reporting, Jenny Lord, Just Culture
In this podcast episode, we delve into the complexities of diving instruction and the pressures to rush through courses without adequate skill consolidation. The author reflects on a student who quickly progressed from one course to another, raising concerns about the thoroughness of training and readiness for advanced dives. Despite the instructor's thorough evaluation process and warnings, the student passed the course but may lack crucial experience. The episode highlights the need for a shift towards quality over quantity in diving instruction, encouraging instructors to prioritize skill development and safety. As the diving community moves towards this ethos, instances of rushed training and unprepared divers may diminish, promoting a culture of skill mastery and responsible diving practices.   Original blog: https://www.thehumandiver.com/blog/racing-through-courses-how-fast-is-too-fast Links: Changing the way we think about training blog: https://www.thehumandiver.com/blog/changing-the-way-we-think-about-training Tags: English, Decision Making, Jenny Lord, Leadership
In this podcast episode, we explore the concept of tribalism and discrimination within the diving community, stemming from cultural, historical, and social factors. Discrimination based on race, gender, age, or social background hampers the development of diving students, leading to lowered motivation, unrealistic expectations, and reduced quality of training. We dissect the distinction between normalization of deviance and constructive deviation, emphasizing the importance of creating a just and tolerant society. Unconscious biases among instructors and leaders can perpetuate stereotypes and hinder the inclusivity of diving environments. Overcoming discrimination requires self-awareness, adaptability, and a commitment to equality. By fostering psychological safety and open communication, we can strive towards a more inclusive and accepting diving community.   Original blog: https://www.thehumandiver.com/blog/facing-one-s-own-shadow-discrimination-in-diving-limits-learning-impacts-safety-and-perpetuates-stereotypes Tags:  English, Andrzej Górnicki, Just Culture, Leadership, Psychological Safety
In this podcast episode, we delve into the distinction between normalization of deviance and constructive deviation/advancement within the diving community. Normalization of deviance, as coined by Diane Vaughen, describes the gradual acceptance of unsafe practices as the norm, whereas constructive deviation involves a deliberate, open exploration of new methods to enhance safety and efficiency. Through examples such as the evolution of nitrox usage and the risks associated with solo diving, we explore how attitudes toward failure shape these approaches. Standard procedures typically incorporate fail-safes to prevent errors, while constructive deviation involves consciously researching and adopting alternative practices. Join us as we dissect these concepts and their implications for diver safety and training.   Original blog: https://www.thehumandiver.com/blog/drift-vs-advancement-how-do-we-push-limits-safely Links: The Nitrox controversy: https://dtmag.com/25th-anniversary-vintage-articles/breathe-not-breathe-exploring-nitrox-controversy/ Attitudes towards failure: https://www.corporate-rebels.com/blog/right-kind-of-wrong-intelligent-failure Tags:  English, Decision Making, Jenny Lord, Normalisation of Deviance
In this podcast episode, we explore the concept of sunk cost fallacy in training courses, challenging the traditional mindset of focusing solely on certification or titles. Drawing from personal experiences in teaching outdoor sports like white water kayaking, the discussion emphasizes the value of adopting a mindset centered on skill improvement rather than certification attainment. By sharing anecdotes from kayaking clubs and professional diving, we encourage listeners to reframe their approach to training, viewing it as an opportunity for skill enhancement and personal growth rather than a mere pursuit of certifications. The episode proposes a shift towards embracing the journey itself, advocating for a mindset where learning and skill development are prioritized over hierarchical certifications.   Original blog: https://www.thehumandiver.com/blog/changing-the-way-we-think-about-training Links: First blog about Sunk Cost Fallacy: https://www.thehumandiver.com/blog/sunk-costs Further reading: https://www.thehumandiver.com/blog/the-choices-guaranteed-small-loss-or-a-probable-large-loss-injury-or-fatality Tags:  English, Cognitive Biases, Jenny Lord, Training
In this episode, we delve into the Betari Box model, exploring how our attitudes and behaviors are influenced by others and can create a negative spiral, particularly in diving scenarios. Through real-life examples, we illustrate the impact of negative attitudes on dive outcomes, highlighting situations where frustration, stress, and complacency lead to undesirable outcomes. We discuss strategies for breaking out of negative cycles, including internal reflection, external communication using tools like HALT (Hungry, Angry, Lonely, Tired), and fostering mutual accountability within teams. By consciously choosing a positive attitude and behavior, divers can positively influence their own experiences and those of others, emphasizing the role of dive leaders and instructors in setting a constructive tone. Join us as we explore ways to navigate interpersonal dynamics and foster a culture of safety and respect in diving environments. Original blog: https://www.thehumandiver.com/blog/my-attitude-impacts-your-behaviour Tags: English, Communication, Leadership, Mike Mason, Teamwork
In this episode, we explore strategies for individuals to navigate authority gradients and foster open communication within teams, focusing on the PACE model for graded assertiveness communication. Drawing parallels from medical and diving contexts, we highlight the importance of gentle escalation when addressing concerns with higher-ranking individuals. Through probing, alerting, challenging, and, if necessary, declaring emergencies, team members can effectively communicate issues while maintaining respect and professionalism. We discuss real-life scenarios and acknowledge cultural biases that may hinder effective communication, emphasizing the need for awareness and proactive efforts to mitigate these challenges. While there's no quick fix, fostering psychological safety and utilizing communication tools like PACE can facilitate constructive dialogue and enhance team dynamics. Join the conversation in our Facebook group to share your insights and experiences on this topic. Original blog: https://www.thehumandiver.com/blog/navigating-the-authority-gradient-pt2 Links: Part One: https://www.thehumandiver.com/blog/navigating-the-authority-gradient Facebook group: https://www.facebook.com/groups/184882365201810 Tags:  English, Authority Gradient, Jenny Lord, Psychological Safety
In this episode, we delve into the complexities of authority gradient, illustrated by a personal anecdote highlighting the challenges of challenging authority in diving contexts. Despite efforts to foster psychological safety, the innate hierarchical structure often inhibits individuals from voicing concerns. We explore strategies to mitigate this gradient, emphasizing the importance of building psychological safety through genuine acceptance of mistakes and open communication. Additionally, we discuss practical approaches such as leaders actively engaging in tasks alongside their team and promoting continuous skill development to empower individuals to question norms. While these methods may not be foolproof, they offer avenues to cultivate a culture of mutual respect and accountability within dive teams. For further insights, we recommend exploring the provided series of articles on building psychological safety in teams. Original blog: https://www.thehumandiver.com/blog/navigating-the-authority-gradient Links: DEBrIEF model: https://www.thehumandiver.com/blog/debriefing How to build psychological safety in a team: https://www.thehumandiver.com/blog/team-building-psych-safety-1 https://www.thehumandiver.com/blog/team-building-psych-safety-2 https://www.thehumandiver.com/blog/team-building-psych-safety-3 https://www.thehumandiver.com/blog/team-building-psych-safety-4 Tags: English, Authority Gradient, Jenny Lord, Psychological Safety
In this episode, we explore the cognitive effects of cold water on divers, balancing our understanding of temperature's impact with last week's discussion on heat. While physiological effects of cold water, like decompression sickness, are well-documented, the cognitive implications are less known but equally important, particularly for divers in cold conditions. Studies reveal that besides feeling colder with repeat dives, divers experience symptoms like de-personalization, reduced concentration, and memory lapses, impacting their ability to execute essential tasks underwater. Despite potential improvements with acclimatization, divers must consider these cognitive effects, especially during task-loaded dives or repetitive immersions. Mitigation strategies include wearing appropriate insulation, limiting dive times, and actively warming up between dives, emphasizing the importance of planning and preparation for cold-water diving excursions.   Original blog: https://www.thehumandiver.com/blog/brrrr-cold-water-and-the-effects-on-our-brain Links: 1968 study: https://journals.sagepub.com/doi/10.1177/001872086801000501 2019 study: https://www.sciencedirect.com/science/article/abs/pii/S0006899319302331?via%3Dihub Tags:  English, Decision Making, Fatigue, Jenny Lord, Performance Shaping Factors, Situation Awareness
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