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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 episode, we explore the phenomenon of being distracted by familiarity, commonly known as autopilot, and its implications for safety, particularly in diving and driving contexts. We discuss how familiar actions operate at a skill-based level, where errors are often slips or lapses, and contrast them with rule-based and knowledge-based decision-making. Drawing from examples in driving and diving, we examine how distractions can lead to critical errors even when operating on autopilot. We delve into the challenges of avoiding slips and lapses and emphasize the importance of safeguards such as buddy checks and checklists to mitigate risks. Join us as we unravel the intricacies of navigating autopilot behavior and becoming more aware to enhance safety in everyday activities.   Original blog: https://www.thehumandiver.com/blog/familiarity-as-distraction-operating-on-autopilot Links: Example of people on autopilot (video, contains swearing): https://www.facebook.com/reel/1126486911851456 Original paper: https://www.facebook.com/reel/1126486911851456 Tags:  English, Decision Making, Decision-Making, Human Performance, Incident Analysis, Jenny Lord
In this podcast episode, we dive into the subtle balance between efficiency and complacency in dive briefings and procedures. Drawing from personal experiences and conversations with fellow divers, we explore how familiarity with diving environments and buddies can lead to abbreviated briefings and overlooked safety protocols. Is it complacency or efficiency when briefings get shorter? The answer often depends on the outcome of the dive. We examine the natural human inclination to streamline processes and the potential risks of assuming familiarity with procedures. Reflecting on the importance of honest communication, regular evaluations, and psychological safety within dive teams, we challenge listeners to reconsider their own diving practices and embrace opportunities for improvement.   Original blog: https://www.thehumandiver.com/blog/complacency-and-efficiency Links: Blog about the Efficiency-Thouroughness Trade Off: https://www.thehumandiver.com/blog/price-vs-quality-the-efficiency-thoroughness-trade-off Tags:  English, Complacency, ETTO, Jenny Lord
In this episode, we delve into the world of distractions and procrastination, exploring how they impact tasks, especially in critical situations like planning dives or navigating wrecks. From the allure of smartphones to unexpected interruptions, distractions can lead to increased stress and errors. Multi-tasking, often seen as efficient, can actually hinder complex tasks, as seen in a diving scenario where a simple conversation led to a crucial mistake. We discuss strategies to combat distractions, like blocking out noise or setting boundaries, but acknowledge the challenge of unexpected interruptions. Drawing from experiences in teaching and diving, we highlight the importance of teamwork and clear communication in managing distractions and ensuring task completion.   Original blog: https://www.thehumandiver.com/blog/3   Links: Dug the dog from Disney’s “Up”: https://youtu.be/Q8FWzLMobx0 A study on the effects of distraction: https://ics.uci.edu/~gmark/chi08-mark.pdf Multi tasking: https://ics.uci.edu/~gmark/CHI2005.pdf   Tags:  English, Jenny Lord, Performance Shaping Factors, Teamwork
In this podcast episode, we debunk common misconceptions about Human Factors, shedding light on its complexity and importance. Contrary to the belief that Human Factors is just common sense, it's an evidence-based practice that delves deeper into understanding human behavior and system design. While technical skills are crucial, Human Factors emphasizes non-technical skills like decision-making and communication to prevent errors. It's not solely about personal limitations but involves training and learning from mistakes. Additionally, Human Factors considers cultural and organizational influences on behavior. Addressing the misconception around Just Culture, it's about learning from mistakes while sometimes assigning blame when necessary. Emphasizing the role of change and learning, Human Factors seeks continuous improvement, making it easier to do the right thing in various aspects of life.   Original blog: https://www.thehumandiver.com/blog/5-common-misconseptions-about-human-factors   Links: Blog about common sense:https://www.thehumandiver.com/blog/common-sense What we mean by a Just Culture: https://www.thehumandiver.com/blog/a-just-culture-is-not-a-just-do-it-culture How learning reviews are different to traditional investigations: https://www.thehumandiver.com/blog/learning-reviews-in-diving Why this is important: https://www.thehumandiver.com/blog/human-factors-in-diving-what-it-is-what-it-isn-t-why-you-need-to-know   Tags: English, Human Factors, Jenny Lord  
In this episode, we explore the often overlooked gap between how work is envisioned and how it actually gets done. Imagine crafting the perfect set of procedures for a job, only to face the realities of limited resources, budget constraints, and differing perspectives from those actually performing the tasks. This misalignment between "Work as Imagined" and "Work as Done" can lead to various outcomes, from compliant but flawed execution to outright disregard for standards. We delve into the complexities of why this misalignment occurs, from misunderstandings to deliberate acts of defiance or circumvention. By understanding the truth of "Work as Done," we can identify areas for improvement and bridge the gap between expectation and reality. Join the conversation on our Facebook group to share your insights and experiences in navigating these challenges.   Original blog: https://www.thehumandiver.com/blog/Work-as-Imagined-vs-Work-as-Done   Links: The difference between the standards as written and what happens: https://www.thehumandiver.com/blog/analyzing-the-hidden-consequences-of-undermining-diving-standards Diagram of overlapping circles: https://humanisticsystems.com/2016/12/05/the-varieties-of-human-work/%E2%80%9C Facebook group: https://www.facebook.com/groups/184882365201810/ Further reading: https://www.thehumandiver.com/blog/what-does-human-factors-in-diving-mean https://humanisticsystems.com/2016/12/05/the-varieties-of-human-work/ https://psychsafety.co.uk/psychological-safety-work-as-imagined-vs-work-as-done/ https://www.rcog.org.uk/about-us/quality-improvement-clinical-audit-and-research-projects/each-baby-counts-learn-support/safety-thinking-toolkit/work-as-imagined-versus-work-as-done/ Tags:  English, Jenny Lord, Rules
The podcast delves into the issue of ignoring diving standards, highlighting the potential consequences and influencing behaviors within the industry. Despite the prerequisite for Rescue Diver certification before starting Divemaster training, some i nstructors overlook this standard for various reasons, from ignorance to time pressure or complacency. Direct consequences include students being inadequately prepared and potentially posing a danger to themselves and others, while influencing behaviors perpetuates a culture of shortcuts and compromises safety. The authority gradient between instructors and students means that instructors' actions significantly impact students' perceptions of importance and acceptable behavior. This influence extends throughout the diving community, emphasizing the need for adherence to standards to ensure safety and integrity within the industry.   Original blog: https://www.thehumandiver.com/blog/analyzing-the-hidden-consequences-of-undermining-diving-standards Links: Work as Imagined vs Work as Done https://www.rcog.org.uk/about-us/quality-improvement-clinical-audit-and-research-projects/each-baby-counts-learn-support/safety-thinking-toolkit/work-as-imagined-versus-work-as-done/ Giving yourself permission to do it again: https://www.thehumandiver.com/blog/normalisation-of-deviance-not-about-rule-breaking Tags:  English, Authority Gradient, Decision Making, Jenny Lord, Leadership
The allure of SCUBA diving offers unparalleled opportunities for underwater exploration but also comes with inherent risks that demand respect and understanding. This podcast, summarizing a conversation between industry experts, delves into the critical aspects of risk management and incident reporting in diving. Understanding the risks, the role of equipment in safety, learning from experience, psychological preparedness, and the importance of community are all explored in depth. Each dive presents unique challenges, requiring thorough planning, adaptability, and a keen understanding of the underwater environment. By sharing experiences and fostering a culture of safety, divers can collectively enhance their awareness and practices, ensuring safer and more enjoyable experiences beneath the waves. Safety in diving is a continuous journey, requiring a holistic approach that considers people, equipment, processes, culture, and the environment, with each dive serving as an opportunity for learning and growth.   Original blog: https://www.thehumandiver.com/blog/risk-management-podcast-review Links: Podcast: https://www.buzzsprout.com/2191453/14228917 2nd Podcast with Gareth: https://www.buzzsprout.com/2191453/14507924-interview-with-gareth-lock DEBrIEF model: https://www.thehumandiver.com/debrief Tags: English, Gareth Lock, Just Culture, Psychological Safety, Risk Management
In this podcast episode, we delve into the psychological impact of diving incidents, particularly focusing on the development of post-traumatic stress disorder (PTSD) within the diving community. While physical injuries from diving accidents are well-documented, psychological trauma often goes unnoticed and untreated. Research suggests that a significant portion of divers experience psychological effects even a year after an incident, affecting their overall well-being and decisions regarding future diving. However, the prevalence of PTSD in diving remains unclear due to limited reporting and awareness. Trauma related to diving accidents can have long-lasting consequences, affecting divers' mental health, social functioning, and their ability to cope with stress during subsequent dives. Despite the lack of formal diagnosis, unresolved trauma can lead to avoidance behaviors, anxiety, and even substance abuse. Addressing psychological well-being in diving is crucial for creating a safer and more supportive diving environment. Divers should be aware of the potential for psychological issues after an incident and know where to seek help. By prioritizing psychological support alongside physical safety measures, we can foster a culture of resilience and empowerment within the diving community.   Original blog: https://www.thehumandiver.com/blog/psychological-consequences-of-a-diving-accident Links: Fit to dive Reakcje psychologiczne i nurkowanie, opis terapii The psychological impact of accidents on recreational divers: A prospective study RISK OF SLEEP DISORDERS IN PATIENTS WITH DECOMPRESSION SICKNESS: A NATIONWIDE, POPULATION-BASED STUDY IN TAIWAN - - Psychiatria Danubina, 2019; Vol. 31, No. 2, pp 172-181 https://doi.org/10.24869/psyd.2019.172 A twelve-year longitudinal study of neuropsychological function in non-saturation professional divers Tags:  English, Andrzej Górnicki, Diving Psychology, Incident Analysis, Jenny Lord, Performance Shaping Factors, Psychological Safety, PTSD
In this podcast episode, we explore who should be driving change in the diving industry, drawing inspiration from quotes by George Bernard Shaw and Albert Einstein emphasizing the necessity of change for progress. While top-down leadership models are common, with executives setting the culture and direction, it's argued that true change often stems from the middle, where individuals are most affected. With millions of divers worldwide, those employed in diving, including instructors and professionals, hold significant influence and can champion higher standards and improved teaching methodologies. By advocating for better quality instruction and embracing current best practices, the industry can address issues like declining numbers and quality, ultimately fostering a safer and more satisfying experience for all divers. Encouraging discussions, teaching effective communication, and prioritizing skills training in buoyancy control can shape a positive culture shift that permeates through agencies and influences industry-wide change. As individuals in the middle, listeners are encouraged to envision the culture they desire and actively contribute to driving positive change within the diving community.   Original blog: https://www.thehumandiver.com/blog/who-is-responsible-for-change Tags:  English, Jenny Lord, Leadership
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
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