Operator failures that may be last straw are driven by design, culture, and management, Good culture drives creative design, Bad culture can stifle employee driven ideas

May not be recoverable, Usually at operational level, Consequences usually immediate

Probably recoverable, Usually at senior levels, Usually hidden until event triggers the consequence

Ensuring employees do not have competing goals (such as safety vs profit), Reducing mental workload pressures (management pressures can cause stress), Good decision making reduces chance of endangering yourself or others, Training employees which in turn will reduce violations and potential for mistakes

Babcock, 27,000 employees, High voltage transmission systems, Home Safe Everyday initiative, Divisional managing directors, Cross divisional visits and visibility, Sees managing directors visit other sites to raise profile, Health and safety encouraged through all levels, Launched safety excellence awards