My thought is that we’ve forgotten the discussion of more than a decade ago. There was a time when the thoughtful reflections on responsibility and accountability were much discussed.
Without focusing on specific examples, there are plenty to choose from, there’s the propensity of our institutions and politicians to reach for “blame” as a first response. When situations go bad the instinctive inclination to hunt out someone to blame. This is an all too prevalent habit.
Naturally, in cases, there’s the strong need to identify who is accountable for bad decisions. Society does not like it when the powerful protect, cocoon themselves and grab for immunity. Certainly, some people and organisations are genuinely blameworthy. However, if we scrutinise and point the finger of blame, it doesn’t help if that finger is pointed at a person’s honest errors. There isn’t a human on this planet who hasn’t made an error.
The finger of blame is easily pointed. Judgment so often falls after an event. The time when more is known, and hindsight comes into play. This tips the balance. It’s so much easier to say: why on Earth did you do that? I would never have done that.
For people to come forward and be fairly heard in an open and fair inquiry or investigation they need to have the confidence that they are not stepping into a public blame-fest. Without trust between those on all sides of it’s less likely that the truth will come out.
“Just Culture” is a concept written into aviation legislation and followed by others. The overriding aim is to learn from mistakes. It’s the surest way of not repeating the same mistakes time and time again. It’s beneficial to have that long-term learning objective. Why suffer the pain of a bad event when the means to avoid it are known and understood?
Now, I’m going back 20-years. I remember being part of an international working group[1] called GAIN. The group compiled guidance about organisational culture. At the time, the group was considering the subject in the context of the air traffic profession. Guidance like the one referenced, emphasise that a Just Culture is not simply a no-blame culture. It’s not, and never has been a way of circumventing accountability.
Determining culpability can be complex. There’s often a test to consider the wilfulness of the participants in a bad event. In other words, did they carelessly, intentionally, maliciously or negligently make decisions that resulted in the bad event? In these cases, the “they” could be an individual or an organisation.
Gross negligence, wilful abuses and destructive acts should be addressed by the enforcement of laws. If we say the criminalisation of honest people involved in bad events has a negative impact. That is not to negate the need for enforcement. Regulators in all sorts of walks of life have a duty to apply enforcement where and when it’s appropriate. Maybe we ought to have applied that to the UK water industry.
My plea here is to first consider the nature of the events in question. Was there an element of genuine honest human error? Is the right balance being struck between the need to learn and the need to ensure accountability?
NOTE: Just Culture is defined in EU law as “A culture in which operational staff or others are not held accountable for actions, acts, omissions or decisions commensurate with their experience and training, but gross negligence, intentional violations and destructive actions are not tolerated” EC 376/2014 Art. 2 Para. 12.
[1] A Roadmap to a Just Culture https://flightsafety.org/files/just_culture.pdf
John Vincent 