• Plan
• Do
• Check
• Act

Key actions in learning lessons effectively

Leaders and managers

• Show by your actions that safety is a core value
• Promote a questioning attitude. Make sure you are not only receiving ‘filtered good news’ - do you welcome feedback and constructive challenge?
• Resolve ineffective procedures that result in ‘workarounds’ or violations of procedures
• Be clear about your organisation’s risk profile
• Make sure your workers understand the risks that are being controlled
• Avoid complacency - take responsibility for keeping your own knowledge and capability up to date

Worker consultation and involvement

• Discuss plans with workers or their representatives
• Avoid overburdening workers with initiatives
• Involve workers in organisational change

Competence

• Ensure that those providing top-level scrutiny have sufficient expertise to judge the importance of emerging health and safety issues and integrate those with other business decisions
• Contractors must be competent and there should be checks in place to ensure they remain so
• Take steps to avoid the loss of corporate memory