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Human Error

Ali Hylton

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Set in an apocalyptic version of 2033, ‘Human Error’ follows a young adult named Billie as they travel across South Central Texas where society has fallen to hordes of zombie-like creatures called Errors. Having lost their own family and friends to death and tragedy, Billie takes refuge with a group of other survivors seeking safety and a cure for Errors. But Billie has more in common with the Errors than they’d like to admit to their companions. ‘Human Error’ dives into loss, love, and find ...
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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 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 comm…
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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 thoro…
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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 …
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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 …
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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…
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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 …
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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 o…
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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 r…
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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 le…
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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 indivi…
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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 …
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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 c…
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In this podcast episode, we explore the often-overlooked impact of weather, particularly heat, on divers' cognitive and physical abilities. Despite the common perception that warm temperatures are ideal for vacations, studies reveal significant cognitive impairment in individuals exposed to heat, especially without air conditioning. From decreased …
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In this podcast episode, we delve into the contentious debates within the diving community, focusing on the half turn back of tank valves as a prime example. Exploring a recent Facebook group discussion with diverse opinions, ranging from staunch supporters to strong opponents, the episode delves into the broader issue of anchoring bias in scuba di…
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In this podcast episode, we delve into the crucial role of mistakes in the learning process, drawing parallels between human learning and artificial intelligence. Reflecting on the challenges of learning to dive, the narrative emphasizes the importance of trial and error, highlighting that making mistakes is an inherent part of improvement. The epi…
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In this podcast episode, we explore the challenge of bringing about change, emphasizing the importance of recognizing value in stories. Three compelling examples are discussed: a near-fatal diving incident due to an oxygen mix-up, a media company's critical review of a faulty rebreather incident, and a rural Indian village adopting latrines after w…
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Dive into the world of diving safety with insights from Gareth's blog on counterfactuals in this podcast episode. Jenny tackles common but unhelpful statements following accidents, such as "They should have paid more attention" and "They lacked situation awareness." The episode explores practical strategies for divers, focusing on increasing capaci…
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In this podcast episode, Jenny shares a humorous yet insightful experience from assessing an instructor course, highlighting the common issue of miscommunication. The example involves a diver misinterpreting hand signals during a training exercise, leading to an unexpected outcome. She explores the challenge of ensuring clear communication, emphasi…
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In this podcast episode, we explore a diving incident where two divers entered a wreck without laying a line, resulting in a challenging situation inside a room. We reflect on common responses that often follow such incidents, emphasizing the limitations of retrospective counterfactuals, where people tend to say what the divers "should have," "coul…
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In this podcast episode, we explore the profound wisdom encapsulated in various quotes about learning from mistakes. Quotations from figures like Oscar Wilde, Samuel Levenson, and Mary Tyler Moore emphasize the importance of embracing errors as opportunities for growth. The discussion delves into the challenge of learning from near-misses and the c…
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In this podcast episode, Gareth reflects on the challenges of learning from near-misses, particularly in the context of recent tragic events involving the loss of the Titan submersible. The episode explores the biases that hinder our ability to analyze and learn from incidents, emphasizing the complexities of socio-technical systems and the difficu…
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In this podcast episode, Gareth delves into the concept of near-misses in diving, exploring the two categories: those that "could happen" and those that "almost happened." The distinction lies in background risks versus perceived risks influenced by cognitive biases. The episode draws parallels with real-world examples, such as the normalization of…
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In this podcast episode, Gareth recounts the experience of an experienced cave diver during what was intended to be a routine sidemount dive. Despite their expertise and previous successful dives, this particular excursion took an unexpected turn, prompting reflection on why certain factors may not be apparent in the moment but become evident in hi…
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In this podcast episode, Gareth shares insights gained from conversations with survivors of the recent Carlton Queen liveaboard incident off the coast of Egypt. The survivors recounted harrowing experiences during the ship's sinking and discussed conditions that seemed "odd" in hindsight. The episode delves into the challenge of recognizing latent …
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In this podcast episode, Gareth reflects on the power of assumptions in everyday life, using examples ranging from a humorous cycling sign to more serious incidents in diving. The discussion explores how assumptions, while essential for navigating the complexity of daily activities, can sometimes lead to oversights and mistakes. Drawing parallels w…
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In this podcast episode, the focus is on how we interpret and learn from incidents in diving. Using the analogy of a vase breaking, the episode explores how the language we use to describe events can influence our understanding. It presents two diver scenarios, emphasizing the importance of context in shaping behavior and decision-making. The podca…
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In this podcast episode, the discussion revolves around risk management in diving, sparked by an incident in a remote location. The episode explores fundamental principles applicable to all diving scenarios. It begins by emphasizing the inherent hazards in diving and the potential fatal outcomes associated with various risks. The "bow-tie model" is…
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This podcast episode explores the critical importance of designing checklists for rebreather and general diving operations, drawing parallels with aviation practices. The episode delves into the 'Challenge and Response' checklist method widely used in aviation, emphasizing its role in enhancing safety, systematic verification, and crew coordination…
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This podcast episode explores the crucial role of checklists in enhancing safety and standardizing procedures in various fields, with a focus on diving. Delving into the complexities of checklist design and execution, the discussion emphasizes the importance of considering human factors, operational conditions, and the social environment. While che…
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In this podcast episode, Gareth delves into the nuanced concept of safety in diving, challenging the perception of what constitutes a "safe" dive. Examining different dive scenarios, from reef dives to wreck penetrations and cave dives, the episode explores the subjective nature of acceptable risk levels based on individual training, skills, and ex…
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In this podcast episode, Gareth explores the complexities of risk management in diving, emphasizing the hazards involved, including drowning, hypoxia, hyperoxia, entanglement, and decompression illness. The discussion challenges the traditional concept of risk, highlighting that in diving, uncertainties are managed, not risks, due to the unknown pr…
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In this podcast episode, Gareth explores the nuanced meanings of terms like success, failure, good, bad, and safe within the context of a two-week workshop for developing Human Diver instructors. The workshop incorporates realistic simulations with live students from diverse backgrounds, posing challenges in team formation. The episode delves into …
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In this podcast episode, the host reflects on the crucial role of human factors in diving, particularly in the context of scientific diving, where diverse skills are essential for conducting underwater research. The episode details the experience of implementing human factors training in the first Occupational Scientific Diving Training class at th…
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In this podcast episode, Gareth explores the safety practices of aviation and nuclear industries, and their relevance to diving. Rather than focusing on regulations, the discussion centers on five key principles derived from Human and Organisational Performance (H&OP). The principles delve into understanding human error as normal, avoiding blame in…
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In this podcast episode, Jenny delves into the concept of trust, drawing a historical connection to the origin of the term "confidence man" in the late 1940s. The story of William Thompson, a small-time thief, serves as an analogy to highlight the importance of integrity in building trust, especially in teamwork. The discussion emphasizes that whil…
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In this podcast episode, Gareth shares his insights from a presentation given to young CEOs and presidents during a diving trip, focusing on applying lessons from diving to non-diving environments. The discussion encompasses topics like organizational drift, competing goals, creating a shared mental model using non-technical skills, and fostering a…
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In this podcast episode, the focus is on a scenario involving three teams of divers tasked with finding a wreck in challenging underwater conditions. The problem requires a mix of decision-making and situation awareness, emphasizing the importance of understanding the current situation, recognizing patterns, and projecting ideas into the future. Th…
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In this podcast episode, the focus is on the importance of taking action and addressing issues in various environments, drawing parallels to a scenario in fire safety training. The speaker reflects on the quote, "The standard you walk past is the lowest standard you accept," emphasizing the responsibility of leaders to initiate change by not overlo…
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In this podcast episode, Mike Mason, an instructor for The Human Diver in Australia, shares insights from his recent week-long dive training course focused on MOD 2 CCR. Emphasizing the importance of teamwork, he discusses key takeaways applicable to all divers, regardless of their specific diving interests. Mike delves into the significance of tea…
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In this podcast episode, we explore the challenges of diver training and the limitations of a formulaic approach in preparing divers for real-world uncertainties. The discussion revolves around the difficulties of transferring tacit knowledge from experienced divers and instructors to students within the constraints of short course durations. The e…
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In this podcast episode, we delve into the tragic details surrounding a fatal diving accident between friends, investigating a series of factors leading to the unfortunate outcome. The incident took place outside formal dive center procedures, raising questions about the supply of compressed air by unlicensed operators and the lax recertification r…
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In this podcast episode, we explore the concept of human error in diving and how it relates to different types of errors, including slips, lapses, mistakes, and violations. The episode highlights that errors alone aren't the primary issue; they need to occur in a specific context where hazards and control/mitigation measures are present to impact s…
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In this podcast episode, we delve into the four stages of learning, offering insights into the learning journey of a diver, from novice to expert. We begin with the first stage, unconscious incompetence, where beginners are unaware of their lack of knowledge and often rely on step-by-step instructions. The journey continues to the second stage, con…
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In this podcast episode, the focus is on the significance of learning from diving incidents, accidents, and near-misses, as these provide valuable lessons for safety improvement. While media attention tends to center on fatalities, the episode argues that a "Just Culture," emphasizing a psychologically-safe environment for open conversation, can pr…
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This podcast episode delves into the concept of a "Just Culture" in the context of diving, addressing potential confusion within the diving community. A 'Just Culture' revolves around fostering an environment of trust where individuals are encouraged to share safety-related information without fear of retribution, while also defining the boundaries…
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In this podcast episode, we explore the concept of "common sense" and how it relates to decision-making, especially in uncertain situations like diving. Often, the hindsight bias leads us to believe that situations should have been obvious, but in reality, decision-making is influenced by various factors, including previous experiences and social i…
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In this podcast episode, we delve into the crucial concepts of psychological safety and a Just Culture in the context of diving, teams, and organizations. These two terms, while closely related, have distinct roles in fostering learning, improvement, and safety. The episode begins with a scenario illustrating the interplay of these concepts in a di…
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In this episode, we explore the journey of Nic Emery, a graduate of the Human Factors in Diving course, as she shares her experiences in cultivating psychological safety within her dive center, The Fifth Point. Nic emphasizes that this endeavor is a continuous process, requiring self-reflection, time, and commitment. She narrates how her team began…
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In this podcast episode, we delve into the realm of Human Factors in diving, breaking down its fundamental concept of designing systems that facilitate correct actions and deter mistakes. Human Factors in diving encompasses various aspects, including improving teaching techniques, minimizing errors in equipment use, and promoting a culture of inqui…
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In this podcast episode, we explore the concept of Situation Awareness (SA) in diving. We learn what SA is, why it's crucial for safe diving, and how to recognize when it's compromised. The episode introduces a model by Mica Endsley that breaks SA into three layers: perception, comprehension, and projection. It then discusses why SA matters, emphas…
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