Just culture · 6 minute read
When breaking the rule is how the work gets done.
An unsafe choice may be the final event before an incident. It is rarely the beginning of the story.
By Gabriel MuoioExperienced workers break safety rules.
They step onto the handrail of a scissor lift to gain the last few centimetres of reach. They use an explosive power tool from a stepladder because the proper access equipment is somewhere else—or was never provided. They bring prohibited tools onto site because those are the tools they believe they need to complete the job.
Sometimes this is complacency. Sometimes it is a deliberate and unjustifiable gamble. But treating every breach as proof of a worker’s poor attitude prevents an organisation from asking a more useful question: what made breaking the rule seem like the most workable option?
The decision matters
A worker’s action may be the final event in the chain preceding an incident, but it is rarely the beginning of the story.
Why did the worker stand on the handrail? Why did a prohibited tool return to site after repeated warnings? Why did an experienced person—someone who understood the danger—decide to continue?
In many cases, the worker is trying to satisfy the organisation’s primary demand: complete the work they have been assigned.
There is ordinarily no personal prize for finishing a maintenance task with the wrong equipment or improvising access to an awkward work area. The reward is simply that the job gets done, the deadline is met and the worker avoids being seen as difficult or incapable.
When a worker is expected to complete a task without adequate planning, suitable tools, practical training or a workable method, improvisation becomes predictable. Punishing the worker after the fact may compound the shame of a near miss or injury with stress and resentment, while leaving the conditions that shaped the decision untouched.
Permission is communicated through behaviour
After a breach, it is easy for an organisation to say that the worker should have stopped.
“We would have supported them.”
“They ought to have known better.”
“Safety comes before production.”
Those statements may all be formally true. The more revealing question is whether workers believe them when a deadline is approaching and the job is already behind.
What happens when someone delays an important task because the correct equipment is unavailable? Does the supervisor thank them for stopping, or sigh and ask how long it will take? Does management accept the delay, or immediately begin searching for a quicker answer? Is the worker treated as conscientious, or as the person holding everyone else up?
Culture is expressed in these small reactions. A stop-work policy says what workers are permitted to do. The organisation’s response tells them what they can actually do without paying a price.
A stop-work policy says what workers are permitted to do. The organisation’s response tells them what they can actually do without paying a price.
The substitution test
A just response does not begin by excusing the behaviour, nor does it assume the worker is at fault. It begins by examining the decision in context.
One useful question is:
Would another competent worker, placed in the same situation with the same information, equipment, pressures and supervision, be reasonably likely to make the same choice?
If the answer is yes, the problem is larger than the individual.
That does not make an unsafe action acceptable. It means discipline alone will not prevent it from happening again. Another worker facing the same conditions may reach the same conclusion, particularly if the improvised method has succeeded many times before.
If the answer is no—if the worker had a safe, practical and clearly understood option but knowingly chose an unreasonable shortcut—then accountability may be appropriate. Just culture is not the absence of consequences. It is the refusal to impose consequences before understanding what influenced the behaviour.
Three questions for the organisation
Before deciding that a breach resulted from complacency or disregard, an organisation should ask itself:
- Would we genuinely support a worker who delayed an important deadline for safety reasons, or would our reaction tell them they had let the team down?
- Do our procedures reflect the work as it is actually performed, including foreseeable complications, or do they describe ideal controls for ideal conditions?
- Do we routinely accept and benefit from improvised methods, only to condemn those same methods when something goes wrong?
Honest answers may be uncomfortable. They may reveal that workers have been praised for resourcefulness, speed and persistence while being left to absorb the risk those expectations create.
Accountability in both directions
Workers retain responsibility for the choices they make. Experience is not permission to ignore a critical control, and production pressure does not make every adaptation reasonable.
Organisations, however, are responsible for the environment in which those choices are made. They determine how work is planned, what equipment is available, how deadlines are set, what supervisors tolerate and whether stopping work is supported in practice.
The aim is not to transfer all blame from the worker to the system. It is to understand the relationship between them well enough to choose an effective response.
Sometimes the answer will be coaching. Sometimes it will be better equipment, improved planning or a procedure that reflects real conditions. In cases of reckless or deliberate disregard, it may be discipline.
The important thing is to determine which problem you are dealing with before selecting the remedy.