Counter-Errorism in Diving: Applying Human Factors to Diving

The first-ever Human Factors in Diving Conference, held on September 24-25, 2021, brought together 27 speakers from around the world to explore the application of human factors, non-technical skills, Just Culture, and psychological safety in diving. Spanning nearly 25 hours of content over two days, the event showcased a global virtual conference model using the LexGo Live platform, with a focus o...

Accidents in diving, and life, rarely stem from a single "root cause" but rather from a complex interplay of factors—technical skills, context, randomness, and non-technical skills like communication and decision-making. This episode explores how cognitive biases, such as the fundamental attribution error, often lead us to blame individuals rather than considering the broader system in which event...

In this episode, Gareth Lock delves into the nature of human error, exploring concepts like slips, lapses, mistakes, and violations through the lens of safety research and diving experiences. Drawing on James Reason’s work, Gareth explains how understanding errors and violations—whether unintended or situational—can foster learning, reduce outcome bias, and improve safety systems. By openly discus...

In this episode, Gareth Lock explores the critical role of checklists in enhancing safety and reducing errors in high-risk environments like diving, surgery, and aviation. Drawing insights from Atul Gawande's The Checklist Manifesto , Gareth highlights how properly designed checklists can prevent lapses, improve communication, and establish a culture of accountability. Despite resistance from thos...

In this episode, Bart Den Ouden reflects on the importance of mastering the basics before taking on advanced challenges, using ice diving as a vivid example. During a rare opportunity for ice diving in the Netherlands, Bart observed several instructors rushing into instructor-level ice diving certifications without adequate experience. Drawing parallels with the Dunning-Kruger effect and highlight...

In this episode, we explore the critical role of leadership and decision-making in diving safety, using a real-life story about a young instructor, “Jack,” who made a risky dive on a rebreather he wasn’t certified to use. Despite his confidence, Jack’s actions reflect dangerous cognitive biases like overconfidence, outcome bias, and normalization of deviance, shaped by a culture of cutting corners...

In this episode, we explore how listening to your inner voice can be a lifesaver, both in diving and everyday life. Bart Den Ouden shares his personal journey of uncovering severe heart issues despite passing regular diving medicals, emphasizing the importance of recognizing warning signs and overcoming cognitive biases like denial and confirmation bias. We also discuss a diver’s near-fatal experi...

In this episode, we delve into risk management and decision-making in diving, exploring the difference between personal and professional responsibilities. Using a case of a divemaster tasked with guiding divers on a challenging wreck dive, we examine the complexities of managing hazards, understanding acceptable risks, and the impact of assumptions and biases. The conversation highlights the impor...

In this episode, we explore the importance of preparing for failure in diving education, inspired by Hal Watts' quote: “The most dangerous thing about diving is divers themselves.” Using a real-life example from a scuba Instructor Examination, we highlight how training focused solely on passing exams can lead to complacency and poor decision-making in real-life scenarios. Diving instructors and tr...

In this episode, we explore the dangers of "normalisation of deviance"—the gradual erosion of safety standards through repeated shortcuts—and its impact on rebreather diving and other high-risk activities. Drawing on lessons from aviation and diving, we discuss how human factors, cognitive biases, and systemic drift contribute to accidents, emphasizing that outcomes should not be the sole focus wh...

This episode dives into the critical role of human factors in safety, using a tragic aviation incident and its parallels in diving to illustrate how distractions, pressures, and systemic issues contribute to accidents. We explore how a Royal Air Force training film, "Distractions," highlighted the cumulative factors behind a hypothetical crash, emphasizing the need for shared responsibility in pre...

In this episode, a newly qualified Human Factors in Diving Instructor shares their journey of grappling with impostor syndrome and the challenges of teaching human factors to divers. Despite over a decade of diving instruction experience, they recount feeling inadequate compared to peers and doubting their knowledge, especially when students might view human factors as "common sense." Reflecting o...

This episode dives into the critical importance of recognizing deviations from the norm in diving, a concept rooted in situational awareness. Inspired by the 1972 attack at Lod Airport, Bart den Ouden draws parallels between how assumptions can blind us and the role of training and experience in diving. By understanding what “normal” looks like, divers can detect and respond to unexpected changes....

In this episode, we explore the pitfalls of blindly trusting technology through two cautionary tales—one about a GPS mishap in snowy Quebec and another about divers relying solely on their computers. Automation offers precision and convenience, but over-reliance can dull our awareness and problem-solving skills. We discuss how this applies to diving, where dive computers are invaluable but prone t...

In this episode, we explore how safety in diving is not just about avoiding accidents but about building systems that can fail safely. Drawing on a real-life incident shared by Phil Short, we examine how a small technical issue—debris in a rebreather valve—could have escalated into a life-threatening situation during a cave dive. We highlight the critical role of technical preparation, situational...

In this episode, we dive into the concept of psychological safety and its critical role in diving and team performance. Psychological safety, defined as a shared belief that it's safe to take interpersonal risks, enables people to ask questions, make mistakes, contribute ideas, and challenge the status quo without fear of judgment or reprisal. Drawing on insights from experts like Amy Edmondson an...

In this episode, we explore the double-edged nature of goal setting—how it drives achievement but can also lead to risky decisions when pressure and commitment override safety and judgment. Using examples from mountaineering and advanced diving, including a personal story about a challenging CCR trimix course, we delve into the concept of "destructive goal setting." The discussion highlights how e...

In this episode, we explore the concept of counterfactual reasoning—our tendency to imagine how incidents could have been avoided by different actions—and why it falls short in improving safety. While this type of hindsight helps us feel better by creating a sense of order, it doesn’t address the real-world conditions or decisions that led to the incident. Instead of asking, "Why didn’t they do Y...

In this episode, we explore a personal account of a Gareth’s experience with decompression sickness (DCS) and the critical decision-making process that followed. The story dives into the internal monologue, biases, and stigmas surrounding DCS, highlighting how emotions and uncertainties influence risk-based decisions. We also examine industry practices, the importance of creating a psychologically...

In this episode, we explore Professor James Reason's Swiss Cheese Model, which helps explain how incidents occur when multiple safety barriers fail at different levels within a system. We discuss how organizational, supervisory, and individual errors can combine to create accidents, and how the holes in these barriers move and shift over time. Using dynamic models, we highlight that safety is an e...

In this episode, we dive into the concept of "good enough" in diving and how it relates to decision-making, risk, and safety. We explore why terms like "safe" and "good" are subjective and often influenced by context, experience, and social pressures, rather than absolutes. Using real-life examples, we discuss how divers weigh trade-offs between efficiency and thoroughness, balancing time, money,...

In this episode, we explore how decision-making under uncertainty plays a crucial role in scuba diving, drawing insights from Prospect Theory and real-life scenarios. We discuss how psychological factors, like loss aversion, influence divers to take risks they might otherwise avoid—whether it's diving with faulty gear after weeks of being unable to dive or dealing with pressures during high-profil...

In this episode, we explore how risk is perceived and managed in diving, where emotions, biases, and mental shortcuts often outweigh logic and statistics. Diving fatalities are statistically rare, but those numbers don’t resonate emotionally—our decisions are more influenced by stories and personal experiences. Through real-life examples, we unpack biases like availability bias, outcome bias, and...

How do you measure safety in diving? This episode dives into a real story of a dive team that adapted to an emerging safety risk when two divers, certified but inexperienced in drysuits and challenging conditions, showed signs of stress. Through situational awareness, communication, and teamwork, the team adjusted their plan, choosing a safer dive site where the less experienced divers could build...

In this episode, we explore the decision-making challenges in diving, sharing a personal story of risky dives and lessons learned. A diver reflects on their early diving experiences, from breaking training depth limits to encountering equipment failures at 30m, and how a lack of knowledge and overconfidence contributed to risky choices. We discuss the importance of understanding context when evalu...