Applying tenants of behavioral science, Ludwig simply and effectively targets the (largely psychological) barriers to deep, actionable root cause analysis and lays out a framework for demystifying employee behavior to improve incident investigation, training, process inspections, and organizational safety culture as a whole.
Ludwig argues the conclusion of operator error in incidents is essentially defaulting to a vacuous label, a value-judgment of a person, which misses the boat in 94% of cases and always limits further root cause analysis.
Only through unbiased investigation (suppressing tendency to make value-judgements) and extensive conversation with operators (safety culture), can we penetrate superficially-obscure operants (behaviors) to reveal the course of neutral and predictable outcomes.
To fully comprehend and learn from behaviors we must look to the extensive web of circumstances in which employees make decisions, allowing us to isolate and address deviation, both positive (eg, hacks and best practices) and negative (eg, drift, process/training deficiencies).
Ludwig’s book covers all this and more in a style that’s open, entertaining and well-organized into digestible chapters which are complete with example scenarios and other anecdotal insights gleaned from a lengthy career of consulting in organizational behavior. This is the perfect little book to share and discuss with EHS professionals and operations managers who could all certainly benefit from a better understanding of employee behavior.