Margaret Crichton

Many 21st century operations are characterised by teams of workers dealing with significant risks and complex technology, in competitive, commercially-driven environments. Informed managers in such sectors have realised the necessity of understanding the human dimension to their operations if they hope to improve production and safety performance. While organisational safety culture is a key determinant of workplace safety, it is also essential to focus on the non-technical skills of the system operators based at the 'sharp end' of the organisation. These skills are the cognitive and social skills required for efficient and safe operations, often termed Crew Resource Management (CRM) skills. In industries such as civil aviation, it has long been appreciated that the majority of accidents could have been prevented if better non-technical skills had been demonstrated by personnel operating and maintaining the system. As a result, the aviation industry has pioneered the development of CRM training. Many other organisations are now introducing non-technical skills training, most notably within the healthcare sector. Safety at the Sharp End is a general guide to the theory and practice of non-technical skills for safety. It covers the identification, training and evaluation of non-technical skills and has been written for use by individuals who are studying or training these skills on CRM and other safety or human factors courses. The material is also suitable for undergraduate and post-experience students studying human factors or industrial safety programmes.

After every emergency exercise or actual incident, reports are circulated that usually identify lessons that have been learned from the event. This paper identifies recurring themes from the lessons learned that can be widely applied across sectors. Typically, lessons are expressed in a form that is specific to the actual event that has transpired, the sector in which it has occurred, and the aims of the reporting organization. Reports relating to seven incidents that have occurred in the United Kingdom and internationally, from a range of sectors and with varying parameters, have been reviewed. It is concluded that organizations can become wiser by looking at incidents outside their own sector and by using these recurring themes to explore the resilience of their emergency plans. Recommendations are also made for best practices to improve the learning of lessons within organizations.

Many 21st century operations are characterised by teams of workers dealing with significant risks and complex technology, in competitive, commercially-driven environments. Informed managers in such sectors have realised the necessity of understanding the human dimension to their operations if they hope to improve production and safety performance. While organisational safety culture is a key determinant of workplace safety, it is also essential to focus on the non-technical skills of the system operators based at the 'sharp end' of the organisation. These skills are the cognitive and social skills required for efficient and safe operations, often termed Crew Resource Management (CRM) skills. In industries such as civil aviation, it has long been appreciated that the majority of accidents could have been prevented if better non-technical skills had been demonstrated by personnel operating and maintaining the system. As a result, the aviation industry has pioneered the development of CRM training. Many other organisations are now introducing non-technical skills training, most notably within the healthcare sector. Safety at the Sharp End is a general guide to the theory and practice of non-technical skills for safety. It covers the identification, training and evaluation of non-technical skills and has been written for use by individuals who are studying or training these skills on CRM and other safety or human factors courses. The material is also suitable for undergraduate and post-experience students studying human factors or industrial safety programmes.

There is growing recognition of the need to train non‐technical skills, especially decision making, for emergency management in high reliability industries as well as in contained environments such as prisons. This article presents a training method, Tactical Decision Games, which appears to provide a good opportunity to practise the non‐technical skills that would be required in the management of an emergency situation. Case studies from the UK nuclear power industry and the Scottish Prison Service (SPS) illustrate the adaptability and general application of TDGs for training of emergency response teams in a range of operational settings.