Authors
Lillian Espinoza-Gala, Antonie J Jetter, Ahmed Alibage
Publication date
2021/10/18
Journal
ACS Chemical Health & Safety
Volume
29
Issue
1
Pages
5-18
Publisher
American Chemical Society
Description
It is common for accident reports and the analysis of large-scale disasters, such as the Deepwater Horizon blowout, to point to communication failures. This narrow explanation implicitly assumes that accidents could be prevented if employees spoke up about safety. In contrast, the first author of this paper, whose professional experience is introduced in this Commentary to provide context, has frequently observed that there are, in fact, many cases when employees speak up but are not listened to. These patterns of communication (or lack thereof) occur at the intersection of personal, leadership, and organizational factors, which jointly affect how safety issues are recognized, communicated, and addressed. As such, communication problems are at “the tip of the iceberg” of safety problems, not at their root. In this paper, we review research on high-reliability organizations (HROs) with excellent safety records to identify their communication patterns and practices and how they contribute to the ability to enact five principles of HROs: preoccupation with failure, reluctance to simplify, deference to expertise, commitment to resilience, and sensitivity to operations. We then apply this lens to investigate the Deepwater Horizon disaster, based on court documents, expert reports, and personal interviews. Specifically, we investigate how the communication patterns between the onshore experts and the offshore crews compared to the recommendations of HRO theory and how existing discrepancies might help explain the accident. We found that many employees were aware of safety issues and communicated concerns openly, but there was little organizational …