Five Principles Visualization#
Todd Conklin is the host of the recommended PreAccident Investigation Podcast and recently published a book titled The 5 Principles of Human Performance. It’s an excellent introduction to high-performing organizations and the New View of Safety. To learn more, please visit Lorin Hochstein’s Github repo of resiliency papers.
In the meantime, I’ve distilled Todd’s Five Principles into a two different visualizations:
Mermaid#
Graphviz#
I’ve also created PDF and SVG versions. The SVG version doesn’t include the dotfile PNG references. I’m not sure what the issue is there.

Raw Text#
The full raw text of the Graphviz visualization is posted below. Thanks to Geoff Baskwill for the recommendation!
- Five Principles of Human Performance
- People Make Mistakes
- Errors are normal
- Since error is a normal state of existence, error is never causal
- Error is not the opposite of success. Error is a part of being successful
- Error exists in success as well as failure
- Errors are not choices. Error only becomes a choice in retrospect
- You can’t remove error so you must defend against the inevitability of error
- Good systems build in error tolerance
- Knowing errors will happen is a good thing
- An error without significance consequence is the closest thing to a leading indicator data you will find
- Learning And Improving
- Organizations have two choices when responding to failure: to learn and improve or to blame and punish
- Learning is a strategic and operational choice towards improvement
- Learning is a deliberate improvement strategy
- Knowing how work is done is difficult
- Workers are the experts, the profound users of the work process
- Workers always complete the process design
- Defenses are placed in systems, tested in systems, and strengthed in systems by learning how successful work is done
- Context Drives Behavior
- Workers do what they do for a reason. And the reason makes sense to the worker given the context
- Complex systems don’t lend themselves to traditional metrics
- Local rationale is information to be discovered, not to be weaponized
- The environment in which work occurs mainly determines workers behavior and actions
- Individual behavior is influenced by the organizational processes and values
- How You Respond to Failure Matters
- You have two choices: getting better or getting even
- You can blame and punish, or you can learn and improve, but you can’t do both
- You create the feedback systems you have
- Managers shape how organizations learn by their reaction to failure
- Every aspect of improvement is contingent on leadership’s deliberate decision to get better
- People are watching you
- Blame Fixes Nothing
- Blame is emotionally important, but not operationally important
- Blame makes error a choice in retrospect
- Blame takes up emotional and intellectual space with little added value
- Blame misdirects resources and strategies
- Blame is the opposite of encouragement
- People Make Mistakes
References#
Attributions#
Photo by Nick Fewings on Unsplash.
