The workshop was (intentionally) not recorded. In the agenda below you can find (most of) the presentations for each day as well as a record of the many comments and questions that wsere exchanged on the chat.

4th International Workshop on "Safety-II in Practice":

towards a unified approach to all operations

September 21-23, 2021 - via Zoom

The fourth International Workshop on the theme of Safety-II in Practise took place via zoom on September 21-23, 2021. Below you will find all the presentations that have been received, as well as the discussion on the chat for each day.

The usual group photo is not possible in a zoom meeting. The screen shots below (courtesey of Josue Franca) at least gives an idea of who some of the participants were.

	Tuesday September 21, 2021
11:50 - 12:00	Welcome and introduction Hollnagel introduction	Erik Hollnagel, David Slater
Session 1.	A micro perspective:	Making sense of all operations.
12:00 – 12:30	Learning & Improvement Team (LIT) Charting a New Approach. (AA White Paper on the same topic)	J. Kwasny
12:30 – 13:00	Daily practice performance (work-as-done) compared to guidelines (work-as-imagined) of medication reconciliation at discharge: outcomes of a FRAM-study	L. M. van Dijk, L. van Eikenhorst, C. Wagner
13:00 – 13:30	Enhancing risk analysis using a conjoint method: FRAM - interpretive structural method – MICMAC	M. Cardoso
13:30 – 14:00	Assessment of Human Reliability and Human Performance In an Italian Multinational Energy Company	F. Fraboni, D. Gugliemi, M. G. Mariani, M. Borzi, C. Cerruti & L. Pietrantoni
14:00 – 14:30	Crowd-based safety investigations: the role of ontologies for functional modelling	M. Sujan, J. Watt, A. De Nicola, M.L. Villani, F. Costantino, A. Falegnami & R. Patriarca
14:30 – 15:00	Thematic discussion Tuesday's chat	David Slater
	Wednesday September 22, 2021
Session 2.	A meso perspective	Learning from all operations.
12:00 – 12:30	The unhappy marriage and how to improve safety	K. Smith
12:30 – 13:00	Learning from Weak Signals: the design of SECA (Structured Exploration of Complex Adaptions) in the Air Traffic Management domain	R. Patriarca, J. Leonhardt, A. Licu
13:00 – 13:30	A MASS safety analysis focusing on the role of the human: a systems engineering approach	N. P. Ventikos & A. Koimtzoglou
13:30 – 14:00	Identifying and managing what must be in place for work to go right using the Control Framework Approach Examples	M. Boyle
14:00 – 14:30	How to foster sustainable change. Examples from different industries.	A. Gebauer
14:30 – 15:00	Thematic discussion Wednesday's chat.	Pedro Ferreira
	Thursday September 23, 2021
Session 3.	A macro perspective:	Managing all operations – synesis
12:00 – 12:30	Safety – A Genetic Paradigm	R. MacKinnon & D. Slater
12:30 – 13:00	Understanding complexity and safety from top management to field operations in the edge of technology - Aerospace and O&G industries	J. Franca
13:00 – 13:30	Safety-II Perspective of Safety Science Educational Standards in the United States	M. Behm, B. Charlton, J. Dalto, R. Gantt, A. Heien, T. Hewitt, J. Howe, I. Pupulidy, J. Richardson & P. Walaski
13:30 – 14:00	How to use Leading Indicators in hospital practice and what can we learn from other fields?	M. Kroeze & P. Wimmer
14:00 – 14:30	A Real-Life Study of Safety II Thinking in Action	R. N. Knowles
14:30 – 15:00	Thematic discussion Thursday's chat.	Steve Shorrock
15:00 – 15:05	Final words	Erik Hollnagel

We hope to organise a more traditional workshop in 2022 and to really see you there.