PreAccident Investigation Podcast
Sep 12, 2026 · 23 min · 8 segments
Todd joins James Newman and Ken Madsen on a special excerpt from the Counter-Errorism podcast to discuss productive safety, leadership change, and how investigations should inform solutions rather…
James NewmanHost
Ken MadsenHostOne is I think ultimately the things that work the best is the realization that the group that needs the biggest facilitation through change is the leadership team.
And that if you don't really spend your time, energy, effort, money, and resources changing the way leaders think, you will not be successful in changing the organization's approach to safety and reliability.
That's how key they are as really the gatekeepers to the ability to create a culture that can learn from itself.
And so if you don't spend your time with the leaders, in my opinion, I mean, just from doing this a really long time, you will not succeed.
So they're too damn important to, you know, take time away from their busy stapling of stuff to actually come and have this discussion.
But that's not nearly as severe as B, which is the fact that they believe they already do all this stuff.
I mean, I don't know if you guys have thought about that in your study for counter-errorism, which I really like your title.
But as soon as the bosses think they know the problem, there's no longer any necessity for them to learn about the problem.
Because once you identify what the problem is, then as a leader, you immediately switch gears into fixing.
We want to fix, which is one of the biggest issues, like at a place like Los Alamos, we can tell you this, is that an investigation oftentimes is really pushed towards finding a fix, but that's not really an investigation's job.
So what we want to identify really is a word we use in the Department of Energy called a judgment of need.
So you investigate to find a problem, and then the program owners own the solution.
Leaders are tough because, first of all, I've said this a bunch of times, but every organization is one senior leader away from starting again with all of their programs.
Not just human performance, but pick them in lean, whatever programs you're doing, especially around operational excellence, operational effectiveness.
One is I think ultimately the things that work the best is the realization that the group that needs the biggest facilitation through change is the leadership team.
And that if you don't really spend your time, energy, effort, money, and resources changing the way leaders think, you will not be successful in changing the organization's approach to safety and reliability.
That's how key they are as really the gatekeepers to the ability to create a culture that can learn from itself.
And so if you don't spend your time with the leaders, in my opinion, I mean, just from doing this a really long time, you will not succeed.
So they're too damn important to, you know, take time away from their busy stapling of stuff to actually come and have this discussion.
But that's not nearly as severe as B, which is the fact that they believe they already do all this stuff.
I mean, I don't know if you guys have thought about that in your study for counter-errorism, which I really like your title.
But as soon as the bosses think they know the problem, there's no longer any necessity for them to learn about the problem.
Because once you identify what the problem is, then as a leader, you immediately switch gears into fixing.
We want to fix, which is one of the biggest issues, like at a place like Los Alamos, we can tell you this, is that an investigation oftentimes is really pushed towards finding a fix, but that's not really an investigation's job.
So what we want to identify really is a word we use in the Department of Energy called a judgment of need.
So you investigate to find a problem, and then the program owners own the solution.
Leaders are tough because, first of all, I've said this a bunch of times, but every organization is one senior leader away from starting again with all of their programs.
Not just human performance, but pick them in lean, whatever programs you're doing, especially around operational excellence, operational effectiveness.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.