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Safety Culture from the Historical Focal Point of the Big Blue Accident
Abstract
The research objective of this study is to assess the development of safety culture in construction
and engineering industries using the Big Blue crane collapse that occurred in Milwaukee,
Wisconsin in 1999 as a historical focal point. Construction accidents, particularly those that
cause injury or death, act as special catalysts in industry that propel forward safety efforts
(McCann, 2008). The last few decades have witnessed a concerted effort on the part of
construction and engineering industries to position safety culture as vital. Despite the challenges
of increasingly complex technology and projects, individuals, organizations, and the industry
more broadly have become invested in developing safety culture. This study analyzes the growth
of safety culture and how technical and professional communication can best support its
documentation, and construction and engineering norms are examined in coordination with one
another in order to evaluate what safety culture is in this context, how it can be applied, and how
Table of Contents
Abstract ........................................................................................................................................... 2
Safety Culture Interaction Model and Application to Big Blue Collapse ........................ 21
Accessibility .......................................................................................................... 36
Emphasizing Responsibility.................................................................................. 45
4
References ..................................................................................................................................... 50
5
List of Figures
Chapter I: Introduction
Communications trends within virtually all disciplines have radically shifted over the last
burgeoning project complexity has necessitated a more purposeful and engaged communications
atmosphere. All fields have been subject to notable shifts in communications, but an impressive
evolution in the engineering and construction industries can serve as a case study and model for
emerging cultural conditions can also help inform technical and professional communicators and
those in industry regarding how fundamental communications principles can further bolster
ongoing efforts.
remarkable rate (Choudhry, 2007; Wamuziri, 2006). Spurred on by the scope of past catastrophic
failures, these industries have embraced a new trend of communications that prioritizes safety
and openness as a fundamental principle (R. Stemp, personal communication, March 16, 2021).
When considering the communications climate and limitations of even the recent past, it is
commendable that these industries have demonstrated such commitment to safety. From an
industry culture that suppressed objection in the interest of productivity, to one that welcomes
each worker’s right to speak up, the integration of safety culture is a testament to what
purposeful communication can accomplish in even a short time. While work in cultivating safety
culture is ongoing, there are real and exciting changes that have transpired indicating an industry
wide commitment to safety. These changes came and continue to come with significant effort on
the part of those in industry and are often spurred forward by high visibility catastrophic failures
that are indicative of underlying concerns. One such incident that will act as the focal point of
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this study and that inspired a significant shift in industry culture is the Big Blue crane collapse at
The groundbreaking for Miller Park took place in Milwaukee on November 9, 1996
(Photos: How Miller Park Took Shape Over the Years, 2019). Excited fans could watch Miller
Park taking shape from their seats in the former ballpark, County Stadium. Miller Park loomed
like a goliath of modern engineering, its iron skeleton hinting at the complexity of the structure.
In an effort to shield against Milwaukee’s temperamental weather, Miller Park was built with a
retractable roof, the first in Wisconsin’s history (Miller Park Milwaukee, n.d.). It was and is truly
an achievement and one of the crown jewels of Milwaukee. As the grandeur of Miller Park
On July 14, 1999, three years after construction had commenced, a crane nicknamed Big
Blue lifted two sections of Miller Park’s famed retractable roof totaling 450 tons under
tumultuous conditions. The project was already falling behind, and Mitsubishi Heavy Industries
faced a significant deficit. Projects facing scheduling challenges and contractors contending with
financial concerns can be a dangerous combination. The additional pressure has the potential to
This type of atmosphere can create unique communications challenges that deprioritize
safety and compliance in the interest of spurring the project forward. Construction and
engineering industries are not unique in this way; however, the project scope and potential risk is
distinct, particularly the risk to human life. It is important to note that the challenges faced by the
Miller Park project did not necessitate the outcome. Environmental concerns and project pressure
did contribute to the accident, but this study aims to argue that they were not the foundational
cause. The lack of safety culture and a hostile communications climate created an atmosphere in
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situation is not the result of a single environmental factor and is often subject to communications
obstacles. By assessing the details of this incident in conjunction with reviewing safety culture
efforts, communications professionals can gain an understanding on how to best engage with the
industry. The unique nature of construction is demonstrated in the Miller Park project, which can
provide a valuable lens for technical and professional communicators who wish to support safety
The Miller Park project had a strict completion date; with the Milwaukee Brewer’s
season ahead, owners had a significant financial and social investment in a punctual completion.
While the crane lifted the sections of roof, an OSHA official looked on, recording the event in a
memorialized and heartbreaking video accessible to this day. In a span of about 30 seconds,
starting with a cracking boom that reverberated across the site, the “Big Blue” crane collapsed,
killing Jeffrey Wischer, William DeGrave, and Jerome Starr, three Iron Workers Local 8
members who watched from a suspended basket as the crane collapsed (Fallone, 2001). The
collapse also injured five others, caused $100 million worth of damage, and delayed construction
of the park one year (Fallone, 2001). Conflicting accounts and the situation’s complexity resulted
will also reflect on the construction industry as a whole and how a safety culture that was
and engineering industries is a notable phenomenon, there are limits to its examination. The
foremost challenge lies in the work itself; construction and engineering industries are project-
based, causing difficulty in assessing conditions with consistency (Biggs, 2013). There are also
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issues related to dissecting and understanding complex projects, such as the building of Miller
Park, that contain multiple layers of contractors, subcontractors, and workers. This creates a
challenging to assess a prevailing culture. There is also variation in the work, with projects
including, “commercial and residential buildings, roads and motorways, tunnels and bridges,
railway lines, electrical, gas and water services, and work in open-cut mines” (Biggs, 2013).
Based on the sheer quality and quantity of work done by engineering and construction industries,
it would be impossible to suggest that the same cultural standards hold across disciplines.
safety culture as a phenomenon, and its importance, there is disagreement on how it should be
defined. Experts argue on the usefulness of certain definitions to the industry, and even some
argue that any definition of safety culture at all may invite complacency (Antonsen, 2016).
Disagreement regarding the specifics of safety culture also limits the ability of research to
collaborate meaningfully. Still, there is widespread agreement that a phenomenon promoting the
importance of safety has taken root within construction and engineering industries in recent
decades.
Despite limitations, there is great value in researching safety culture. There is,
undoubtably, on both an anecdotal and research level, a movement towards prioritizing safety
(Feyer, 2004). As communications professionals, it is essential to assess the processes that are
proving effective at promulgating safety culture. Through this research, we can gain a better
understanding of which changes are producing desired results and how communications
principles may help to inform decisions that support safety culture development. In doing so, a
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reduction in risk and accidents will result in greater productivity and decreased personal and
The benefits of safety culture are evidenced in various facets of industry and project
assessment. For example, a 2016 study by Dodge Data and Analytics indicates a significant
positive impact of safety culture from 2012 to 2015 using various metrics for analysis. Positive
impacts of safety in four areas, Project Budget, Project Schedule, Project Return on Investment
(ROI), and Reportable injuries, increased from 2012 to 2015 (Jones, 2016). The most significant
increases in positive impact were noted in Project ROI (e.g., 6% increase) and Reportable
Injuries (e.g., 10% increase; Jones, 2016). This data demonstrates that safety culture has an
industry wide impact with business and financial implications. These implications are being
noted and tracked, providing useful insight into the organizational changes that safety culture can
promulgate. Technical and professional communicators in support of safety culture can capitalize
on these benefits. The organizations who have implemented effective safety measures observed a
marked increase in productivity metrics. Communicators can integrate this knowledge into
Attitudes of corporate financial decision makers have also notably shifted in support of
safety culture. A 2007 survey study indicates that the majority of such decision makers,
“believed that the indirect costs associated with workplace injury were higher than the direct
costs…that money spent improving workplace safety would have significant returns” (Huang,
2007). Responses demonstrated that the top benefits of “effective workplace safety programs”
included, “increased productivity, reduced cost, retention, and increased satisfaction among
employees” (Huang, 2007). This survey response supports the notion that by integrating a safety
lens into project and accident assessment, industry professionals can gain a greater understanding
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of underlying causes and the implications of ineffective safety standards. The awareness of how
safety culture impacts every area of industry is working to propel safety efforts.
Safety culture is further working to change the industry landscape beyond projects and
even organizations. Workers are making the choice to prioritize safety in their job search,
resulting in companies who embrace safety culture being viewed as desirable. This creates
strategies and the general success of organizations who propagate safety culture. A 2017 survey
regarding recruiting indicated that, “safety of the work environment was among the top criteria
employees consider when evaluating a new job offer” (Workplace Safety can give Small
Business, 2017). Surprisingly, safety was prioritized before such considerations as “opportunities
for professional growth” (Workplace Safety can give Small Business, 2017). A positive trend on
both an individual and industry level, this drive towards organizations who prioritize safety will
allow leaders to attract top talent. Thus, the benefits of safety culture will continue compounding.
These factors, when observed together, indicate a prevailing and industry-wide prioritization of
as construction and engineering industries. Therefore, the principles and procedures that may
function well in one discipline may not be useful in another. This research will work to
understand the perspective of construction and engineering professionals and then integrate
healthy safety culture. With open communication comes greater understanding, synthesized
learning, and an overall greater investment in safety culture by all workers. Communication can
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help to support the development of safety culture in meaningful ways by being responsive to
industry needs.
13
This study aims to synthesize information and context from a variety of sources on
communication trends in construction and engineering with a special consideration towards the
development of safety culture. Construction and engineering industries respond with particular
change in industry. As such, this study observes the Big Blue crane collapse as a historical focal
point. This study draws from a variety of sources in order to construct an overarching narrative
that adequately represents industry shifts and demonstrates how technical and professional
Community Interest
Due to the extreme visibility of the Big Blue crane collapse, public facing documents,
such as news reports and magazine articles, provide a meaningful perspective on the community
impact and response. Construction and engineering industries build and maintain our world and
the immense nature of projects positively correlates with the hazardous conditions. Occupational
Safety and Health Administration (OSHA) statistics indicate that in 2019, 20% of all worker
fatalities occurred in construction (Occupational Safety and Health Administration, n.d.). This is
a considerable portion, and communities have taken notice. Populations react viscerally to the
loss of life of construction workers who are working to build the community. The profound sense
of loss provides a humanitarian context through which to contend with harrowing statistics and
the resulting safety efforts. Information of public interest also serves to deconstruct complicated
The significant repercussions of the Big Blue crane collapse resulted in a lengthy and
tumultuous legal proceeding that continued to uncover specifics regarding the events leading up
to the accident. The legal document references and reflections included in this work provide a
valuable perspective that describes events, engineering concerns, and liabilities. By examining
the project and accident via a legal perspective, clarity emerges that allows for a modeled
reflections, and references provide the framework for engaging with Fang’s Safety Culture
Legal reflections and testimony tell a story—one of many, perhaps—but one that has
been accepted and vetted by the legal system as true. In a situation fraught with compounding
factors, it is essential to operate from an established sequence of events with the proper
environmental considerations. Legal proceedings allowed each party to engage and provide
evidence in support of their claims. This is a vital element of understanding the communication
While a concept explored and integrated much more completely in recent decades (R.
Stemp, personal communication, June 10, 2021), safety culture is not a novel idea. In fact, safety
culture, or lack thereof, is often referenced when reflecting on some of the highest visibility
catastrophes in history. For example, the International Atomic Energy Agency or IAEA, referred
to poor safety culture as a fundamental cause of the disaster in Chernobyl (International Nuclear
Safety Advisory Group, 1992). The need for a focus on safety culture also does not seem to be
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However prevalent the concept of safety culture has become in industry literature, it
remains challenging to define with clarity and purpose. Agreement among experts seems to
indicate that there is more research required into the phenomenon of safety culture, but it appears
that agreement ends there: “what critics are pointing to is a lack of theoretical models and
frameworks to explain the relationships between organizational culture and safety” (Antonsen,
2016).
safety culture resulting from the Big Blue crane collapse, it is important to consider first what
culture is in this context. We may consider culture to be, “the frames of reference through which
information, symbols and behavior are interpreted and the conventions for behavior, interaction
and communication are generated” (Antonsen, 2016). This successfully positions culture as both
a private and public phenomenon; culture grants the individual the ability to meaningfully
perceive the world and draw conclusions, and it allows the system more broadly to function
based on “patterns of [shared] meaning” (Antonsen, 2016). This definition of culture is useful for
the examination of growing safety trends in industry because it informs individual action and
group behavioral patterns and mentality. This is how safety culture operates within an
organization. It is integral to the worker, on any level of skill or management, and must be
discussing communication trends, principles, and procedures. Culture facilitates the effectiveness
of communication and determines the style and manner that is appropriate. Culture sets the
individual’s expectations and serves as a framework for how an organization interacts internally
and externally. While culture can be challenging to define, it provides the necessary context for
to be made, the cultural conditions must be appropriate. This is integral to promoting positive
to be effective, or even reasonable, in any cultural context. By assessing cultural conditions and
Culture within an industry, and then within an organization, closely mirrors these
principles of engagement. The patterns of meaning and behavior observed within industry shape
an individual’s perception and guide their actions. This understanding, and its consequences,
contributed to the alarm and action of the construction and engineering industries. An industry
atmosphere that had previously been marred by potential job instability and an unyielding
hierarchy needed to foster a culture of openness in order to evolve (R. Stemp, personal
communication, March 16, 2021). The frames through which industry members viewed their
working relationships, position, and perhaps most significantly, their own role in safety, had to
adjust to accommodate dissent appropriately. However, dissent can only be voiced when workers
are appropriately trained. Therefore, more stringent training protocols with defined standards
shaped the industry workforce (R. Stemp, personal communication, March 16, 2021). More
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broadly, the industry itself had to function as a network of open communication, modeling the
irrelevant, organizations and industries form cultures. It then requires concerted effort to shift a
culture towards an outcome, particularly when that outcome may initially appear to run counter
to productivity (R. Stemp, personal communication, June 10, 2021). If culture provides the frame
through which an individual views and interacts and how a broader system functions, then a
culture dedicated to safety, “must be understood in relation to the presence of some hazard or
risk” (Antonsen, 2016). Without the presence and acknowledgement of risk (and in the case of
construction and engineering, this risk is substantial on both a personal and economic level), our
theoretical model for assessing culture fails to integrate the appropriate frame. Safety culture can
only exist to combat risk, and it is when that risk is made so plainly evident that the need for
change becomes apparent. When disasters occur and risk is realized, the need for a culture of
safety is that much plainer. In cases of accidents and failures, the worst possible outcomes can be
realized. It is in these incidents, in which risk becomes reality, that the industry pauses to assess
the steps that can be taken to avoid any such reoccurrence. As a result, construction disasters
It is challenging to pinpoint with any useful specificity the cause of such far reaching
disasters. Construction accidents that cause injury, loss of life, or have significant financial
implications often have lengthy litigation processes indicating the complexity. Multiple factors
interact to produce unsafe conditions. Therefore, when assessing the Big Blue crane collapse and
findings within the broader framework of construction industry. By applying a safety culture
lens, this study aims to discover how culture and communications interacted to produce
hazardous conditions.
In the aftermath of catastrophe, questions crave answers. When the Big Blue crane
collapsed, the complexity of the project and the many teams involved created an elusive veneer,
requiring investigation to uncover the truth. But ultimately, the answer was, and often is, simple:
human error. The Big Blue crane came with a load chart indicating that situational conditions,
such as environmental factors, were not taken into consideration (R. Stemp, personal
communication, March 16, 2021). The machinery was capable of functioning in the manner
intended under the proper conditions, but the machinery could not assess those conditions for
itself. As the organizational and human errors were uncovered, a scenario begins to take shape.
The project was behind schedule and weather had prohibited the complex lifts on previous
occasions (R. Stemp, personal communication, March 16, 2021). In court proceedings,
employees on the site indicated that they, “had been conditioned not to disobey [the site
supervisor], because [he] had, only a month before, forced the removal of the first crane crew
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supervisor” (Cranes Today, 2001). The previous crane crew supervisor had clashed with the site
supervisor on several occasions over safety related concerns (Cranes Today, 2001).
While this account merely constitutes a small slice, if culture is the frame through which
individuals and organizations operate, this account can certainly act as a frame of reference for
assessment. There was added pressure due to the project being behind schedule, crew members
were concerned for their livelihoods—they did not want to be sent home from a job for raising
too many safety concerns—and one individual was dictating procedure, despite dissent from
others. The machinery functioned as it should. The materials and ability to assess conditions was
present. Dissent had already been heard. This was not a failure of the crane; the crane could not
and was not supposed to function under these conditions. This was a human failure. The
atmosphere facilitated a horrific outcome, one that rocked the community and forever altered the
lives of the victims’ families. The industry recognized this and sought collectively to identify
those areas of culture that had weakened construction and engineering and put lives at risk.
As awareness of risk, and the challenges of cultural risk, emerge, quantitative risk
analysis served to identify, “what may go wrong, how likely it is that something will in fact go
wrong, and the consequences involved if these things go wrong” (Antonsen, 2016). However, a
strictly objective and sterile view of risk analysis does not fully encapsulate the importance of
culture. The notion that, “risk will always be, at least to some extent, socially constructed” is a
powerful idea that, emphasizes the importance of the intersection of risk, individual behavior,
and organizational patterns (Antonsen, 2016). It seems that including a cultural lens in the
examination of risk is prudent, considering that safety culture could not interact with (or
decrease) risk if these considerations were unrelated. Only by assessing risk through a
This is evidenced in the examination of the Big Blue crane collapse. Industry culture was
of such importance to assessing the risk realized that it was noted in court proceedings. Safety
culture is just one of many responses to risk. Being that it is both organizational and individual,
and that it takes into consideration human elements that are often the most difficult to account
However, altering an industry’s culture is no small endeavor. Recall that culture is an individual
developing a culture. Facilitating a significant cultural shift requires concerted effort, one that
communications practices and principles can support. Through communications best practices
that are relevant to these industries, professionals can continue to effectively navigate and inform
If we can accept the two premises that culture is the lens or frame of reference through
which individuals orient themselves within a structure and that culture provides the structure
with functional patterns, then the relationship with risk, particularly in industries such as
construction and engineering, emerges as symbiotic and significant. We may then reasonably
conclude that safety, as positioned oppositional to risk, also requires a cultural response.
While the notion of safety culture is not novel, the integration of it into accident
Earlier explanations for accidents were sought from personal and specific technical
factors. The view was narrowed to the very short moment of injury and to the exact scene
of the incident. More recently, researchers have expanded their view to include preceding
The above reflection on the shift in accident assessment indicates the importance of culture. This
more holistic approach resonates with an honest review of the Big Blue accident. If one was to
limit their examination to, “the very short moment of injury and to the exact scene of the
incident,” an incomplete picture of the event would lead to an insufficient response (Saari, 1999).
Without an awareness as to the workplace project culture, the incident’s causes may have been
limited to engineering or environmental concerns. While these are important contributing factors
to understand, they manifested in a disastrous scenario due to the lack of safety culture and
healthy communication. Had the culture of the project workplace not been considered by
industry professionals in reflection, it could not have acted as a key catalyst in promoting safety
culture and a healthier atmosphere. Court testimony demonstrated the key role that culture
a hypothetical situation in which an accident occurred completely without cultural influence, this
can only rationally be determined if culture is assessed in the first place. Beyond this very rare —
which are inextricably linked with culture. Accident assessment can only then be wholly
moving pieces. This is demonstrated in our reflection of the Miller Park project. Contractors,
subcontractors, supervisors, and tradesmen from different organizations were tasked with
construction, typical safety culture models are not always applicable. Models geared towards
safety culture generally often do not take into full consideration the unique atmosphere of
construction projects. A functional safety culture model for construction must acknowledge the
dynamic nature of project-based work and take into consideration the involvement of more than
one organization on a fundamental and day-to-day basis. This indicates the importance of safety
culture as an industry-wide initiative. One organization cannot dictate the culture of a project
space; the entire industry must be invested in safety culture so that projects with multiple
Another key element that challenges the application of a general safety culture model to
the construction industry is logistics (Fang, 2013). Because construction projects often have
several tasks being completed simultaneously and because workers find themselves moving to
different workspaces, there is a lack of consistency that is common to other industries, such as
manufacturing (Fang, 2013). The flow of construction projects results in workers being in flux,
further emphasizing the need for a stable and visible safety culture on every level of work. The
Safety culture models represent how safety culture is “embedded [into an] organization’s
practices and safety management systems” (Fang, 2013). Safety culture models are significant to
technical and professional communication research because they demonstrate the functional
elements of culture. The model developed by Fang (see Figure 1) works within the unique
interaction and the requirement for investment in safety culture by supervisors and workers
(2013).
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Figure 1
SCI Model
Note. From “Development of a Safety Culture Interaction (SCI) model for construction projects,”
by D. Fang and H. Wu, 2013, Safety Science, 57, p. 145. Copyright 2013 by Elsevier.
Fang’s model demonstrates key elements of developing project culture. First, the
“Workgroup” and “Management” groups are each considered fundamental (Fang, 2013). Safety
being everyone’s job is not a mere slogan; it is imperative that safety culture is embraced at all
levels. This awareness can bring a new understanding to how technical and professional
communicators engage with safety culture. Identifying the relevant audiences in industry will
help communicators to create targeted content. Next, there is a significant emphasis placed on
the interaction between the owner, contractor, and subcontractor. Each represents a functional
piece of the cultural framework, and if one is inadequately prioritizing safety, the project culture
will reflect this. The Safety Culture Interaction model demonstrates the importance of
communication between each element of the construction project and indicates that safety should
Technical and professional communication is most effective when it is targeted for the relevant
audience. This interaction model provides the audiences and situates them within a broader
industry framework. For example, the SCI model indicates that management teams are an
essential group in the propagation of safety culture within a project. Rhetorical training and an
emphasis on increased collaboration between management groups may be a place that technical
and professional communication can intervene to support the SCI model. Additionally, if
management is present in a high visibility capacity promoting safety culture to the worker group,
In applying Fang’s SCI model to the Miller Park project, specific obstacles to the support
of a healthy and stable safety culture environment begin to emerge (see Figure 2).
Figure 2
Workers' 8
Mi!llJ-B
Project Safety
Cultur-c
Contractor
Safety Culture Subcontractor
Mitsubishi Safety Culture
Heavy Industries arnpson Internationa
Note. From “Development of a Safety Culture Interaction (SCI) model for construction projects,”
by D. Fang and H. Wu, 2013, Safety Science, 57, p. 145. Copyright 2013 by Elsevier.
25
An assessment of the situation using this model reveals many challenges. First, notable
factors of the construction site included unsafe environments with wind speeds up to 32 mph
(Fallone, 2001). Unhealthy communication between contractor Mitsubishi Heavy Industries and
International reportedly clashed over safety guidelines with a Mitsubishi supervisor (Cranes
Today, 2001). In court documents, workers perceived that their job may be in jeopardy for
voicing safety concerns (Cranes Today, 2001). This influenced worker behavior and decreased
the likelihood of voicing dissent while increasing the likelihood of following unsafe directions.
Worker environment, in both a literal and figurative sense, was unsafe. The below model
indicates the areas in which cultural lapses broke down, rather than supported, safety culture (see
Figure 3).
Figure 3
Interaction
challenges
Note. From “Development of a Safety Culture Interaction (SCI) model for construction projects,”
by D. Fang and H. Wu, 2013, Safety Science, 57, p. 145. Copyright 2013 by Elsevier.
26
What is vital to note for professional and technical communicators using this model is
that the single issues within the outward framework did not necessarily predict the resulting
failure of safety culture. The significant impact on safety culture resulted from the interactions
between the fundamental elements of the Safety Culture Interaction model. For example, a safety
culture could very well have still existed despite the environmental high wind speeds. A safety
culture could have still existed in a pressurized project atmosphere with financial implications.
These elements may make a stable safety culture more difficult to establish, but safety culture is
not mutually exclusive to these factors. The core breakdown of safety culture existed in the
interactions between fundamental elements of the SCI model. When contractor and subcontractor
management no longer agree on what constitutes a safe worksite, and this friction develops into
environmental challenges from both management and workers impact culture, behavior and
With this assessment it becomes clear that safety culture can exist in even challenging
climates. It may require more effort and greater prioritization over project deadlines, but it is
possible for safety culture to thrive in these circumstances. The significant factors in supporting
safety culture are prioritization of healthy interaction and atmosphere and the development of
correct worker and management behaviors and perceptions. Each of the fundamental elements
must promote safety culture and interactions must further support this goal.
Fang’s Safety Culture Interaction model also positions “interaction” as a vital component
Culture and communication are closely related, and Fang’s model demonstrates how integral
communication is to the support of safety culture. In construction and engineering industries, the
27
the model. This demonstrates one avenue through which communications principles can serve
construction and engineering industries. The need is present, constant, and cannot be served by a
safety culture, technical communicators can best facilitate progress by responding to industry
Assessment of Safety Culture by Industry Professionals and the Technical and Professional
Communication Response
While safety culture has made a marked influence on construction and engineering
industries, it is essential to consider how cultural changes are facilitated and acknowledged on an
individual level. How individuals respond to safety culture and assess it in their day-to-day
a trend of action-oriented considerations was observed (Biggs, 2013). Biggs found that, “whilst
values, beliefs and attitudes were mentioned by several interviewees, it seemed that most
emphasis was placed on the actions, behaviors and practices of people in the organization”
(2013). Interview respondents described safety culture by action. Safety culture was “the way we
do things around here” or “What people do when no-one’s looking” (Biggs, 2013). This
assessment of safety culture relies heavily on actions, which can help to inform how technical
technologies and training tools, such as videos and interactive interfaces, have provided a new
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phenomenon, then technical and professional communication can help to support training efforts
by integrating visual tools. This provides an avenue for technical and professional
communication to integrate key foundational principles. For example, a key tenet of technical
and professional communication is engaging with the audience in a manner that makes sense to
them. Including visuals of an action alongside text or audio can reduce friction caused by
language barriers and can give visual learners a more inclusive avenue to engage with content.
Visuals can be particularly useful in video format as users can repeat their viewing of the action.
The validity of video-based training is well-documented and may be superior to reading written
software instructions in a paper-based format versus video concluded that, “[results favored] the
presentation of software instructions via video rather than on paper” (van der Meij & van der
Meij, 2014). Further, “the most pronounced difference between these media was found during
training. While the participants who worked with the paper-based tutorial successfully completed
63% of the training tasks, participants who had viewed a video achieve a success rate of 87%”
Considering the effectiveness of technical training of actions via video, technical, and
professional communication can inform training protocols to better support safe actions. For
example, a training video regarding crane operations and complex lifts could input a purposeful
step that instructs the user to assess environmental conditions. This can be challenging to
29
standardize, as cranes and their document materials are different. However, by providing visual
cues in training videos, such as checking load charts and reviewing for environmental concerns,
reflections. There is an acknowledgement that culture is a wider phenomenon and that it is every
individual’s responsibility. In several key responses, survey participants referenced the work
environment more broadly. There are elements of camaraderie working symbiotically with the
persistence of safety culture. It is an industry initiative that everyone must be invested in, even
when no one is looking, in order for it to be effective. These assessments indicate the need for a
total integration of safety culture on multiple levels. Safety culture should be prevalent and
prioritized in training, management, and all processes and procedures in order to be fully
immersed in industry. From a technical and professional communications perspective, there are
Rhetoric plays an unparalleled role in shaping culture, and it is a tool that technical and
professional communicators can leverage to promote safety culture. The language used by the
interviewees indicates the ubiquitous nature of culture; it is the system in which they work. The
broader framework that supports culture is heavily influenced by rhetoric (Gold, 2019). If
rhetoric positions safety as the primary objective and delineates productivity as a result of safety
culture, an atmosphere more welcoming to dissent can emerge. Rhetorical choices aimed at
persuading workers to invest in safety culture and promote safe protocols can be integrated at all
levels, from training to project management to complex lift sign offs. The benefits of visual
rhetoric can also be explored in the promotion of safety culture. Technical communicators use
tools such as call outs to indicate information of primary concern. This is a form of visual
30
rhetoric that works to engage with the user’s risk assessment. Call outs are more pronounced and
less likely to be ignored, making them a key rhetorical tool to promote safe practices. However,
call outs do come with limitations. Their unique ability to engage the audience is derived from
their sparse use. It is only the most vital of information that is typically included in a call out.
This creates a bit of a hazardous communication situation when pieces of safety information
must be prioritized to a call out level. Therefore, only safety information that is capable of
causing catastrophic failure should be included in this manner. Regardless, rhetorical choices that
emphasize safety and visual rhetoric that helps users to better understand and prioritize content
Single sourcing is an additional technical and professional communication tool that can
better support industries in their efforts to promote safety. By single sourcing training, Standard
Operating Procedures (SOPs), and other reference documents, organizations can ensure that their
content is up to date, streamlined, and there is the added benefit of quickly adjusting rhetorical
conditions to promote safety culture. Prior to single sourcing, content may have had, “different
levels of detail, varying quality of information presentation, overlapping detail between modules,
and slightly different ways of formatting” (Albers, 2003). Any one of these challenges could
provide serious obstacles for a stable safety culture and may even be a contributing factor to a
catastrophic event. Single sourcing does have its own challenges, such as ensuring that multiple
content creators working on the same module have smooth formatting and style, but ultimately,
maximizing control over content is an ideal way to ensure that safety culture is propagated.
through novel tools and interconnectivity. However, the concept of workers learning from the
same resource is powerful and one that was recognized in the aftermath of the Big Blue accident.
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At the time of the accident, construction relied heavily on work experience, rather than
formalized training, in the progression of tradesmen (R. Stemp, personal communication, March
16, 2021). Trades in Milwaukee have since developed comprehensive technical education
programs along with testing to assess the knowledge and ability of workers. Requiring formal
education ensures that workers share a similar frame and that a certain level of competency can
be assumed. Formal education also provides an excellent opportunity to further inculcate safety
culture.
When asked to assess the factors that contributed to a positive safety culture, the
interviewees in Biggs’ research provided a wide array of responses with themes of particular
safety communication, workers’ involvement, defined safety accountabilities, and simple safety
systems (Biggs, 2013). A common foundation of promoting positive safety culture is in the
presence and visibility of safety leaders and their commitment to supporting safety values. This
acts in interesting contrast to our reflection on the Big Blue incident, in which the supervisor
pressured workers into unsafe conditions and processes. This idea also combats the pressure felt
by workers of the Big Blue site to acquiesce or risk job security. If a high-ranking leader who is
visible on a job site is promoting safety culture and safe conditions, workers on all levels are
going to feel more secure in voicing their concerns. This research, in contrast with the
assessment of the Big Blue incident, illustrates interesting shifts in safety culture.
Two other key factors contributing to safety culture that are specifically relevant to
technical and professional communication are safety communication and simple safety systems
(Biggs, 2013). Examples of respondents’ emphasis on safety communication are, “It’s no good
having the best systems in the world if you can’t communicate information effectively” and
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“Messages are already fairly diluted once they get to the paddock” (Biggs, 2013). Technical and
culture even further. Communication solutions in these situations may include a usability
analysis that can indicate the effectiveness of the communication received at every level and for
each respective audience. Usability can also address concerns of complexity in safety systems.
By applying a heuristic analysis to safety systems and simplifying them using a user-centered
approach, technical communicators may be able to help enhance the protocols already in place to
combat risk.
professionals in a way that makes sense in construction and engineering contexts. By learning
from construction personnel, communicators can better understand the principles that will best
support the continued development of safety culture. Further integrating technical and
professional communication principles is a useful way to capitalize on the work already done by
industry and promoting the use of new technologies, such as single sourcing and visual training
While new safety guidelines, expectations, and training has been worthwhile on multiple
levels, an initial and superficial reflection might suggest a decrease in productivity. Additional
safety measures may create longer timetables, delay projects due to environmental concerns, or
require greater consensus before proceeding. The industry has pushed back against this view.
Engineering and construction industries have challenged the notion that productivity must come
at the expense of safety (R. Stemp, personal communication, June 10, 2021). The prevailing
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wisdom is that safety culture has bolstered productivity overall, by avoiding accidents, setbacks,
In the case of the Big Blue crane collapse, both safety and productivity came at the
expense of a lacking safety culture. This is the lynchpin in the argument in favor of supporting
and continuing to propagate safety culture. Not only does safety culture prioritize the workers
and their rights to a safe work environment, the organization experiences multifaceted benefits.
Safety versus productivity places each objective at odds, but this is not the case. As
evidenced by a 2015 data collection effort by Steve Ludwig in association with Rockwell
Automation, “safety IS productivity” (Ludwig, 2014). Ludwig had compiled data using
compliance, and capital (Ludwig, 2014). Ludwig found that the “Best-in-Class” companies, or
those with performance in the top 20%, had an injury frequency rate of less than 0.05%. This is,
“about 18 times lower than the average companies” (Hessman, 2015). What Ludwig’s
assessment indicates is that companies that prioritize safety do not do so at the expense of
productivity.
This may be an area in which technical and professional communication can capitalize.
also continue to explore the relationship between safety and productivity in order to increase
visibility and awareness at all levels of the organization. As previously discussed, a fundamental
conversation may resonate well with leadership and encourage greater commitment. When the
cultural connection is established between safety and productivity, a calculation favoring one no
34
longer comes at the expense of the other. Prioritizing safety can become challenging in
pressurized atmospheres, such as the delayed schedule experienced by the Miller Park project.
However, if the organization has facilitated a safety culture, productivity will not be placed in
opposition to safety. Rather, safety will be the standard procedure and productivity the result.
Technical and professional communicators can build this narrative. Through training, rhetorical
choices, and project planning, communication tools can be implemented that highlight the
Document Analysis
To help guide load handling activities, construction and engineering industries rely
heavily on standards authored by the American Society of Mechanical Engineers (ASME). Two
of the standards most relevant to this study are ASME P30.1 “Planning for Load Handling
Activities” and ASME B30.5 “Mobile and Locomotive Cranes.” Past versions of these standards
helped to guide the Big Blue load handling activities. ASME updates standards on a variable
basis. Analyzing these documents and the changes made from previous versions can provide
valuable insight into the perspective of safety-minded industry professionals and the direction in
This analytical perspective provides a useful framework to assess how principles are being
integrated into the most fundamental and essential communication apparatus. By assessing the
documents that provide the basis for workers’ actions, we are granted a valuable view into
industry practices and how information and procedures are communicated. Further, document
analysis can establish industry context for project-based and task-based work and establish target
audiences.
35
engineering industries.
Accessibility
A point of high praise for standard P30.1 is its commendable accessibility. Language
choices are simple, concise, and direct. This promotes usability by all audience members and
further emphasizes the commitment to industry-wide safety. This is a standard that could be read
and accurately interpreted by personnel at all levels of the project and from virtually any
(a) prevent or minimize injury, and provide for the protection of life, limb, and property
by offering guidance for planning efforts that enhance the safety of load handling
One of the fundamental tenets of technical and professional communication is to know your
audience and write with their consideration in mind. Your document is not useful if it is not
usable by your target audience, regardless of if you achieved other objectives. This
communications principle is well integrated here. Language is simple and direct. Industry jargon,
which has the potential to cause barriers to understanding or isolate new personnel, is avoided
and terms that may require explanation for clarity are defined in section 1.2. The standard has
also positioned safety as a top priority by listing it prominently as the first objective. In doing so,
the standard has invited greater participation by personnel, further expanding accessibility.
Anyone who is interested in preventing or minimizing injury, that is to say any worksite
36
personnel, are invited to find useful information in this standard (ASME, 2019). The objective
and language expand the audience, but the standard’s content remains focused and relevant. By
positioning and prioritizing safety in this way and by choosing accessible language, ASME has
continued to support the notion that safety is each person’s responsibility and that all personnel
Documentation provides a valuable lens through which to discern shifts in culture and
communications strategies. Because these standards are continuously updated, changes to the
documents can indicate broader initiatives and perspectives. Analyzing the two most recent
versions of P30.1, 2014 and 2019, can provide us with a valuable lens into prioritization and
trends. While an extensive list of updates is detailed in the current 2019 standard, a common
thread of clarity and simple communication motivated many of the updates. For example, a noted
change to the 2019 standard removes one word from the intent definition, which clarifies the
statement:
(a) prevent or minimize injury to people, and otherwise provide for the protection of life,
limb, and property by offering guidance for planning efforts that enhance the safety of
The content of the statements is not altered in any way, nor is the positioning within the
document. The small change that was made promoted clarity and simplification. The 2014
standard included the term “otherwise,” which confuses the statement by placing the first listed
objective, “prevent or minimize injury to people” in a kind of linguistic dichotomy with “provide
for the protection of life, limb, and property” (ASME, 2014). The 2019 version does not change
37
the objective or content of the statement but clarifies it by removing extraneous and potentially
confusing language. The removal of one word may appear to be insignificant, but in a lengthy
document such as a standard, there are likely many opportunities to clarify language and make it
When considering the technical nature of the documents, clarity is of vital importance.
interpretation. For example, in section 5-2.3 “Rigging Plan,” the 2019 version is revised to
include a more comprehensive scope in clearer language. The 2014 excerpt reads, “Establish the
process to install and disassemble the rigging equipment using the information provided by…”
(ASME, 2019). This direction is a bit syntactically confusing as it could read as if “install” and
“disassemble” are paired tasks, when really they are mutually exclusive (ASME, 2014). A user
could perhaps “assemble” and “install” simultaneously. The audience may then wonder if this is
a typo (Did they mean assemble and install?) or just a series of tasks relevant to the direction?
The 2019 standard clarifies and elaborates on the scope of this direction and reads, “Establish the
process to assemble, install, remove and disassemble the rigging equipment using the
information provided by…” (ASME, 2019). This serialized set of possible processes clarifies the
scope and the progression of relevant tasks. By making just a small revision, ASME has
improved the document’s usability and its accessibility to the audience. This demonstrates the
One of the most visible change to the P30.1 standard from 2014 to 2019 is with respect to
the term “rigging.” The word rigging appears several times in both standards and presents a
unique language challenge that is clarified in the 2019 standard. Rigging can be used as both a
38
noun and a verb in this context. Rigging can refer to the “components, hardware, and devices
used to attach a load to the load handling equipment” or “the process of attaching a load to the
load handling equipment (LHE) by means of components, hardware or devices” (ASME, 2019).
The two contexts in which the word can be used has the potential to cause confusion for the
audience. This may be of particular concern to English Language Learners. By distinguishing the
use of the terms, ASME has improved upon the document’s accessibility. The distinction
between the noun and verb forms is clarified in the 1.2 “Definitions” section of the 2019 version.
The term “rigging” is still used in both capacities in each standard, but the clarification in the
2019 version indicates effort is being committed to adjustments for the sake of improved
understanding.
The assessment of the Big Blue accident and the Miller Park project atmosphere
emphasizes the importance of personnel in every category interacting in a healthy and functional
manner. It is vital for workers to be aware of their role and the roles of others who are relevant to
the load handling activity. P30.1 includes a section dedicated to defining personnel and their
involved in the activity, as well as peripheral actors, such as those who assemble/disassemble the
load handling equipment or those who are responsible for overseeing “work site safety policies”
(ASME, 2019). This helps the audience to orient themselves and understand the complexity of
While the listed definitions of roles and responsibilities are valuable, the interaction and
categorization of roles can also serve to provide valuable insight for an audience. As the standard
indicates, “Not all of the roles [listed] may be identified in or required by the lift plan. In some
39
cases, an individual or entity may perform multiple, nonconflicting roles” (ASME, 2019). This
could cause confusion among readers. For example, they may not be able to readily identify their
worksite’s “site safety officer” if the individual fulfills other roles or has a different title. Future
iterations of the ASME standard may aim to greater categorize roles, perhaps identifying roles
that are actively engaged in the load handling activity versus those that assess, plan for, or
prepare for load handling activities. Categorization in a visual aid, such as a phase-based flow
chart, may be a useful tool for the audience to orient themselves among the broader procedure.
Phase-based role categorization could be completed using Chapter 4’s “Standard Lift Plan,”
which includes four phases: Standard Lift Plan Development, Pre-Lift Review, Executing the
Standard Lift Plan, and Post Lift Review (ASME, 2019). It may be useful to categorize the roles
in accordance with these steps, though some roles may appear multiple times and considerations
would have to be noted for Critical Lift Plans (see Figure 4).
Figure 4
In the two most recent versions of P30.1 that have been examined in this study (2014,
2019) “shall” and “should” are defined in the 1.2 “Definitions” section. Shall is defined as a
40
“term used to indicate that a rule is mandatory and must be followed” and should is defined as “a
term used to indicate that a rule is a recommendation, the advisability of which depends on the
facts in each situation” (ASME, 2019). This is an important distinction as it tells the audience
“this is what you must do” and “this is what is recommended.” Because of the project-based
nature of construction and how significantly work can vary, it would be virtually impossible to
make all of a standard’s guidelines mandatory. Each situation is unique and should be assessed
using the standard’s guidance; however, not every recommendation is relevant in each situation.
By including this consideration, ASME has given the standard the space to create a safety culture
Shall is generally reserved for situations in which there are strict standards and
procedures that are vital to understand for the completion of a safe lift and that are consistent
throughout the industry. For example, “An evaluation of proposed load handling activity shall be
performed” (ASME, 2019). Should is often used in a situational capacity, when the experience
and knowledge of the industry professional is depended on to make the assessment. For example,
“for repetitive lifts, the lift director should decide the frequency of pre-lift meetings. Pre-lift
meetings may not be required prior to each repetition of the load handling activity” (ASME,
2019). This is an important distinction as it grants the standard the flexibility necessary to
function within the variable space of construction and engineering projects. The standard is
focused in its application of mandatory rules and clear in its recommendations. By distinguishing
necessities versus recommendations, ASME has ensured that the standard is relevant to the
audience.
41
ASME standard B30.5 is significantly lengthier and more technical than P30.1, but still
The inclusion of several user-friendly elements increases the accessibility of the document, while
A Focus on Definitions
The ASME B30.5 standard includes more content related to technical information,
equipment, and important considerations such as testing and maintenance. As such, the B30.5
standard is more challenging for readers. It is significantly longer and more technical than the
P30.1 standard. Topics include construction, characteristics, testing, inspection, stability, and
environmental factors. In an effort to combat any barriers to understanding, ASME has supported
the document well through a comprehensive definitions section. The definitions section is
presented in two sections: “Types of Mobile and Locomotive Cranes” and “General.” The
“Types of Mobile and Locomotive Cranes” section contains five definitions with references to
supports a user’s ability to quickly find the most relevant information. The “General” section
contains over 70 definitions that serve to support the document in various ways, from identifying
what is considered a “jobsite” to specifying anatomical features of various crane types (2018).
Visual aids also support the definitions section. Crane diagrams demonstrate the terms in
action and help to clarify complex technical meaning. This enhances the document’s usability
and engages another avenue of learning. Visual aids are often accompanied by general notes that
synthesize an element of the diagram with related definitions. The addition of visuals is vital to
for example in crane type, it is important to illustrate these differences using all available tools.
Visuals make identifying crane types, and by extension the information most relevant to the
reader, significantly more accessible. Consider the following images (see Figures 5 and 6) of a
Figure 5
Note. From “Mobile and Locomotive Cranes,” by American Society of Mechanical Engineers, in
ASME B30.5, Crawler Crane (p. 2), 2018, ASME. Copyright 2018 by ASME.
43
Figure 6
l
Note. From “Mobile and Locomotive Cranes,” by American Society of Mechanical Engineers, in
ASME B30.5, Truck-Mounted crane (p. 2), 2018, ASME. Copyright 2018 by ASME.
more evident when engaging with a visual. Both cranes are mobile, but there are marked
differences in the construction of the load handling equipment. The use of images further
By giving the definitions section such special consideration, ASME has made the
document more widely accessible by a multidisciplinary audience of varied skill levels. This is
an important principle to supporting safety culture and further designates safety as everyone’s
interpreting the rest of the document. A shared understanding and technical language lay the
Emphasizing Responsibility
A notable content and organizational choice in the B30.5 standard is the emphasis placed
on responsibility. Because this standard includes much of the information that is peripheral to the
load handling activity, but still extremely important to safety culture, such as maintenance and
inspection, it is important to define the responsible personnel. ASME accomplishes this in the
B30.5 standard by consistently highlighting the responsible personnel at the beginning of each
section. For example, chapter 5-3 “Operation” begins with an “Operators” section that details the
specific requirements a crane operator must have (ASME, 2018). The chapter continues by
emphasizing operators must, “successfully meet the qualifications for the specific type of crane
that they are operating” (ASME, 2018). By making the organizational choice to position the
responsible personnel at the beginning of the section, ASME has emphasized the importance of
formal training, certification, and competency, which are some of the core drivers of safety
culture. The trend continues throughout the standard which also helps readers to orient
themselves within the broader work and understand who they may go to with safety concerns. By
extension, openness.
Documentation provides the core of official processes and governing rules for any
industry. Beyond being a usable tool for workers, it demonstrates the industry’s goals and
priorities. ASME provides many standards governing construction and engineering work; the
two briefly analyzed as part of this study are the most relevant to the Miller Park project and the
Big Blue crane collapse. While these standards were not those in use at the time of the accident,
they do illuminate the complexity of the Miller Park project and the load handling activities. The
45
length and detail of each standard, as well as the inclusion of visuals, appendices, and definitions
sections, indicates that these tasks are technically and practically challenging. At several points
in each document references are made to environmental and personnel factors that had
significant impact on the Big Blue accident, further evidencing ASME’s proactive response to
industry needs.
If the trend noted in these ASME standards holds through other publications, it can be
concluded that ASME, through documentation, has taken notable steps to supporting safety
culture. Each standard focuses on rhetorical choices, organization, content decisions, and
usability that breaks down barriers to understanding, establishes personnel relationships and
responsibilities, and allows for the flexibility necessary to function within dynamic construction
basis and the introduction many workers have to policies and procedures. As such, by
establishing safety culture as a priority throughout the document, ASME is signaling its
importance to the audience. By broadening the audience through usability principles that allow
any relevant workers to engage with the material, ASME is working to construct an open
communications atmosphere.
46
purposeful and that can be supported by communication best practices. Safety culture is the
construction and engineering industries’ response to common practice insufficiencies that have
construction and engineering industries has been persistent and continues to develop. Efforts to
expand safety culture principles have necessitated the establishment of an open atmosphere of
communication.
As demonstrated by the Big Blue accident, safety culture cannot thrive in an environment
that is hostile to communication, and, more specifically, dissent. The industry has responded to
the Big Blue crane collapse by promoting safety culture and continuing to engage with principles
that support open and retaliation-free communication. Communications professionals can help to
facilitate the continued development of safety culture though focused and relevant engagement.
targeted support for growing safety efforts. For example, tools such as visual training protocols
can engage workers with an actions-based approach, which is noted by industry professionals as
a key foundation of promoting safe practice (Biggs, 2013). Communications professionals could
also implement usability assessments and single sourcing to ensure an approach to training and
procedures that is focused, streamlined, and relevant. The objective in supporting safety culture
is ensuring that the interventions are applicable to the unique atmospheres of construction and
engineering.
can engage Fang’s Safety Culture Interaction (SCI) model (2013). This model aims to
47
importance of interaction and that safety culture, or lack thereof, is the result of several
interactive components. Fang’s model when applied to the Big Blue crane collapse revealed
several pressure points that negatively impacted the cultural environment of the project worksite.
Analysis using Fang’s model also demonstrated that single factors do not create an unsafe work
environment. While wind speed is ultimately what caused the Big Blue crane to collapse, wind
speed on its own does not necessitate an accident. Several other interacting factors coalesced to
produce hazardous conditions. Fang’s model demonstrates that had each other component of the
interaction been healthy and safety minded, the environmental conditions would not have
resulted in an accident because the lift would not have been attempted. Interactive components
support safety culture more broadly. This model demonstrates in action what risk analysis with a
cultural consideration suggests as necessary. Taking human perspective and behavior into
to crafting documents for their use. ASME has demonstrated dedication to providing usable
standards that engage meaningfully with the audience. In standards P30.1 and B30.5, there is a
Updated versions emphasize clarity, organization, focused content, and relevancy in order to best
organizations working in various capacities on ever-evolving projects has decided that the goal
of promoting safety is one worthwhile and necessary. The industries have mobilized to prioritize
48
safety at every level. Safety and open communication are no longer viewed as barriers to
productivity, but rather necessary procedural pillars. This effort towards a safer work
environment is never, and will never be, quite complete. There is continuing improvement, but
the industries remain vigilant in their pursuit of a safer workspace. Unfortunately, accidents
continue to occur and will drive this process forward. With novel and increasingly complex
machinery and projects, the construction and engineering industries face new challenges.
Technical and professional communication, in conjunction with these industries, can help to
support safety culture, but we must be responsive to when and how to best intervene.
49
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