“Any safety system depends crucially on the willing participation of the workforce, the people in direct contact with the hazards. To achieve this, it is necessary to engineer a reporting culture – an organizational climate in which people are prepared to report their errors… An effective reporting culture depends, in turn, on how the organization handles blame and punishment… What is needed is a just culture” -- James Reason. This webinar will be a brief glance into an organization’s grass roots adoption of the principles behind the Facilitated Learning Analysis (FLA), the learning curve, and a hopeful look into the future.