08/04/2026
This is the latest blog we have contributed to . It looks at a historical cavern diving event in which the guide and two divers lost their lives. When analysing things that went wrong, how many times have you heard something like “well they shouldn’t have used that gas, missed that jump, dived in marginal conditions”? This is where applying Human Factors and the new Learning From Emergent Outcomes LEODSI class differs from traditional incident analysis. Rather than judge decisions in hindsight and on severity, we ask: "How did this make sense to those involved?"
https://www.thehumandiver.com/post/chac-mool-triple-diving-fatality
Chac Mool's 2012 triple fatality wasn't caused by one bad decision. A LEODSI analysis reveals how organisational drift, depleted gas margins, and a system that punished safer choices combined to produce a preventable tragedy.