Any organization that wishes to actively manage safety as part of an effective safety management system must continuously strive to discover, understand, and mitigate the risks involved in its operations. Doing so requires the active engagement of front-line personnel in the reporting of operational risks and their participation in the development of effective risk mitigation strategies. This cannot occur if a focus of the organization’s approach to dealing with safety-related events is to punish those whose actions or inactions contributed to the event.