Redesigning the Safety Function for the Year 2000, a 1996 article by Rosa Carrillo is a seminal article for systems thinking in safety and an in depth explanation of safety culture.
Redesigning Safety presents an open systems model for redesigning the safety, health and environment (SH&E) function of companies. Description of the Simon Open System model for organization design; Four-step change process; Role of organizational culture in the change process; Case study using the models in real-time; Implications of systems thinking for redesigning the function.