A Reporting Culture: an organisational climate where people readily report problems, errors and near misses. We do have this, but what is needed is the will of management to actually do something.
A Just Culture: an atmosphere of trust where people are encouraged and even rewarded for providing safety-related information; and it is clear to everyone what is acceptable and unacceptable behaviour. We have this, but management, but rewards are virtually non-existant and the acceptable/unacceptable behaviour is only made clear when things go wrong.
A Flexible Culture: a culture that can adapt to changing circumstances and demands while maintaining its focus on safety. We have this, but the management have not the will, money, empowerment to allow the changes to happen.
A Learning Culture: the willingness and competence to draw the right conclusions from its safety information and the will to implement major safety reforms. Well now we get down to the crux of the matter, as can probably be seen from my responses above.
A Questioning Culture: It is vital to ask “What if?” and “Why?” questions. Questions are the antidote to assumptions, which so often incubate mistakes. We do this, but the management don't answer or do anything about as it will cost in money, schedule, risk of non advancement or in some cases just cause work they do not want or can cope with.
Now the 'we' is most people on the 'shop floor' of most work places, the paragraphs TD quoted from the report are included in most companies code of conduct/ethics policy, but as above the only people who are the ones expected to comply to these policies are the guys on the shop floor and they are hamstrung by all the things that have been highlighted in the report/above and elsewhere in this thread.
The problem is endemic throughout the industry and it is going to to take a lot off money, willpower and commitment from those at the top to sort this out for the future, but with self serving government officials and management it is not going to happen anytime soon in my opinion.