Novo Nordisk started its safety journey in the area it is the best at: systems. Novo Nordisk is part of an industry that is used to work with systems, procedures and regulations. The systems support Novo Nordisk to have safe products of the highest level of quality. With great benefits, Safety and Occupational Health systems were developed to clarify the expectations and requirements of the staff; however, systems alone are insufficient to take Novo Nordisk to the next steps in the safety journey. Something else is needed.