isms best practices workshop integration of new safety initiatives into isms continuous improvement...
TRANSCRIPT
ISMS Best Practices Workshop
Integration of New Safety Initiatives into ISMS Continuous Improvement
September 12-13, 2006
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ISMS Best Practices Workshop
Recent Tank Farm History
• Numerous challenges over the last 7 years necessitated change*: ▪ DOE performance letter in 2001▪ Multiple Layoffs, mission acceleration, restructuring,
funding cuts▪ Significant legacy issues emerged ▪ Increased injury and event rates▪ Increased stop works and union grievances▪ Outside interveners
*INPO Lesson Learned
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ISMS Best Practices Workshop
CH2M HILL Improvement Cycle
CH2M Prime
Contractor
1999
*DART 3.6
2000 2001 2002 2003 2004 2005 2006
Problem Evaluation Report
(PER) System
ESTARS
Vapor Issues
Safe Work Environmen
t (SWE) Culture
AssessmentMandator
y Respirator Usage in
Farms
ISMS Expectations
4/15/05
Human Performance Improvement
Training
Integration of SWE,
ISMS & HPI
Follow-up SWE
Survey
Acc
iden
t In
jury
Rat
e
PIP Addressin
g OA Vapor Issues
244-CR Vault Event
7/22/04
Mission Alignment Process (MAP)
SWE Mentoring
IROF ISMS
PIP
DART 1.0
DART 0.1
IROF
A-Prefix Farms –
Mask Cessation
WFO VPP Star Status
IROFDisciplinary Process Revised
*DART – Days Away and Restricted Time
Not to scale – For illustration only
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ISMS Best Practices Workshop
PERs Initiated
0
1000
2000
3000
4000
5000
6000
7000
8000
2001 2002 2003 2004 2005 2006
Year
Nu
mb
er
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ISMS Best Practices Workshop
CH2M HILL Employee Concerns
2002 2003 2004 2005 2006
Number ECPRequests
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ISMS Best Practices Workshop
Stop Works Issued
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006
Year
Nu
mb
er
of
Sto
p W
ork
s
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ISMS Best Practices Workshop
5 Year DART and Recordable Injury Rates
DART RatesFive Year Summary
3.64
2.82
0.11
1.83
1.02
0.0
1.0
2.0
3.0
4.0
5.0
Cas
es/2
00,0
00 H
rs
Recordable RatesFive Year Summary
3.08
5.39
3.78
1.54
3.14
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
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ISMS Best Practices Workshop
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ISMS Best Practices Workshop
Conduct of Operations Index Frequency
0
10
20
30
40
50
60
70
80
90
100
A) Skin and clothing Contaminations 8 8 2 2 0
B) Procedure Not Folllowed 11 2 0 0 0
C) Procedure Problem 15 3 8 3 2
D) Training Issues 3 2 1 1 0
E) Management Issues 40 19 12 7 5
F) Lockout/Tagout 5 1 1 0 1
G) Work Control Issues 9 11 7 2 1
FY2002 FY2003 FY2004 FY2005 FY2006 (Year to date)
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ISMS Best Practices Workshop
Current ISMS Strategy
• Single message of ISMS continuous improvement • Integrate various concepts with goal of event and injury
prevention▪ Safe work environment (SWE)▪ HPI ▪ VPP
• SWE is a comprehensive safety culture initiative based on INPO/NRC experience
• SWE is based on individuals feeling free to raise issues without fear of retaliation
• HPI tools used to emphasize event prevention• VPP used to emphasize worker involvement
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ISMS Best Practices Workshop
ISMS Continuous Improvement based on ISMS Continuous Improvement based on effective problem identification, worker effective problem identification, worker
involvement, and event preventioninvolvement, and event prevention
ISMS Continuous Improvement
Event prevention
Worker involvement
Problem identification and
resolution
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ISMS Best Practices Workshop
Benchmarking Resources• NRC Safety Conscious Work Environment
attributes• Voluntary Protection Program• Draft DOE ISMS safety culture elements• INPO safety culture principles• INPO Human Performance Improvement (HPI)
concepts• DNFSB Recommendation 2004-1 • Commercial nuclear power problem identification
process• Safety culture survey tools
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ISMS Best Practices Workshop
ISMS continuous improvement is based on an ISMS continuous improvement is based on an open work environment where everyone feels open work environment where everyone feels free to raise issues without fear of retaliationfree to raise issues without fear of retaliation
Safe Work Environment (SWE)
Problem identification and
resolution
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ISMS Best Practices Workshop
• Commitment • Conservatism in Safety Decisions • Problem Identification & Resolution• Training Adequacy• Self-Assessment• Trust• Communications• Free Flow of Information• Alternative Avenues for Concerns• People Management• Prevention of Retaliation
Safe Work Environment Attributes
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ISMS Best Practices Workshop
ISMS Continuous Improvement uses VPP ISMS Continuous Improvement uses VPP to emphasize worker involvementto emphasize worker involvement
Voluntary Protection Program
Worker involvement
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ISMS Best Practices Workshop
Voluntary Protection Program(VPP)
• Strong emphasis on worker involvement enabled SWE implementation
• Commitment to prevention of injuries• Cooperative management/labor atmosphere • Labor and management collaboration examples:
• Bargaining unit safety representatives• Joint safety committees• Worksite analysis• Hazard prevention and control• Safety and health training• On-site reviews, internal inspections, continuous improvement• Peer safety observers
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ISMS Best Practices Workshop
ISMS Continuous Improvement uses HPI to ISMS Continuous Improvement uses HPI to emphasize event preventionemphasize event prevention
Event Prevention
Event prevention
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ISMS Best Practices Workshop
HPI Integration into ISMS
• Emphasized “event prevention” versus “event investigation” message consistent with DOE ORP message of zero accidents
• HPI integrated into ISMS continuous improvement message▪ Avoided flavor of the month or new priority perspective
• Recognize workers for ISMS successes (event prevention)• Took advantage of previous ISMS benchmarking activities to
establish common ground with HPI such as:▪ Safe Work Environment problem identification and resolution attributes▪ VPP employee involvement▪ Use of HAMTC Safety Reps in event investigations and critiques▪ Progressive Performance Management and SWE survey feedback to
improve perception of fairness and consistency▪ Organizational weaknesses evaluated in Root Cause Analysis
• Used event prevention message to emphasize company safety slogan
“At CH2M HILL, Safety is No Accident”
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ISMS Best Practices Workshop
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ISMS Best Practices Workshop
Lessons Learned
• Senior management vision and commitment is essential• Adapting NRC/INPO safety culture principles (SWE) have been
effective in reducing events with consequence ▪ Commercial nuclear Problem Identification & Resolution (PI&R)
process was effective in DOE environment • Benchmarking was necessary and critical for effective change • Safety culture improvement initiatives must be integrated with ISMS• VPP employee involvement helped SWE implementation• SWE emphasis on PI&R helped HPI implementation• Involvement of union safety representatives fostered change• Independent assessments accelerated change • Independent and comprehensive employee surveys based on SWE
attributes increased workforce credibility and trust
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ISMS Best Practices Workshop
Results • Dramatic injury and event reduction over the last
12 months• Robust problem identification and resolution• Worker safety perception of company has
improved significantly • Worker trust of management high• Raising issues through immediate supervisor
has improved• Integrated ISMS expectations clear and evident
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ISMS Best Practices Workshop
CH2M HILL’s ISMS continuous improvement CH2M HILL’s ISMS continuous improvement initiative has resulted in significant safety initiative has resulted in significant safety
improvement over the last 2 yearsimprovement over the last 2 years