risk management and assessment for business risktec solutions · risk management and assessment for...
TRANSCRIPT
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Risktec Solutionsrisk management and assessment for business
Making your SMS work for you
Getting Safe Behaviours EmbeddedFor
IOSH Rail Group
October, 2010© 2010 Risktec Solutions Limited
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Getting Safe Behaviours Embedded
Final component of a SMS – People
What do we mean by human behaviour?
How can behaviour be influenced to improve:
– Efficiency
– Productivity
– Safety
Behavioural Safety
Cultural and Behavioural Tools
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In
cid
en
t R
ate
Engineering risk reduction
Culture and human behaviour
Time
Management system improvements
Improved culture and behaviours
Technical standards; technical risk assessments; operating procedures, design
Implement ISO Management Systems (9000, 14001, 18001)
Improve organisational culture, personal behaviours, management attitudes and
working environment
Behavioural safety and culture improvements are in additional to all other risk reduction measures
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Human Behaviour
What do we mean by ‘human behaviour’?
Collection of motor actions, verbal statements, facial expressions, body language etc used to express ourselves
Only observable output to indicate inner values and attitudes
Develops and changes over time– Biology and psychology
– Cultural influences
– Life experiences
– Memories and learning
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Human Behaviour
We obtain information from the external world via sensory inputs
Our experiences cause us to form „constructs‟ or „filters‟ through which we perceive the external world
– Rapid and accurate processing
– Rapid and accurate motor output
– But can cause biased perception leading to
• inaccuracies
• false conclusions
• inappropriate behavioural outputs
Error and violation
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Human Failures
Errors
MistakeViolation
Skill Based Error
Human errors and violations
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Human Failures
MistakeViolation
Skill Based Error
• Slips and lapses
• Distraction & Interruption• Skilled & motivated staff
Errors
Human errors and violations
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Human Failures
MistakeViolation
Skill Based Error
• Incorrect action, believing it to be correct
• Rule or knowledge based• Experienced and trained staff
Errors
Human errors and violations
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Human Failures
MistakeViolation
Skill Based Error
• Routine Violation • Situation Violation • Exceptional Violation
Errors
Human errors and violations
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Human Failures
MistakeViolation
Skill Based Error
• Routine Violation • Situation Violation • Exceptional Violation
Mostly motivated by a desire to carry out job despite the prevailing constraints
Errors
Human errors and violations
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Human Behaviour
Behavioural motivators and drivers
– Values, beliefs, attitudes
– Mood
– Interest
– Stimulation level
– Competency
– Learnt consequences
– Cultural influences
– Relationships with colleagues
– Components of job / task
– Working environment
– Organisational structure
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Behavioural safety
Behavioural Safety - Cohesive and planned collection of corporate and personal activities:
– Commitment and leadership
– Structures & processes
– Positively considers the individual within the system
– Improves trust and communication
– Moves culture towards maturity
Consider behaviours of all staff / stakeholders
Not a „quick fix‟
Requires long term commitment and sustained input
Considered, planned programme
Implementation method
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Cultural and behavioural tools
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Organisational culture
What is culture?
A product of group:
− Perceptions, values
− Attitudes, beliefs
− Competences
− Patterns of behaviour
Which become:
− Frame of reference
− Directing behaviour
− Custom and practice
− Communicated and imitated
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Organisational culture
An organisations’ culture will therefore affect:
– prioritisation
– knowledge
– what is valued
– what is expected by the organisation
– how work activities are undertaken
– how safely those work activities are conducted
Organisational culture:− is a learned situation
− it can be developed
− it can changeThe nature of safety culture: a review of theory and research‟, F. Guldenmund, Safety Science 34, 215-257, 2000
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Safety culture
What characterises a positive safety culture?
Communications founded on mutual trust
Shared perception of importance of safety
Confidence in preventative measures
Motivated involved and empowered staff
The Way We Want Things To Be Done Around Here
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Increasingly: Informed, Open, Learning, Fair, Professional
A Just Culture
Pathological Reactive Calculative Proactive Generative
Safety prevents company doing
business
Safety is onlyan issue afteran accident
Safety managedby procedures
rules. Uses lagging
measures
Safety managedwith staff
involvement& leadingindicators
Safety is howcompany runsbusiness. Has
healthy paranoia
Safety culture
After: „A framework for understanding the development of organisational safety culture; Parker, Lawrie & Hudson, Safety Science, 44, 6, 2006
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Pathological Reactive Calculative Proactive Generative
Safety prevents company doing
business
Safety is onlyan issue afteran accident
Safety managedby procedures
rules. Uses lagging
measures
Safety managedwith staff
involvement& leadingindicators
Safety is howcompany runsbusiness. Has
healthy paranoia
Safety culture
After: „A framework for understanding the development of organisational safety culture; Parker, Lawrie & Hudson, Safety Science, 44, 6, 2006
Use in a workshop forum:
Where is Organisation & contractors Safety Culture?
Why?
Where do you & they want to be?
How do you think you &
they will get there?
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Pathological Reactive Calculative Proactive Generative
Safety prevents company doing
business
Safety is onlyan issue afteran accident
Safety managedby procedures
rules. Uses lagging
measures
Safety managedwith staff
involvement& leadingindicators
Safety is howcompany runsbusiness. Has
healthy paranoia
Safety culture
After: „A framework for understanding the development of organisational safety culture; Parker, Lawrie & Hudson, Safety Science, 44, 6, 2006
Safety Climate / Culture Survey Tool
RSSB
HSE & HSL
Must provide timely response & actions
Low return rate
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Root Cause Analysis
Immediate causes– Most obvious reason(s) why
adverse event happens
– Immediate actions (or failure to act) of people (active failures)
Underlying causes– The less obvious “system” or
“organisational” reason for an event happening (latent failures)
Root causes– Initiating event / failing
– Leads to all other causes or failings
– Latent failures
– Generally management, planning or organisation failings
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Accident causation - Swiss cheese
Achieving a safe culture: theory and practice‟, James Reason, Work & Stress, 12, 3, 293-306, 1998
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Root Cause Analysis
Controls and failures are due to people
Need to:
Identify both active and latent failures
Identify changes throughout organisation required to prevent repeat active and latent failures
Implement changes
Not an exercise in apportioning blame
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Behavioural Model – ABC
Cognitive Behavioural Therapy & Humanistic Psychotherapy
„People behave the way that they do because of the consequences that result for them from having behaved in that way‟
Based on „Cognitive Behavioural Therapy‟, Humanistic Psychotherapy, A Ellis, New York, McGraw Hill, 1973
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Behavioural Model
Human behaviour turns systems and procedures into reality
Human behaviour determines how effective management systems will be
More difficult to change attitude than to change behaviour
But changing behaviour can lead to positive changes in attitudes towards
Behaviours of all staff throughout a business must be considered
People do not simply do what they are told to do
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Behavioural model - ABC
Based on „Cognitive Behavioural Therapy‟, Humanistic Psychotherapy, A Ellis, New York, McGraw Hill, 1973
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Behavioural model - ABC
Trigger / Activator / Precursor for every behaviour
Behaviour is a reaction or choice
After every behaviour there are consequences
Incorrectly assume that people think long term and logically
People are driven by consequences that are:
− Positive
− Immediate
− Significant
− Certain
People play down negative, delayed, uncertain and insignificant consequences
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Behavioural model - ABC
Training tool
Exercise
In the workplace
– Identify required behaviours
– Consider behaviours throughout organisation
– ABC – present situation
– ABC – required situation
– Involve staff
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Behavioural model - ABC
Triggers
Consequences
Behaviour
Behaviour: Not Wearing PPE
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Behavioural model - ABC
Triggers
– None available; Does not fit; Is not appropriate for task, hazard and person; No training in use; Not stored appropriately, is contaminated and has defects; Not aware PPE must be use; No task training; Not hazard and risk aware; no one wears PPE
Consequences
Not ridiculed; No immediate or apparent injury; Not enforced; More comfortable; Get the job done; Look trendy; Easy option
Behaviour:Not wearing PPE
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Behavioural model - ABC
Behaviour – Wearing PPE
Triggers:
PPE available
PPE fits, is appropriate for task, hazard and personTrained in how to use PPEPPE stored appropriately, is not contaminated and has no defectsAware that PPE must be wornTrained in the task and is hazard and risk aware;It is universally wornPrevious experience of the protection afforded by PPE
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Behavioural model - ABC
Behaviour – Wearing PPE
Triggers:
PPE available
PPE fits, is appropriate for task, hazard and personTrained in how to use PPEPPE stored appropriately, is not contaminated and has no defectsAware that PPE must be wornTrained in the task and is hazard and risk aware;It is universally wornPrevious experience of the protection afforded by PPE
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Behavioural model - ABC
Behaviour – Wearing PPE
Consequences:
Not ridiculed; Same as everyone else; It is the „Norm‟
Protected from an incident
Comfortable to wear
Enforced
Group will be „measured‟
Feel more professional
Look trendy
Wearing PPE is the easy option
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Safety Tours
What is a safety tour?
A site visit involving one to one,
two way discussion
Focus on safety not productivity
Identify & change active failures
(acts and conditions)
Management commitment
Staff commitment
Leading performance indicator
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Safety Tours
What should be included?
Competency / Training
– Safety Tours
– Behaviour & communication
– Hazard & risk awareness
Must consider latent failures
Joint solution finding – learning not looking to blame
Identify good practice as well as problems
Positive & enthusiastic attitude
Selective – risk based approach
Must be committed & convinced
Managers perceived priorities
Record – quality not just quantity
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety Tours
Leading performance indicators
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Performance indicators
What gets measured gets done
Performance indicators provide feedback on what is happening so that we can take appropriate actions
Lagging performance (output) indicators (LOI) – provide data on past events that have happened
Leading performance indicators (LPI) – provide data on event precursors, allowing action to avoid unwanted outcomes and to achieve desired outcomes
LPI‟s provide +ve reinforcement for behaviours associated with improving performance
LPI choice important
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Performance indicators
LPI Choice
Identify main threats to future performance & actions that will remove them
Association between inputs LPI measure & LOI
Belief that improving LPI will lead to improvement in associated LOI
Relevant & provides immediate and reliable indication of performance
Cost effective, understood & measurable
Choose in relation to cultural maturity level
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Pitfalls
Targeting the wrong issues
LPI not sufficiently demanding
LPI‟s used purely as a metric & not to direct actions to improve performance
Subjectivity in evaluation of LPI allows self deception
Performance indicators
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Cultural and behavioural tools
Safety culture tool
Root cause analysis
ABC model
Safety tours & safety observations
Leading performance indicators
Staff involvement, ownership, empowerment
Leadership skills and behaviours
Competency management – training, people skills, coaching, behaviour, task, risk awareness
Change Management
Communication, consultation / meetings / discussion
HF – Design, task analysis
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Essential elements:
Behavioural safety programme / plan
Cultural and behavioural tools
Implementation methodology
Provide inspirational leadership
Commitment at all levels
Ensure people are involved
Trust, open communication, belief
Provide an informed choice
Getting Safe Behaviours Embedded
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Thank you for listening
Ali Southan
Principal Consultant, Risktec Solutions Ltd
[email protected] Office, 1st Floor, 3 More London Riverside, London. SE1 2RE
Phone: +44 (0) 207 357 9942 / +44 (0) 208 912 4380
http://www.risktec.co.uk