cf lecture 14 safety management

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    Safety Management Systems

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    Initial concerns of many

    managers

    Operate efficiently /make profit

    Provide product /service Avoid adverse publicity

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    Herald of Free Enterprise

    1987 -193 fatalities

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    Evolving requirements

    Minimise loss

    Meet quality standards

    Maintain company reputation

    Not harm people or the environment

    Develop management systems

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    Basic elements of safety management system

    Reviewing

    Performance

    Organising

    Planning and

    Implementing

    Measuring

    Performance

    Policy

    Auditing

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    Health & Safety Management Key

    Components Leadership and commitment

    Policy and strategic objectives

    Organisation, resources and documentation Evaluation and risk management

    Planning

    Implementation and monitoring

    Auditing and reviewing

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    Leadership and commitment

    Company culture to support Belief in companys desire to improve H&S

    performance

    Motivation to improve personal H&S

    performance Acceptance of individual responsibility and

    accountability for H&S performance

    Participation and involvement at all levels inH&S management system development

    Commitment to effective H&S managementSystem

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    Visible leadership bymanagement is the vital

    component in a management

    system.Without it, its all just talk.

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    DuPont

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    Du Pont principles of safety management

    1. All injuries and occupational illnesses are preventable2. Management is directly responsible for doing this, each level

    accountable to the one above and responsible for the one below

    3. Safety is a condition of employment

    4.Training is required to sustain safety knowledge

    5.Safety audits and inspections must be carried out6.Deficiencies must be corrected promptly

    7.All unsafe practices, incidents and injury accidents will be

    investigated

    8.Safety away from work is as important as safety at work

    9.Accident prevention is cost effective10.People are the most critical element in health & safety

    programmes

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    In Shell we are all committed to:

    Pursue the goal of no harm to people; Protect the environment;

    Use material and energy efficiently to provide our products and

    services;

    Respect our neighbours and contribute to the societies in which

    we operate;

    Develop energy resources, products and services consistent

    with these aims;

    Publicly report on our performance;

    Play a leading role in promoting best practice in our industries;

    Manage HSSE & SP matters as any other critical business

    activity; and

    Promote a culture in which all Shell employees share this

    commitment.Peter Voser

    Chief Executive Officer

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    Organising

    Establishing responsibilities and

    relationships which promote a

    positive H & S culture

    Secure implementation and

    continued development of the H & S

    policy

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    Organising Staff

    Control what goes on in your organisation by detailedrules and procedures

    Empower staff to make decisions

    Allocate health and safety responsibilities to individuals

    and groups Ensure staff know and understand their responsibilities

    Involve staff in identifying hazards, assessing risks,developing preventative measures and measuringperformance

    Ensure staff are fully competent; analyse training needs Provide access to specialist help when it is needed

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    Responsibility

    Ensure everyone knows their specific role

    in H&S

    Provide necessary resources Establish reporting lines

    Allow them to manage their tasks

    Hold personnel accountable

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    Levels of supervision

    Self supervision

    Imposed supervision

    Degree of

    supervision

    High

    Low

    Competence

    Risk

    Low

    LowHigh

    High

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    Planning and Implementing

    Complying with Health and Safety laws

    Identifying hazards and assessing risks and

    deciding how they can be eliminated or controlled

    Establishing operating controls such as

    procedures and work instructions

    Agreeing Health and Safety targets with

    managers and supervisors

    Setting up systems such as incident reporting,

    behavioural safety, emergency response

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    Measuring Performance

    Where are you?

    Where you want to be? What is the difference and why?

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    Measuring Performance

    ACTIVE MONITORING

    Achieving objectives and

    standards REACTIVE MONITORING

    Investigating injuries, damage,near misses

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    Active Monitoring

    Measurement and reporting of:-

    Hazardous conditions or unsafe equipment

    (Un)safe acts or omissions

    (Non) compliance with procedures etc (Non) achievement of safety targets / goals

    Management involvement in safety

    Environmental or occ.health surveillance

    Effectiveness of inspections or audit systems Effectiveness of risk assessment / control

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    Reactive Monitoring

    Measuring and reporting of:-

    Injuries (first aid, serious, fatal)

    Occupational illnesses Damage to property or the environment

    Near Misses (incidents with no losses)

    Financial losses (time off work or fines)

    Days of work lost Enforcement notices issued by regulator

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    Performance Monitoring

    Indirect monitoring

    Periodic examination of

    documents

    Systematic direct observation of

    work and behaviour

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    Monitoring measures performance of parameters over a time

    period, and compares with previous periods or targets. E.g.

    19 incidents this month compared to 22 the previous month,

    or 500 tonnes of product produced this week compared to a

    forecast of 510.

    Auditing compares performance against an established

    standard. E.g. did management operate the environmental

    organisation in accordance with ISO 14001, or were finances

    managed in accordance with agreed accounting standards ?

    Monitoring versus Auditing

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    Advantages of auditing

    Ensuring HSE management system elements and activities conform

    to planned arrangements and are implemented effectively

    Determining the functioning of the HS management system in fulfilling

    the companys HSE policy, objectives and performance criteria

    Complying with relevant legislative criteria

    Identifying areas of improvement - Minimising losses and liabilities by

    identifying where corrective action is needed

    Providing feedback to enable continuous improvement

    Encouraging better safety performance across the companys

    operations and sharing of good practices. Increasing employees awareness of health and safety issues

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    Definition of culture

    The attitudes and behaviour that are

    characteristic of a particular social group or

    organisation

    Beliefs and actions which are kept and

    followed more or less regardless of the

    situation or circumstances

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    Culture cautions

    Remember that a culture is the sum of its parts,and that a person may exhibit all, some or noneof its characteristics --- Not all Americans eat

    hamburgers, watch baseball and speak English

    The trouble with culture is that it has about asmuch definitional precision as a cloud

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    Safety culture

    The product of individual and group values,

    attitudes, perceptions, competencies and

    patterns of behaviour that determine thecommitment to, and the style and

    proficiency of, an organisations health and

    safety management (ACSNI)

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    Safety Culture

    The way we do things around here

    What we do when we think no-one is

    watching

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    Positive safety cultures

    Aviation

    Medical operating teams

    Emergency services Nuclear submarines

    Saturation divers

    Your nominations?

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    Common factors

    Leadership

    Workforce involvement

    Two way communication Learning and change

    Attitude towards blame

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    Leadership

    Safety takes priority

    Managements visible commitment

    Effective system for managing safety

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    Workforce Involvement

    Responsibility for own and others safety

    Taking ownership of safety programmes

    Specialists to provide support Channels to report concerns

    Feedback to inform personnel

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    Two way communication

    Top-down communication

    Information transfer up and across the

    group Safety reporting

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    Learning and change

    Learning culture

    Contributing improvement ideas

    Continual review and self-monitoring Lessons learned and resulting changes

    Safety culture surveys

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    Attitude towards blame

    Just culture versus a Blame culture

    Seek for root causes

    Demonstrate care and concern Dont shoot the messenger

    Maintain confidentiality

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    Negative issues

    Lack of ownership

    No management commitment

    Unwillingness to share information No learning from mistakes

    No response to reviews or audits

    Isolationism

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    Safety culture ladder (After EI)

    Who cares as long as we are not caught!

    PathologicalWho cares as long as we are not caught!

    ReactiveSafety is important. We do a lot every time we have an accident!

    CalculativeWe have systems in place to handle all hazards

    ProactiveSafety leadership & values drive continuous improvement

    GenerativeHSE is how we do business around here

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    Impact of behaviour on safety

    Time

    Accident/IncidentRa

    te Engineering

    Systems

    Behaviours

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    Human factors

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    Human factors

    Errors Violations

    Human failures

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    Human factors

    Slips ofaction

    Lapses ofmemory

    Skill-basederrors

    Rule basedmistakes

    Knowledge basedMistakes

    Mistakes

    Errors

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    Whoops!

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    Human factors

    Routine Situational Exceptional

    Violations

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    Human Failure

    Error Non Compliance

    IInnaaddvveerrtteenntt DDeelliibbeerraattee

    Action Error Thinking Error

    Action

    Based Slip

    Memory

    Based Lapse

    Rule Based

    Mistake

    Knowledge

    Based Mistake

    AAccttiioonn nnoott aass ppllaannnneeddAAccttiioonn aass ppllaannnneedd

    Viioollaattiioonnss

    Routine Situational Exceptional

    After HSE

    Human Failure Types

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    SKILL BASED

    RULE BASED

    KNOWLEDGE BASED Conscious

    AutomaticAutomated routines with little

    conscious attention

    If symptom is X, then cause is Y.

    If cause is Y then do Z

    No routines or rules available

    for handling the situation

    Levels of mental working (After HSE)

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    Behavioural safety concepts

    ~95% of workplace accidents are causedby unsafe behaviour

    Most accidents have happened, or nearlyhappened, before

    The people doing a job are the best peopleto tell you how to do it safety

    Management /supervision commitment isessential

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    Behavioural safety theory

    Culture determined by attitudes

    Attitudes determined by behaviours

    Hence as you change behaviour, you

    change attitudes, and in time you change

    the culture

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    Behavioural modification

    If you change the way people have to act,

    in time you can change the way they think,

    If you change the way people think, in timethat will become the way they want to act

    Countries change behaviour by new laws,companies have to do it in other ways

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    Seat belts in cars in UK

    1965 Manufacturers to fit belts in cars

    1983 Front seat users to wear belts

    1989 Children in rear seats to use belts1991 All rear seat users to wear belts

    2006 Some children to use special carseats

    Estimated that 60,000 lives have been savedsince 1983

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    Changing behaviours 1

    Behavioural safety programmes seek toimprove safety culture, and safetyperformance by getting people to changetheir behaviour at work

    The programmes have to involve everyone.The people doing the job know best how itcan be improved

    Dont expect staff to change their behaviour ifmanagers dont change theirs

    Let people know what is going on

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    Changing behaviours 2

    Prepare for a slow change over time ascultures change slowly

    Explain the process so all know what is

    happeningAppoint and train people in observation andintervention activities.

    Explain the differences between mistakes,

    which are tolerable, and violations, whichare not, in the event of an incident occuring

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    Observation and Intervention levels

    1. Reporting unsafe conditions

    2. Watching how people are carrying out their

    tasks, and reporting unsafe acts3. Intervening when an unsafe act is seen,

    and working with the person to resolve the

    problem, and agree a solution

    4. Noting good behaviour and commending it

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    Intervention

    Observe what is going on

    Introduce yourself and pause activity

    Find something to commend

    Discuss the activity and why its being done

    Ask what is the worst thing that could happen? to

    promote discussion on safety

    Agree a safer way for them to workReport intervention and positive outcome

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    Prescription versus goal setting

    Prescriptive systems tell you what you do to be safe

    e.g. Pressure vessels must be 12 mm thick,

    cranes must lift no more than 5 tonnes etc

    Lots of specific legislation.

    Goal setting systems tell you what you have to

    achieve in safety terms, and leave you to work

    out the best way to get there.

    Provide guidance and support.

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    Remember why we need a management

    system that works!