iaea international atomic energy agency iaeas approach to safety culture

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IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

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Page 1: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEAInternational Atomic Energy Agency

IAEAs Approach to Safety Culture

Page 2: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety Standards

I A E A S a f e t y S t a n d a r d s

F u n d a m e n t a l

S a f e t y P r i n c i p l e s

S a f e t y F u n d a m e n t a l s

f o r p r o t e c t i n g p e o p l e a n d t h e e n v i r o n m e n t

Page 3: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety Standards

Page 4: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Fundamental Safety Principles SF-1

Integration of safety culture

3.13. “A safety culture that governs the attitudes and behaviour in relation to safety of all organizations and individuals concerned must be integrated in the management system. Safety culture includes:

• Individual and collective commitment to safety on the part of the leadership, the management and personnel at all levels;

• Accountability of organizations and of individuals at all levels for safety;

• Measures to encourage a questioning and learning attitude and to discourage complacency with regards to safety.”

Page 5: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Part 1 Governmental andRegulatory Framework

Part 2 Leadership and Managementfor Safety

Part 4 Safety Assessment

Part 5 Predisposal Managementof Radioactive Waste

Part 6 Decommissioning andTermination of Activities

Part 7 Emergency Preparednessand Response

B. Design of Nuclear Power Plants

Specific Safety RequirementsGeneral Safety Requirements

Part 3 Radiation Protection and Safety of Radiation Sources

1. Site Evaluation forNuclear Installations

3. Safety of Research Reactors

4. Safety of Nuclear FuelCycle Facilities

5. Safety of Radioactive WasteDisposal Facilities

6. Safe Transport ofRadioactive Material

2. Safety of Nuclear Power Plants

2.1 Design and Construction2.2 Commissioning and Operation

Page 6: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Part 1 Governmental andRegulatory Framework

Part 2 Leadership and Managementfor Safety

Part 4 Safety Assessment

Part 5 Predisposal Managementof Radioactive Waste

Part 6 Decommissioning andTermination of Activities

Part 7 Emergency Preparednessand Response

B. Design of Nuclear Power Plants

Specific Safety RequirementsGeneral Safety Requirements

Part 3 Radiation Protection and Safety of Radiation Sources

1. Site Evaluation forNuclear Installations

3. Safety of Research Reactors

4. Safety of Nuclear FuelCycle Facilities

5. Safety of Radioactive WasteDisposal Facilities

6. Safe Transport ofRadioactive Material

2. Safety of Nuclear Power Plants

2.1 Design and Construction2.2 Commissioning and Operation

Page 7: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Difference between Management and Leadership

“The difference between management and leadership can be stated simply whereby ‘management’ is a function and ‘leadership’ is a relation. Management ensures that work is completed in accordance with requirements, plan and resources. It is through leadership that individuals may be influenced and motivated, and organizations changed. Managers may also act as leaders.”

Source: IAEA Safety Standards: GS-G-3.5

Page 8: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Quality Control

Quality Assurance

Quality Management

(Integrated) ManagementSystems

Time

Saf

ety

& P

erfo

rman

ce

Evolution to Management Systems

GS-R-32006

GSR Part 22013

50-C-Q1996

50-C-QA 1985-88

Systemic approach

Page 9: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

• The application of SF-1 to establish requirements for:Effective leadership for safetyEffective management for safetyEffective safety culture improvement activities

• Safety as a sustainable outcome of excellence in leadership and management

• Integrated management system: make sure that other requirements will not compromise Nuclear Safety

• Systemic approach of ITO

Objective of the GS-R Part 2

Leadership and Management for Safety

Page 10: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

Systemic Approach – The Interaction between Individuals, Technology and

Organization

Page 11: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety Standards

Page 12: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Safety (Culture) Requirement GS-R-3

“The management system shall be used to promote and support a strong safety culture by:

• Ensuring a common understanding of the key aspects of safety culture within the organization;

• Providing the means by which the organization supports individuals and teams in carrying out their tasks safely and successfully, taking into account the interaction between individuals, technology and the organization;

• Reinforcing a learning and questioning attitude at all levels of the organization;

• Providing the means by which the organization continually seeks to develop and improve its safety culture.”

Page 13: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety Standards

Page 14: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety culture characteristics and attributes (GS-G-3.1)

Page 15: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Safety is a clearly recognized valueAttributes

• High priority to safety: shown in documentation, communications and decision- making

• Safety is a primary consideration in the allocation of resources

• The strategic business importance of safety is reflected in business plan

• Individuals are convinced that safety and production go ‘hand in hand’

• A proactive and long-term approach to safety issues is shown in decision-making

• Safety conscious behavior is socially accepted and supported (both formally and informally)

GS-G-3.1

Page 16: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Accountability for safety is clear Attributes

• Appropriate relationship with the regulatory body exists, which ensures that the accountability for safety remains with the licensee

• Roles and responsibilities are clearly defined and understood• There is a high level of compliance with regulations and procedures• Management delegates responsibilities with appropriate authority to

enable accountabilities• Ownership for safety is evident at all organizational levels and by all

individuals

GS-G-3.1

Page 17: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Safety is learning driven Attributes

• A questioning attitude prevails at all organizational levels• An open reporting of deviations and errors is encouraged• Internal and external assessments, including self-assessments are

used• Organizational and operating experience (both internal and external to

the facility) is used• Learning is enabled through the ability to recognize and diagnose

deviations, formulate and implement solutions and monitor the effects of corrective actions

• Safety performance indicators are tracked, trended, evaluated and acted upon

• There is a systematic development of staff competencies

GS-G-3.1

Page 18: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Safety is integrated into all activities Attributes

• Trust permeates the organization• Consideration for all types of safety, including industrial and

environmental safety and security, is evident• Quality of documentation and procedures is good• Quality of processes, from planning to implementation and review, is

good• Individuals have the necessary knowledge and understanding of the

work processes• Factors affecting work motivation and job satisfaction are considered• Good working conditions exist with regards to time pressures, work

load and stress• Cross-functional and interdisciplinary cooperation and teamwork are

present• Housekeeping and material condition reflect commitment to

excellence

GS-G-3.1

Page 19: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Leadership for safety is clear Attributes

• Senior management is clearly committed to safety• Commitment to safety is evident at all management levels• Visible leadership showing involvement of management in safety

related activities• Leadership skills are systematically developed• Management assures that there is sufficient and competent staff• Management seeks the active involvement of staff in improving safety• Safety implications are considered in the change management process• Management shows a continuous effort to strive for openness and good

communications throughout the organization• Management has the ability to resolve conflicts as necessary• Relationships between management and staff are built on trust

GS-G-3.1

Page 20: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety Standards

Page 21: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Safety (Culture) Guidance GS-G-3.5

Specific guidance for nuclear installations*

• Further explanation of the five safety culture characteristics and the attributes

• Improving safety culture• Warning signs of a decline in safety culture• Concept of interaction between individuals, technology

and the organisation• Assessment of safety culture

* Nuclear power plants, other reactors (research and critical assemblies), nuclear fuel cycle facilities

GS-G-3.5

Page 22: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Post-Fukushima activities – Strengthening of Nuclear Safety IAEA Ministerial Conference on Nuclear Safety Vienna,

20-24 June 2011

Chairpersons’ Summaries

15. In spite of all recent efforts there is still room for improvement in understanding the concept of safety culture and implementing it effectively worldwide in the management of all NPPs.

Page 23: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

• Member States requests to IAEA to provide practical guidance

• IAEA Safety Standards

• Behaviour and social science

• Past experiences

Basis for the recent work on safety culture

Page 24: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

IAEA Safety culture publications http://www.iaea.org

Document Title

Safety Fundamentals No. SF-1 Fundamental Safety Principles

Safety Requirements No. GS-R-3 The Management System for Facilities and Activities

Safety Guide No. GS-G-3.1 Application of the Management System for Facilities and Activities

Safety Guide No. GS-G-3.5 The Management System for Nuclear Installations

Safety Series No. 75-INSAG-4 Safety Culture

Safety Series No. 75-INSAG-15 Key Practical Issues in Strengthening Safety Culture

Safety Report Series No. 11 Developing Safety Culture in Nuclear Activities

Safety Report Series No. 42 Safety Culture in the Maintenance of Nuclear Power Plants

Safety Report Series: No 74 Safety Culture during Pre-Operational Phases of Nuclear Power Plant Projects

Safety Report Series: How to Perform Safety Culture Self-Assessment – final draft

Safety Report Series: How to Continuously Improve Safety Culture – draft

TECDOC-1321 Self-assessment of safety culture in nuclear installations

TECDOC-1329 Safety culture in nuclear installations

TECDOC-1707 Regulatory Oversight Of Safety Culture In Nuclear Installations

Page 25: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

From Variable to Metaphor Approach

TechnologyManagement

system

Safety-system

Culture

Strategy

Culture as one variable amongst others:

Culture as something inherent in all aspects of

the organisation:

Technology Managementsystem

Safety-system

Strategy

Culture

The Variable ApproachOrganizations have cultures

The Metaphor ApproachOrganizations are cultures

Page 26: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture
Page 27: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture
Page 28: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

• Culture is seen as less of a ‘quick fix’

• It is recognized that culture can be changed, but it is also recognized that this often takes • time,

• effort, and

• does not always end up the way it is planned.

• Culture can be seen as something we can influence, rather than something we can control

• Culture work needs to encompass the whole organization – not a top-down process

• Communication is essential

• Shared understanding

Organizational culture theories nowadays

Page 29: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

We need to accept:

• Culture is complex

• Culture is abstract and inherent into all aspects

• There are many cultures in an organization

So what do we need to do?

• Educate and train to become more effective in improvement activities

• Address the deepest cultural elements when assessing and to make sustainable change

• Better understand how different cultures impacts safety culture

What use can we draw from the theories?

Page 30: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

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Page 31: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

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Page 32: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

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Some of TEPCO’s conclusion in IEM5The IAEA International Expert Meeting on Human and Organizational Factors

TEPCO: “The cause of the accident should not be treated merely as a natural disaster due to an enormous tsunami being something difficult to anticipate.

We believe it is necessary to seriously acknowledge the result that TEPCO failed to avoid an accident which might have been avoided if ample preparations had been made in advance with thorough use of human intellect.”

TEPCO concluded the following in the IAEA International Expert Meeting5:• Believed that severe accident was unlikely• Did not pay attention to low probability high consequence risks • Missed out the opportunities to learn from others and improve

Is this only valid for TEPCO?

Page 33: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Importance to surface the assumptions

Culture is stronger than the technical factors. We easily get ”blind” and get socially conformed.

Therefore it is of key importance to create a good shared space which support the basic assumptions to surface and to periodically perform safety culture assessments.

Page 34: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

From Theory of culture to Practice

Behaviour

Values

Attitudes

Understanding

Page 35: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Performance

• Depends on the ability and willingness of individuals to continuously think, engage, and demonstrate safe behaviours

• Shaped by:• Personal motivation• Shared space

Me

Shared space

External space

Page 36: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

The Difference….

Dialogue DiscussionDebate

Page 37: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

Shared Space

Page 38: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

IAEA

Shared space as a tool for cultural change

Behaviour

Values

Attitudes

Understanding

Behaviour

Values

Attitudes

Understanding

Shared Understanding

Dialogue

Page 39: IAEA International Atomic Energy Agency IAEAs Approach to Safety Culture

…Thank you for your attention