based on material from ge / crompton / chemtura enhanced bbs 1 mike’s introduction i was fortunate...
TRANSCRIPT
Based on material from GE / Crompton / Chemtura Enhanced BBS
1
Mike’s Introduction• I was fortunate to get this PowerPoint
presentation from Roger Evans who, with Rich Blosser, was involved in it’s development when he worked for GE Specialty Chemicals in Morgantown
• While this was a training presentation, I never had the training, thus there is no voice over for these slides. Just read through these slides to understand how one company does BBS
Based on material from GE / Crompton / Chemtura Enhanced BBS
2
Enhanced BBS Lecture Agenda
• Introduction & Safety Fundamentals • BBS Modules• ABC Model refresher, Safe Start• Tools to Change Behavior• Observation & Feedback• Wrap-Up
Based on material from GE / Crompton / Chemtura Enhanced BBS
3
So, starting from the very beginning, “Why do we even need a Safety Program?”
• Humane/Moral Reasons-Human Suffering- Expected- Public Awareness
• Cost of Injuries/Incidents- Direct (Medical, Workers Compensation, Rehab)- Indirect (Prod. Delays, Prop. Damage, Re-Training, Admin.)- Indirect Costs 5 to 10 X Direct Costs
• Legal Requirements- OSHA Standards- 100% Compliance Required- Civil & Criminal Penalties
DUH…
…Because it’s the RIGHT thing to do!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Fundamentals of Managing Safety
1. Incidents are preventable & have multiple causes.
2. Behavior must be managed to prevent injuries/incidents.
3. Safety must be managed equally with production, quality, cost control and employee relations.
4. At-Risk Behavior, Unsafe Conditions & Incidents are symptoms of Mgt./Systemic Deficiencies.
5. All employees must be held accountable for Safety Performance.
6. Safety Performance must be measured in terms of activities, not just results.
How do YOU Manage Safety?How do YOU Manage Safety?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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TEST Question
Which one of the following has the greatest influence on incident prevention?
A. Government RegulationsB. Employee AttitudesC. Awareness & Programs D. Incident RatesE. Audits/InspectionsF. None of the Above
Answer:
Focusing on Human Behavior (Actions), which accounts for 90% + of all incidents, is where we need to put our efforts!
F
Based on material from GE / Crompton / Chemtura Enhanced BBS
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• WE are not achieving our goal of reducing injuries.
• Behavior is the Biggest Root Cause of Incidents.
• BBS Identifies and Corrects At-Risk Behavior Effectively.
• BBS Is Focused on Positive Consequences.
• BBS Process Gives Direct Feedback on At-Risk Behavior.
• Corrective/Preventive Actions are Defined Based on Actual Data.
Why BBS
BBS focuses on both “mistake prevention” & “mistake proofing”
Based on material from GE / Crompton / Chemtura Enhanced BBS
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What is BBS?• BBS is a safety process primarily focusing on safe/at-risk employee actions, not an equipment based safety process.
• BBS is a process where you learn to change behaviors that have, over the course of time, resulted in incidents.
• By changing behaviors you improve your safety practice's. Not all equipment is ideally designed with safety in mind, therefore behavior (actions) is critical to working safely!
Each and everyone of us needs to take the ownership and responsibility for our safety!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Cookie Thief By Valerie Cox
A woman was waiting at an airport one night, with several long hours before her flight.She hunted for a book in the airport shop, bought a bag of cookies and found a place to drop. She was engrossed in her book, but happened to see, that the man beside her, as bold as could beGrabbed a cookie or two from the bag between, which she tried to ignore, to avoid a scene. She read, munched cookies, and watched the clock, as the gutsy “cookie thief” diminished her stock.She was getting more irritated as the minutes ticked by, thinking, “If I wasn’t so nice, I’d blacken his eye!” With each cookie she took, he took one too, when only one was left, she wondered what he’d do.With a smile on his face and a nervous laugh, he took the last cookie and broke it in half. He offered her half, as he ate the other. she snatched it from him and thought, “Oh brother,This guy has some nerve, and he’s also rude, why, he didn’t even show any gratitude!” She had never known when she had been so galled and sighed with relief when her flight was called.She gathered her belongings and headed for the gate, refusing to look back at the “thieving ingrate.” She boarded the plane and sank in her seat, then sought her book, which was almost complete.As she reached in her baggage, she gasped with surprise. there was her bag of cookies in front of her eyes! “If mine are here,” she moaned with despair, “then the others were his and he tried to share!”Too late to apologize, she realized the grief, that she was the rude one, the ingrate, the thief!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Enhanced BBSGoal of BBS -
Observe and improve behavior (actions) and
the thinking that drives it!
Why?To answer that question, let us start by asking one:
Based on material from GE / Crompton / Chemtura Enhanced BBS
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WHAT ARE THE FOUR THINGS THAT YOU VALUE IN LIFE THE MOST?
1. …………..
2. …………..
3. …………..
4. …………..
Based on material from GE / Crompton / Chemtura Enhanced BBS
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What About You?
Now think about how many people would be affected f you were injured. Imagine that your right arm is in a cast, and for 8 weeks you will not be able to drive a car.
Write down the people you can think of who would be affected.
Family
Friends Co-Workers
Organization
YOU
It’s important to prevent injuries, both for yourself and others!
Based on material from GE / Crompton / Chemtura Enhanced BBS
12© Copyright ADSI 2002
Have you ever seen people behave in a way that does not match up
with their values ?
In this training you will learn why !
Based on material from GE / Crompton / Chemtura Enhanced BBS
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For those who don’t take safety seriously by:• Not following procedures, Taking shortcuts, Not wearing PPE, HorseplayPlease have the following form completed:
SPOUSE'S AFFIDAVIT
I, , Hereby authorize my spouse to work at-risk without wearing gloves, hard hat, goggles, safety shoes, respirator or any other safety equipment and hereby promise that I will without complaint, perform the following duties in case he or she is blinded, crippled, or experiences some other serious injury due to their lack of concern for safety:
I WILL:
1. Lead them wherever they want to go. 2. Help them dress and eat. 3. Describe the scenery to them on vacations. 4. Read to them instead of watching television. 5. Describe the way the children's eyes light up at Christmas and what their graduations and weddings are like. 6. Teach them to do housework so I can get a job to support our family. 7. Do all the work around the yard and garage that he/she used to do.
8. Teach our little children/grandchildren how to play ball, fish, hunt , drive a car, and other family fun things.
_____________________________
(Spouse's Signature)
Be smart, work safe and be a HERO to the important people in your life...YOUR LOVED ONES!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Everybody is talking about Behavior Based Safety (BBS)
Why?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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OSHA SAYS:
“Behavior is the cause of 90% of all accidents and injuries”.
THE FEDERAL AVIATION ADMINISTRATION SAYS:
“Behavior is the cause of 84% of all aircraft crashes”.
Local Newspaper on Car Accidents:
“Most Car accidents happen because of alcohol, speed or reckless driving, all at-risk behaviors that people choose to take”.
While it is true that some events in our lives are beyond our control, the majority of the events are the result of our behavior.
While it is true that some events in our lives are beyond our control, the majority of the events are the result of our behavior.
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The behavior (actions) of people is our biggest cause of injuries and incidents.
This training is all about:
Understanding why people’s behaviors sometimes doesn’t match with their values/beliefs and what can we change in this mismatch
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Total Incidents Total Injuries OSHA Rec.'s193 50 3148 40 4121 30 3168 40 6 (2 LT)
LT = Loss Time
Site 4 year Safety Performance History
Going in the WRONG Direction
Based on material from GE / Crompton / Chemtura Enhanced BBS
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At-Risk Behaviors Contributing to two years Injuries
21
12
109
76
5 54
3 3
1
0
5
10
15
20
25
Eyes
on P
ath
Liftin
g, B
endi
ng, T
wisting
Eyes
on T
ask
Hands
in D
anger
Zone
/Lin
e of
Fire
Speed
/Rat
e of
Wor
k
Job
Specif
ic Clo
thin
g
Eye/F
ace
Awkwar
d Bod
y Pos
ition
Pushi
ng/P
ullin
g
Job
Specif
ic G
love
s
Ascen
ding/
Descen
ding
Respir
ator
y Pro
tecti
on
At-Risk Behavior
Nu
mb
er
of
Inju
rie
s
Based on material from GE / Crompton / Chemtura Enhanced BBS
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ADSI developed a model that explains behavior
This model is called
‘The ADSI Master Model’
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
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INCOMING INFORMATION
OR
LIFE’S EVENTS
• How am I feeling?
• Personal Bias?
• Do I have something to compare this to?
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
Based on material from GE / Crompton / Chemtura Enhanced BBS
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“The ADSI Master Model”
Based on material from GE / Crompton / Chemtura Enhanced BBS
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In the past we have assumed that accidents were just that;
“Accidents”If we dig a little deeper, we are going to
find that there are:
Two Categories of Incidents
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Two Categories of Incidents(or human error)
Category One:
A True Incident
Examples:
Distracted
Preoccupied
Daydreaming
Rushing
Correct techniques not known
Attention drift
Category Two:
A conscious decision not to follow procedure
Examples:
Compulsive risk taking
Horseplay
Paybacks
Placing production, personal interests or comfort above Safety
Competition
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
Res
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s
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
Act
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Based on material from GE / Crompton / Chemtura Enhanced BBS
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If we looked at some U.S, statistics from OSHA, the Federal Aviation Administration or other industry statistics, those statistics state that 90% or more of the undesirable events that happen are related to Human Error.
We are not as interested in those statistics as we are in what’s going on where you work.
In your opinion, on a scale of 0-100, what percent of the incidents that happen in a place you worked were the result of human error?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Human Error On The Job?
What are some of the factors that might cause
Spider Model
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Human Error On The Job
Some of the factors might be:
Spider Model
Thinking
Preoccupied
Production
pressure
Fatigue
Health
Stress
Outside
Distracters
homeProblems at
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Is there a way to measure thinking?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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LEVELS OF AWARENESSLEVEL 5 UNITIVE (CONSENSUS)
Choosing to unite your thinking with someone else’s. (Trying to see it from another persons point of view. Also, uniting a group behind a common cause.)
LEVEL 4 CREATIVECreating new solutions to old problems. (Do I have to be somewhere?;Can I find a detour?)
LEVEL 3 CONSCIOUSHighly aware of situation and self (Brake lights stay on and why are we stopped?)
LEVEL 2 SENSITIVEBeing able to respond to outside situations when they arise. (But not much more)
LEVEL 1 AUTOMATICDoing something without conscious thought or effort. (Driving a car.)
LEVEL 0 TRUE SLEEPUnconscious
MO
RE
AW
AK
E
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Level
of Awaren
ess
Risk
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Types of Tasks
High Risk / High Frequency
High Risk / Low Frequency
Low Risk / High Frequency
Low Risk / Low Frequency
Human Error
Yes Don’t Know No
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Types of Tasks
High Risk / High Frequency
High Risk / Low Frequency
Low Risk / High Frequency
Low Risk / Low Frequency
Averages
Human Error
Yes Don’t Know No
Low RiskLow Risk / /High FrequencyHigh Frequency
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
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Based on material from GE / Crompton / Chemtura Enhanced BBS
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DO YOU REMEMBER THE FOUR THINGS THAT YOU VALUE IN
LIFE THE MOST
1. Health
2. Family
3. ……
4. ……
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
5 Unitive4 Creative3 Conscious2 Sensitive1 Automatic0 Vital
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Levels ofAwareness
Act
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BeliefsValuesLife ExperiencesAttitudes
Based on material from GE / Crompton / Chemtura Enhanced BBS
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INTELLECTUAL
EMOTIONAL
MOVING
INSTINCTIVE
The Centers
Understanding Behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Centers
Where we want to be.
When we are thinking about what weare doing.
When our actions and behaviorreflect what we value.
INTELLECTUAL
Understanding Behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Love: Buying a lover a ring we can’t afford.
Fear: Scrambling out of a room when an alarm goes off.
Anger: Throwing a wrench.
Road Rage!
EMOTIONAL
The Centers
Understanding Behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
40
MOVING
The Centers
The impulse to rush or hurry when there is no outside pressure to do so.
If you have dinner with ten people, there is always one done first and last, why is that ?
Understanding Behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
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INSTINCTIVE
The Centers The impulse to
• Eat when we are hungry.
• Drink when we are thirsty.
• Get out of extreme weather.
• Move quickly when startled.
• Conserve energy whenever we can.
Understanding Behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
The ADSI Master Model
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BeliefsValuesLife ExperiencesAttitudes
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Emotional
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Based on material from GE / Crompton / Chemtura Enhanced BBS
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Highly Critical
Low
100%
0%
Criticality Scale
a chance for multiple fatalities if somebody makes a mistake Examples: Airline pilots, air traffic controllers
a chance for single fatality if a mistake is made Examples: Doctors, Surgeons, Pharmacists, etc.
nothing much happens if we make one little mistake Example: selling shoes at the mall
Highly Critical
Low (nothing much happens)
100%
0%
Criticality Scale
Where does your job fall on this scale?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Perception MechanismWhat do the following images suggest to
you? Are they positive or negative?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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BBS
Based on material from GE / Crompton / Chemtura Enhanced BBS
47
The Perception Mechanism
INCOMING INFORMATION
OR
LIFE’S EVENTS
Filters• How am I feeling?• Personal Bias?• Do I have something
to compare this to?
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
Based on material from GE / Crompton / Chemtura Enhanced BBS
48
The success of this effort depends on you.
If people don’t find BBS to have value…
It won’t work!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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© Copyright ADSI 2002
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BeliefsValuesLife ExperiencesAttitudes
The CentersIntellectual
Emotional
Moving
Instinctive
Observation and Feedback is the systematic way to measure and change behavior upstream in the actions box before it becomes a result.
When actions and behaviors don’t match up with values, people are either in automatic or experiencing strong impulses from moving,
emotional or instinctive center. The tool that will help keep actions and behaviors in line with values is observation and feedback.
Based on material from GE / Crompton / Chemtura Enhanced BBS
50
Is there anything in our current safety culture that would prevent BBS from
working ?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Two Dimensions of a Safety Culture
The Software of an organization:
How people view the process
Attitude
Communication
Cooperation
Motivation
Depth of employee involvement
Morale
Relationships
Degree of openness
Levels of trust
The Hardware of an organization:
Law and regulations
Health and Safety Framework
Process Safety Management
QS 9000
ISO 14001
Global Star
Policies & Procedures
Programs, planned activities
Monitor and evaluate functions
Data interpretation and and reporting
BBS
Based on material from GE / Crompton / Chemtura Enhanced BBS
52
1…..
2…..
3…..
1…..
2…..
3…..
What is good about our current safety culture?
What would you like to change about our current safety culture?
This is Company Specific - Mike
Based on material from GE / Crompton / Chemtura Enhanced BBS
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ABC Model
Based on material from GE / Crompton / Chemtura Enhanced BBS
54
A few words about the word Behavior
Although the word “behavior” may have a negative connotation to it,i.e.. “Johnny quit misbehaving!”,
It is nothing more than the action(s) of people.
A critical behavior is also an observable act, but it is one that protects us from injury if we do it correctly and puts us at risk of injury if we do it incorrectly.
Behavior is simply an observable act, something you can see another person do.
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Behavior• An Observable Act or Activity
• Activity without Undertones or Implications
• Must be measurable (Safe – At-Risk)
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The A B C Model
• Activators (Antecedents) are things that come before and trigger behavior.
• Behavior is simply an observable action, something we can see someone do.
• Consequences come after and result from behavior.
Activators Behavior Consequences (Antecedent)
Based on material from GE / Crompton / Chemtura Enhanced BBS
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BehaviorBehaviorExceeding the speed limit
ActivatorGetting home earlier
ConsequencePositive (seeing family)Soon (now)Certain (if you do not get caught)
To adjust the behavior (chose 1):A - do you introduce a police car patrol twice a month in the route?B - do you make speed bumps in the road every 500 yards?
Consequences that are Soon, Certain & Positive are the most effective!
Based on material from GE / Crompton / Chemtura Enhanced BBS
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How does the ABC Model fit with
‘The ADSI Master Model’?
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Centers
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Act
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Thinkingor
Level ofAwareness
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Beliefs Values Life Experiences
+-
The Centers Intellectual
Emotional
Moving
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Res
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A B C Activator Behavior Consequences
The Perception Mechanism
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
INCOMING INFORMATION
OR
LIFE’S EVENTS
• How am I feeling?
• Personal Bias?
• Do I have something to compare this to?
Invitation
Playing Poker
X
Play Poker
We win $200
Based on material from GE / Crompton / Chemtura Enhanced BBS
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SAFE STARTThese four states…
- Rushing
- Frustration
- Fatigue
- Complacency
can cause or contribute to these critical errors…- Eyes Not on Task
- Mind Not on Task
- Line of Fire
- Balance/Traction/Grip
…which increase the risk of an injury/incident!
SAFETY
THROUGH
OBSERVING
PERFORMANCE
POSITIVE
ATTITIUDES
UNDERLIE
SAFETY
EXCELLENCE
&PAUSE
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Tools to change
behavior
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Three Powerful Tools to change behavior:
#1 A Pre-Task Self Analysis
#2 The Mini-Investigation Model
#3 Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Pre Task Self Analysis Tool
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Create your own Pre Task Self Analysis before a task begins.
Remember this?
Take these “traps” you listed and create a self observation instrument.
Trap1._______________ 4._______________2._______________ 5._______________3._______________ 6._______________
#1 Pre Task Self Analysis Tool
Human Error On The Job
Some of the factors that might cause:
Thinking
Preoccupied
Production pressure
Fatigue
Health
Stress
Outside Distracters
Problems at home
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Task 1:_______________________________________________________________
If an accident were going to happen here, how would it most likely happen?
______________________________________________________________________
Trap Awareness: (S) Safe (R) At Risk/ Need to be aware of (see back of form)
______Time Pressure / Pace______Vague instructions
______Time of day______Distraction / Interruption
______Peer pressure______Multiple tasks
______Unusual conditions______Overconfidence
______Stress______Other______________
Task 2:_________________________Repeat______________________________________
Tool #1: Pre Task Self Analysis Tool
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Mini-Investigation
Model
Based on material from GE / Crompton / Chemtura Enhanced BBS
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ALL THE FACTORS THAT MAY HAVE CONTRIBUTED TO:
CONDITIONS ACTIONS OR BEHAVIORS
THIS EVENT
100% 0%
100% 0%
100% 0%
100% 0%
100% 0%
100% 0%
100% 0%
100% 0%
Tool #2: Mini-Investigation ModelExercise
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Remember, when action and behaviors don’t match up with values, people are either in automatic or experiencing strong impulses from moving, emotional or instinctive center. The tool that will help keep actions and behaviors in line with values is observation and feedback.
Tool #3: Observation and Feedback
© Copyright ADSI 2002
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Moving
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Based on material from GE / Crompton / Chemtura Enhanced BBS
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Incidents are just the tip of the iceberg…..
Near Misses/Close Calls and At-Risk Behaviors are the bottom, invisible part of the iceberg!
Tool #3: Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Tool #3: Observation and Feedback
© Copyright ADSI 2002
5 Unitive4 Creative3 Conscious2 Sensitive1 Automatic0 Vital
More Awake
Thinkingor
Levels ofAwareness
Acti
on
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Beh
avio
rsBeliefs
ValuesLife ExperiencesAttitudes
The CentersIntellectual
Emotional
Moving
Instinctive
Observation and Feedback is the systematic way to measure and change behavior upstream in the actions box before it becomes an undesirable result.
Based on material from GE / Crompton / Chemtura Enhanced BBS
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What Observation and Feedback is not:
• Judgmental
• Pointing at people
• Confrontational
• Looking for fault
• Disciplinary
Tool #3: Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Why does observation and feedback work so well for improving safety?
4. It focuses on prevention and provides an up stream measure of safety.
1. It raises our level of awareness both during observation and after.
2. It provides positive feedback about our behavior in the actions box.
3. It keeps us in touch with other people and allows us to consider together the best way to do a job.
5. It gets in touch with our belief system. (Does our behavior match to our beliefs and values?)
6. Creates safe habits. (For when we do slip back into automatic)
7. Creates and atmosphere that someone cares about what we do and how we do it.
Tool #3 Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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The Behavior Observation Sheet
• A list of behaviors which have caused injuries in the past or have the potential to cause injury in the future.• A method of proactively measuring workplace safety performance before it becomes an OSHA case rate statistic.• An agreed upon list of techniques for safely completing work.
Tool #3: Observation and Feedback
Based on material from GE / Crompton / Chemtura Enhanced BBS
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Comments: (Provide details about all At-Risk Items)
Type Feedback that was received: Poor Fair Good
Time:________ Area: ____________ Observer:____________ Task:_________________
1.0 Personal Protective Equipment SAFE AT-RISK N / A1.1 Hardhat1.2 Eye / Face1.3 Hearing1.4 Job Specific Clothing1.5 Job Specific Gloves1.6 Appropriate Foot Wear1.7 Respiratory Protection1.8 Forearm Protection1.9 Other
2.0 Action of Associate2.1 Lifting, Bending, Twisting2.2 Eyes on Path2.3 Eyes on Task2.4 Speed / Rate of Work2.5 Pinch Point2.6 Ascending / Descending2.7 Hands in Danger Zone2.8 Pushing / Pulling
2.9 Line of Fire2.10 Other
3.0 Ergonomics3.1 Awkward Body Position3.2 Repetitive Motion3.3 Static Posture 3.4 Other
PAUSE Behavioral Observation Checklist
PAUSEPositiveAttitudesUnderlie Safety
Excellence
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INCOMING INFORMATION
OR
LIFE’S EVENTS
• How am I feeling?
• Personal Bias?
• Do I have something to compare this to?
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
5 Unitive4 Creative3 Conscious2 Sensitive1 Automatic0 Vital
More Awake
Thinkingor
Levels ofAwareness
Beliefs Values Life Experiences Attitudes
The Centers
Intellectual
Emotional
Moving
Instinctive
Act
ion
sR
esu
lts
Beh
avio
rs
INCOMING INFORMATION
OR
LIFE’S EVENTS
• How am I feeling?
• Personal Bias?
• Do I have something to compare this to?
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
Based on material from GE / Crompton / Chemtura Enhanced BBS
76
How to Determine the Critical Behaviors That
Contributed to an Injury:
The Injury: Employee cut open his right index finger when he caught it between a cheater and a valve stem while opening a stuck valve.
The critical behaviors contributing to this injury: * Using a cheater bar instead of a larger pipe wrench.* Not paying attention to body position (placing a body part in the line of fire).* Rushing.* Not asking for help when help was needed.* Others ?
Based on material from GE / Crompton / Chemtura Enhanced BBS
77
Splitting Attention: Two Dimensional Observations:
I. Human Activity Focused Focuses attention on the critical behaviors listed on the checklist. Provides a systematic method for sampling workplace safety before at risk behavior becomes an accident.
II. Situation/Hazard Focused The hazard focused part of the observation is where we attempt to become familiar with the job surroundings and make a mental list of potential hazards (“what if” scenarios). During the observation we can then determine from their actions if those same hazards have been recognized and planned for by the person doing the work. It also provides an opportunity for the observer to see things that are unusual, and those things normally taken for granted. This can also provide new and valuable categories to the Observation Sheet.
Based on material from GE / Crompton / Chemtura Enhanced BBS
78
Role of the observer• Key Player of the observation/feedback
process of the matter of preventing of incidents
• Supplies reliable indications concerning safe behavior on the work station
• Takes care of observations and feedback• Emphasizes positive aspects during
observations
Based on material from GE / Crompton / Chemtura Enhanced BBS
79
• Observe Openly • Know and understand observation checklist• Observation Techniques
Human Activity Focused - Situation/Hazard Focused • Interaction skills
Feedback & Dialogue
• Recognize value of observation data
Expectations of the observer
Based on material from GE / Crompton / Chemtura Enhanced BBS
80
Barriers for observation
• Too much familiarity with the work
• Too little familiarity with the work
• Too little knowledge of the definitions of critical behaviors
• Behavior happens too quickly
Based on material from GE / Crompton / Chemtura Enhanced BBS
81
FeedbackTraining
Based on material from GE / Crompton / Chemtura Enhanced BBS
82
Oral feedback• Give an overview of the observed (behavior)• First give the positive feedback• Discuss points of concern• Ask questions yourself and encourage others to do the same• Involve the employee in problem solving using the ADSI
Master Model• Try to match the behavior with the employee’s own beliefs• Ask for commitment for safe behavior• Stay with the observed behaviors, do not deviate• In case of many unsafe behaviors, only take the most
critical
Based on material from GE / Crompton / Chemtura Enhanced BBS
83
Oral feedback
• Give the feedback immediately after the observation (soon)
• Give the feedback to the observed employees only
• Be honest and straight
• Be specific and restrict yourself to what you have observed, facts
• Discuss - question - listen
• Confirm improvement
• Don’t argue (contributes nothing)
Based on material from GE / Crompton / Chemtura Enhanced BBS
84
Interaction Skills
• Plan What to Ask• Ask about the Job• Listen Actively to Responses• Check Your Understanding• Discuss Job Thoroughly• Get Agreement to Work Safely• Close the Discussion
Based on material from GE / Crompton / Chemtura Enhanced BBS
85
Behavior Observation Guidelines
1. Emphasize Safe Behavior
2. Discuss Area of Concern
3. Ask Questions, Invite Questions
4. Engage in Problem Solving
5. Remove Barriers
Based on material from GE / Crompton / Chemtura Enhanced BBS
86
The Centers
Beh
avio
rs
Act
ion
s
Thinkingor
Level ofAwareness
5 Unitive4 Creative3 Conscious2 Sensitive1 Automatic0 True Sleep
Beliefs Values Life Experiences
+-
The Centers Intellectual
Emotional
Moving
Instinctive
Res
ult
s
A B C Activator Behavior Consequences
The Perception Mechanism
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
NOT VALUABLEVALUABLE
STRESSFULNOT STRESSFUL
HIGH RISKLOW RISK
BADGOOD
NOYES
INCOMING INFORMATION
OR
LIFE’S EVENTS
• How am I feeling?
• Personal Bias?
• Do I have something to compare this to?
Invitation
Playing Poker
X
Play Poker
We win $200
Based on material from GE / Crompton / Chemtura Enhanced BBS
87
Wrap up
Observation and Feedback is the systematic way to measure behavior upstream in the actions box before it becomes a result.
By giving direct feedback and gathering information the observation process is a key element in the continuous safety improvement cycle.
© Copyright ADSI 2002
5 Unitive4 Creative3 Conscious2 Sensitive1 Automatic0 Vital
More Awake
Thinkingor
Levels ofAwareness
Acti
on
s
Beh
av
iorsBeliefs
ValuesLife ExperiencesAttitudes
The CentersIntellectual
Emotional
Moving
Instinctive
Wrap Up
Based on material from GE / Crompton / Chemtura Enhanced BBS
89
Why does observation and feedback work so well for improving safety?
1. It raises our level of awareness both during observation and after.
2. It provides positive feedback about our behavior in the actions box.
3. It keeps us in touch with other people and allows us to consider together the best way to do a job.
4. It focuses on prevention and provides an up stream measure of safety.
5. It gets in touch with our belief system. (Does our behavior match to our beliefs and values?)
6. Creates safe habits.
7. Creates and atmosphere that someone cares about what we do and how we do it.
Wrap Up
Based on material from GE / Crompton / Chemtura Enhanced BBS
90
Next Steps
• Reorganize & Train Steering Committee• Update PAUSE online system. • Review Leadership Observations • Develop Training Schedule for Site• Define Roles & Communicate Expectations • Train Site• Begin observations• Monitor Progress• Achieve Safety Excellence!
Based on material from GE / Crompton / Chemtura Enhanced BBS
91
The EndAt-Risk Behavior? What would be your feedback?