operational experience metrics task team august 7, 2009
TRANSCRIPT
Operational Experience Metrics Task Team
August 7, 2009
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Operational Experience Metrics Task Team
Goals:
• Identify key performance indicators (metrics) that can demonstrate effectiveness of Operating Experience/Lessons Learned Programs
• Determine what organizational culture approaches might assist in establishing a “learning” organization.
• Determine usefulness across sites
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Recommended Metrics
Effective OE Program
Feedback/Utilization
Timeliness
LL SearchesPreventable Events
OE/LL Origins
Success Stories/Continuous
Improvements
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Feedback / Utilization (cont.)
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Feedback / Utilization (cont.)
Other Applications
To supplement work planning and work control plans
To supplement pre-job briefs and/or safety reviews
To prevent reoccurence of an adverse event
To promote good work practices
To share with staff
0 10 20 30 40 50 60 70
Adopting Lessons Learned into ORNL Work Activities
Qtr. 1 Qtr. 2 Qtr. 3
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Feedback / Utilization (cont.)
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Feedback / Utilization (cont.)
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.
OE/LL incorporated into a work process or research with documented evidence of continuous improvements
.
Success Stories / Continuous Improvements
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SANDIA DAILY NEWSfor Tuesday, June 9, 2009
ES&H Lesson Learned applied: The Sandia ES&H Lessons Learned program really works. The Lessons Learned program recently sent a notice on a lesson learned concerning a severe employee injury potential related to a truck hydraulic lift-gate “pinch point.” After reviewing the lessons learned, the ES&H Safety Engineering organization forwarded it to Jane Doe (Fleet services), who took immediate action. Fleet Services notified all Sandia users of trucks with lift gates and asked that they be brought in for immediate inspection and repair. To date, Fleet Services has found this issue on two lift gates. The brackets were removed, which eliminated the pinch points making these lift gates safer to use.
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January 2009• An ORNL Heavy Equipment
Maintenance Supervisor reviews a Brookhaven National Lab LL titled “Inspect E-Ride Vehicles for Maintenance Defects” and immediately contacts the manufacturer. Both the supervisor, procurement, and LL Coordinator work in tangent to identify all E-ride vehicles on the ORNL campus. The Supervisor contacts all ORNL vehicle owners and schedules in-house maintenance to correct the defect. All four vehicles repaired by February 2009.
Success Story
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295
76
1838
746055
867776
143
300 306 296
241 235 264 250
0
50
100
150
200
250
300
350
FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009*
Data from DOE Complex Issued Lessons Learned
(*10/ 01/ 08 - 03/ 31/ 08)
BJC Lessons Learned DOE Complex Lessons Learned
Success Story / Continuous Improvements
BJC has successfully shared Operating Experiences and Lessons Learned with the DOE Complex for over a
decade. In the past 8 years, BJC has annually contributed an average of 25% of the lessons in the DOE LL Program.
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Lessons Learned and Operational Experiences
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Origins
OE/LL sources
including significant
day-to-day operating
experiences
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Operating Experience “Origins”
Lessons Learned Safety Flash
10
9
8
31
3
11
Occurrence Report Daily Operational Experience
Assessment External Source
Management System Observation Emergency Management Drill
Trending Other
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Operating Experience “Origins”
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Timeliness
• LL feedback received within a site specific time period
• LL from internal events issued within site specific time period
• Subject Matter Expert (SME) review of LL or external events for applicability
• LL corrective actions completed timely
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SME Feedback Timeliness
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Preventable Events
Occurrence Reports
Lessons Learned
Trending
Corrective Action Tracking
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Lesson Learned Searches
• LL CoordinatorSearches
• LL Webpage Hits
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Learning Organizations OverallProgram Performance
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Lessons Learned Effectiveness Performance Indicators
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Questions