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Human Performance

Human Performance. Todd Conklin PhD Sr. Safety Advisor Los Alamos National Labs toddconklin@gmail.com. Royce Railey Regional S&H Manager Cintas Corporation. The Curious Organization. Never take a sleeping pill And a laxative At the same time… …In any order. The Curious

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Human Performance

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  1. Human Performance Todd Conklin PhD Sr. Safety Advisor Los Alamos National Labs toddconklin@gmail.com Royce Railey Regional S&H Manager Cintas Corporation The Curious Organization

  2. Never take a sleeping pill And a laxative At the same time… …In any order The Curious Organization Conklin/Railey

  3. Safety is not the absence of Accidents. Safety is the presence of defenses. The Curious Organization Conklin/Railey

  4. People Are As Safe As They Need To Be, WithoutBeing Overly Safe… In Order To Get Their Job Done. The Curious Organization Conklin/Railey

  5. “ To understand failure…we must first understand our reaction to failure.” — Sidney Dekker Human Performance The Curious Organization Conklin/Railey

  6. Workers Don’t Cause Failures. Worker’s Trigger Latent Conditions That Lie Dormant In Organizations Waiting for This Specific Moment In Time. Conklin/Railey

  7. Ask How Not Why! The Curious Organization Conklin/Railey

  8. We Must Manage Worker Behavior and Work Processes In Parallel… Human Performance The Curious Organization Conklin/Railey

  9. People are fallible Error-likely situations are predictable Individual behaviors are influenced Operational upsets can be avoided Management’s response to failure matters Principles ofHuman Performance The Curious Organization Conklin/Railey

  10. Human Performance Principle 1: People are fallible, and even the best make mistakes. Conklin/Railey

  11. Human Error Expertise Identification Exercise The Curious Organization Conklin/Railey

  12. How many times does the uppercase or lowercase letter“F”appear in the following sentence? Finished files are the re- sult of years of scientific study combined with the experience of many years. Finished files are the re- sult of years of scientific study combined with the experience of many years. The Curious Organization Conklin/Railey

  13. “Mistakes arise directly from the way the mind handles information, not through stupidity or carelessness.” -Edward de Bono PhD Limitations of Human Nature The Curious Organization Conklin/Railey

  14. Error is not a choice. Mistakes = Violations The Curious Organization Conklin/Railey

  15. Workers Are Masters of Complex Adaptive Behavior… The Curious Organization Conklin/Railey

  16. Clearly Safe to do Work Clearly Not Safe to do Work The GrayArea: Uncertain interpretation of Safe work Workers FIND Safety at Work… The Curious Organization Unclassified Conklin/Railey

  17. Clearly Safe to do Work Clearly Not Safe to do Work Event After the Event, Safety is Clear… The Curious Organization Unclassified Conklin/Railey

  18. Accidents happen when workers find themselves in situations where it is easy to get hurt and hard to be safe. The Curious Organization Conklin/Railey

  19. Human Performance Principle 2: Error-likely situations are predictable, manageable, and preventable. The Curious Organization Conklin/Railey

  20. Events aren’t predictable, But the environment in which Events may happen is… The Curious Organization Conklin/Railey

  21. Where will the next safety event happen at your site? Predictability Conklin/Railey

  22. Collectivelytell the STORY of where the next event may happen. The story of all the little events…. Conklin Conklin/Railey

  23. Human Performance Principle 5: Management’s response to failure matters. The Curious Organization Conklin/Railey

  24. Drift and Accumulation Normally Successful! Work as Imagined Vs. Work in Practice The Curious Organization Conklin/Railey

  25. The Power of Early Hazard ID Solution Space Identified or Discovered Problem The Curious Organization Conklin/Railey

  26. The Power of Early Hazard ID Solution Space Identified or Discovered Problem The Curious Organization Conklin/Railey

  27. Origins of Human Error Human Errors System Induced Error Operational Upsets Slip, trip or lapse Human Error Equipment Failures

  28. Old vs. New View of Human Error NEW OLD • Human error is a cause of accidents… • To explain failure, investigations must seek failure • They must find people’s inaccurate assessments, wrong decisions and bad judgments • Human error is a symptom of trouble deeper inside a system… • To explain failure, do not try to find where people went wrong. • Instead, find how people’s assessments and actions made sense at the time, given the circumstances that surrounded them. The Curious Organization Conklin/Railey

  29. The Challenge… Make it easy to See problems Swarm and Fix problems. Spread new knowledge. Lead by developingthiscapacity. *Stephen Spear, The High Velocity Edge The Curious Organization Conklin/Railey

  30. Safety is not the absence of Accidents. Safety is the presence of defenses. The Curious Organization Conklin/Railey

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