Promoting a Learning Culture

1. Promoting a Learning Culture • DOE Accelerator Safety Workshop • Stanford Linear Accelerator Center • August 18, 2010 • Amy Ecclesine, Compliance and QA Program Lead, Lawrence Berkeley National Laboratory

3. Principles of Human Performance • People are fallible, and even the best make mistakes • Error-likely situations are predictable, manageable and preventable • Individual behavior is influenced by organizational processes and values • People achieve high levels of performance based largely on the encouragement and reinforcement received from leaders, peers and subordinates • Accidents and issues can be avoided by understanding the reasons mistakes occur and applying the lessons learned from past events

4. Elements of a Healthy Safety Culture*Based on Reason (1997) The Components of Safety Culture: Definitions of Informed, Reporting, Just, Flexible and Learning Cultures

5. “Just” means different things to different people Implies that we believe the workplace can be made to be consistently fair (i.e., a noble goal but unrealistic) Many managers believe they already have it

6. Learning Culture

10. Some Examples

11. –Stay out of the Drama Triangle –Own your part of the problem –Don’t get mad, get curious

12. Develop and publish leading indicators for identifying and reporting events

14. Key References • “Tools for Conscious Leadership & Responsibility,” Dan Miller & Associates, 1999, http//www.dan-miller.com • “Managing the Risks of Organizational Accidents,” James Reason, 1997 • “Roadmap to a Just Culture: Enhancing the Safety Environment,” Global Aviation Information Network, 1994 • Special thanks to James Tarpinian, former ESHQ Director at BNL who rolled this out in 2006

15. Lessons Learned Presentation Schedule • Robert Fairchild [rffairchild@lbl.gov] • John Graham [cgraham@lanl.gov] • Phil McNamara [mcnamara@aps.anl.gov] • Michael Woods [mwoods@slac.stanford.edu] • Andrew Ackerman, ANL • Mike Baumgartner <mikeb@lanl.gov