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Todd Conklin, PhD Safety Improvements Initiative Office Los Alamos National Laboratory

Todd Conklin, PhD Safety Improvements Initiative Office Los Alamos National Laboratory. Never take a sleeping pill And a laxative at the same time. In any order…. Don’t ever remove A safety barrier that has a dent in it. Start Of Job. Mission Success. Work as Planned.

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Todd Conklin, PhD Safety Improvements Initiative Office Los Alamos National Laboratory

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  1. Todd Conklin, PhD Safety Improvements Initiative Office Los Alamos National Laboratory

  2. Never take a sleeping pill And a laxative at the same time. In any order…

  3. Don’t ever remove A safety barrier that has a dent in it.

  4. Start Of Job Mission Success Work as Planned

  5. Yourworkersare as safe as they need to be, without being overly safe, in order to do their work.

  6. Or Are They..

  7. Human Error Expertise Identification Exercise

  8. 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.

  9. Limitations of Human Nature “Mistakes arise directly from the way the mind handles information, not through stupidity or carelessness.” -Edward de Bono PhD

  10. Everything Becomes Obvious… Once You Know The Answer.

  11. Start Of Job Mission Success Work as Done

  12. Safety Perceived • We respond to the feeling of safety – not the reality of safety • Most of the time these are the same • Until they are not • People make trade-offs based upon the feeling of being safe.

  13. Events don’t happen often enough for us to learn why events happen

  14. Workers FIND Safety at Work… Clearly Safe to do Work The Gray Area: Uncertain interpretation of Safe work Clearly Not Safe to do Work

  15. After the Event, Safety is Clear… Success Clearly Safe to do Work Clearly Not Safe to do Work Event

  16. Start Of Job Event Hazard Accumulation of Hazard

  17. Four Philosophical Ideas Your work is always Adaptive… You discover work in the field… Remember these 4 things:

  18. 1 Small things that go wrong are most often early warning signals of deepening trouble that provide insight into the health of the whole system-and signal strength matters.

  19. Treat near-misses and close-calls as immediate, preventive information about the health of the system and try to learn from them. Value them. All Prevention Happen Through Learning. 2

  20. 3 Understand that when you catch problems before they grow bigger, you have more possible solutions and are much more powerful.

  21. Imagine what is going to happen as you are planning and preparing to work. • What could surprise you? • What could happen right? • What may go wrong? • What hazards did we think of? • What hazards could we discover? • What can you Detect and Correct? 4

  22. Safety is not the absence of accidents. Safety is the presence of defenses.

  23. You Manage Risk in order to… Keep Failure From Being Successful.

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