Evaluation of Safety Culture as a Measure of a High Reliability Organization Effectiveness ISM Workshop Developing Ef

2. Let�s Think for a Moment� Pantex builds nuclear weapons Pantex will use lethal force to protect assets Pantex�s daily job is to wrap large amounts of high explosives around plutonium

3. If You are Going to be an HRO You had better know what an HRO is

4. HRO vs. Non-HRO ATTRIBUTES HRO Attributes Accidents can be avoided Leadership safety objectives Safety held high as priority Provide clear operational goals Willing to pay for barriers and training Redundancy Independent barriers reduce the fatal error by one person Decentralized, culture, continuity Worker calls the shots Worker calls the shots like management wants him to Worker stays proficient through training and work Organizational learning Adjust through trial and error Learn from past mistakes Simulate if practice not feasible Non-HRO Attributes Accidents are inevitable Conflicting safety objectives Pressure to maintain production Difference between customer and organization Mgt. misinformed of real status of operations Perils of redundancy Redundant backups not independent Redundancy hides problems Redundancy provides false security No decentralization, culture, continuity Leaders don�t know enough about ops to know whether workers responding correctly Can�t keep militaristic state gong Can�t practice for every contingency Restrictions on organizational learning Cause of accidents unclear so can�t learn Investigation of accidents politicized Incentives to cover up errors Learning impeded by stovepipes

5. How Does Safety Culture Fit In? Safety Culture Provides 1. Sustainability for the HRO or 2. Inhibitors to being an HRO

6. Safety Culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear organizational safety issues receive the attention warranted by their significance. - IAEA

12. Culture Attribute Matrix

14. What are your characteristics and attitudes to ensure that, as an overriding priority, nuclear organizational safety issues receive the attention warranted by their significance?