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Ray Karol Collider-Accelerator Department ESSHQ Division Head August 19, 2009. Human Performance Initiative at Collider-Accelerator Department. Human Performance Initiative at C-AD.
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Ray Karol Collider-Accelerator Department ESSHQ Division Head August 19, 2009 Human Performance Initiative at Collider-Accelerator Department
Human Performance Initiative at C-AD • C-AD began a human performance initiative in November 2005 after 4 staff attended a Human Performance course by DOE (Shane Bush) in the summer of 2005 • Fall 2005 - ESSHQ Division held five 2-hour training sessions for all staff with other Department/Divisions also attending – very well received • Using the HP principles from INPO* and James Reason**, C-AD created OPMs to assist staff in implementing Human Performance principles: • Conducting Effective Pre-Job Briefings, Walk-Downs and Post-Job Reviews • Human Performance Tools for C-AD Staff • C-AD Criteria for Application of Disciplinary Action (just cause) * Institute of Nuclear Power Operations, Human Performance Fundamentals Course Reference, 2002 ** James Reason, Managing the Risks of Organizational Accidents, 1997
Human Performance Initiative at C-AD • August 2006 – C-AD, PE and BNL QA met with Rob Fisher to develop a plan for HPI training at BNL • December 2006 - C-AD placed James Reason text on the C-AD ESSHQ website for our staff to read and reference and began mailing chapters to all C-AD staff on a weekly basis • Summer 2007 – C-AD hired Rob Fisher to train 50 Manager/Supervisors and 50 workers in Human Performance • Fall 2007 – BNL initiated lab-wide training using Rob Fisher. • Spring/Summer 2008 – C-AD sent 4 staff for Human Performance Advocate, 2 continued on to become certified trainers • September 2008 C-AD trainers begin teaching C-AD staff. • “How I Work Safely” Pocket Card distributed to all workers for the last few years • FY07 and FY08 - The C-AD Work Control Manager held 1-hour sessions for C-AD staff each FY focusing on human performance tools used for work planning
Human Performance Initiative at C-AD • FY09 - C-AD formed a Human Performance Committee – our 4 C-AD Advocates are members. Held two Quarterly meetings to date • C-AD has ~95% of staff trained • HP Training is currently “routine” • C-AD has two designated HP Trainers ~8 classes completed so far, 2 more scheduled in May 2009 • C-AD HP web page since 2/09 • Weekly 5-minute safety topic emails have included human performance since 2006 • Advocates now participate in all ORPs and Critique investigations
Human Performance Initiative at C-AD • One OPM per month since January 2009 is being reviewed by an Advocate or worker for clarity and correctness of procedure • Integrating HP principles into existing programs • Trying to develop a meaningful system to measure human performance improvement within present resources • Confounding factors make this hard to separate out • We have always looked at performance trends which are continually improving • Work Observations by C-AD management and DOE facility representative have noted use of HP principles • April 2009 - One C-AD HPA attended the Just Culture Seminar • One C-AD HPA to attend Procedure Writing Course – June 2009
HPI Road Blocks • Need to allow current HP Trainers to conduct Supervisor and Manager courses • Need Knowledge-Based HP Course • C-AD Human Performance Committee Chair attended the Knowledge-Based course in Summer of 2007 • C-AD attended the Recent Knowledge-Based Course • Expectation that this “special program” will yield measurable results • “Legacy” Latent Conditions that involve errors in the design of safety systems that protect from “rare events” exist
Forward-Looking Performance Indicator • EXAMPLE PRACTICES: • Safety Meetings • ESRC/ASSRC/RSC • WOSH Committee • Disciplinary Rules • Work Planning • Manager Work Observations • Management Review • Assessments • Critiques • Security Committee • Human Performance Training • HPI Committee • Power Walks • … • Best safe companies have 25 to 40 practices • Practices may change/improve with time
Potential Human Performance Indicators for C-AD • C-AD Human Performance Event-Free Day Indicators* • Average number of days between the last 6 events • Most number of days between events • Number of days since the most recent event • C-AD does Critiques, Illness/Injury Investigations and ORPs • These will be used as input, judging those that have HP causes • We already have a Quarterly Performance Indicator Report that tracks many of these indicators • ORPs Criteria is very similar to INPO criteria but much more extensive • One HPA is scheduled to discuss potential operations improvements related to human performance as one of the C-AD HP Committee assignments * INPO 08-004, Human Performance Key Performance Indicators, June 2008