1、0Whatwedontknowwillhurtus-usingsafetyleadingindicatorsasthenextstepincontrollingriskTyroneKalpeeHSSEDirectorbpTrinidadandTobagoAmchamHSSEConference20091JudgingourSafetyperformanceHowwouldyoudescribeyoursafetyperformance?Canthisbesolelybasedonincidentsreported?Canyoutestthelevelofreportingonyoursites
2、Istherea“healthy”ratioofminorincidentsandeventstomoreseriousoccurrences?Arewesurprisedfrequentlywithapatternofrelatively“safe”periodsinterruptedbyasurprisingincident?Areyouseeingyearonyearimprovementinparallelwithanimprovedreportingculture?2TheSafetyJourneywheredoyouwanttobe?GenerativeProactiveCalc
3、ulativeReactivePathologicalIncreasinglyInformedIncreasingOwnership,Trust/AccountabilityAdaptedfromBPsSafetyCultureTeamAssumingthatinterventionisonlyrequiredwhenbigthingsgowrongCapturingalotofdatabutnotmakingearlyinterventionsActingonlaggingindicatorsUsingtherightengagementanddatatomakeearlyintervent
4、ionsSafetyisheldasavalue.Thewaybusinessisrun.Deeplyownedbytheline.Selfcorrecting3TheBirdsTriangleHowoutcomesrelateInmanycases,LeadershipreviewsHSSEperformancebyassessinglaggingindicatorsTheseshowincidentswhichhaveoccurred,injuriessustainedandlosseswhichhaveresultedTheseareoutcomes.Reactionstothese,t
5、houghimportant,arelikereactingtoastockmarketchangeratherthanpredictingthechangetoprotectinvestmentsBirdstriangledoeshelp,however,todeterminethehealthofourincidentreportingprocessbycomparativeratiosofincidents.MedicalRecordableMedicalRecordableNearMissincidentoccurredNearMissincidentoccurredFirstAidF
6、irstAidLostTime/LostTime/DAFWCDAFWCFatalityFatalityBeyondthetip-signsofemergingrisktrendsLeadersitevisits;LeaderAudits/conversationsPermittoWorkaudits;JSAAudits;HSETrainingSafetyCriticalEquipmentPM;PMbacklogsClosureofactions-investigations;audits;hazidsSafetyObservations;ProactiveNear-MissreportsThe
7、searetheoutcomeswetrytoavoidseetheRiskReadingthesignsofemergingrisksFatalityFatalityLostTime/LostTime/DAFWCDAFWCMedicalRecordableMedicalRecordableFirstAidFirstAidNearMissincidentoccurredNearMissincidentoccurredLeadingindicatorschecksafetyprogramgapsLaggingindicatorsInterventionopportunityLeadersitev
8、isits;LeaderAudits/conversationsPermittoWorkaudits;JSAAudits;HSETrainingSafetyCriticalEquipmentPM;PMbacklogsClosureofactions-investigations;audits;hazidsSafetyObservations;ProactiveNear-MissreportsManagementinterventionmoredifficultPointsofinterventionFatalityFatalityLostTime/LostTime/DAFWCDAFWCMedi
9、calRecordableMedicalRecordableFirstAidFirstAidNearMissincidentoccurredNearMissincidentoccurredManagingatthislevelmeansthatyouhaveinjurepeopletolearn68TRAININGPERMIT AUDITSLEADER SITE VISITSNEAR MISSESLAST BARRIER EventwithoutlossSTOPFIRST AIDRECORDABLESDAFWACFATALITYExistingBarriersINCIDENTSIncident
10、sInvolvingLossOpportunitytointerveneearlierwhenwarningsignsareseenthroughdeficienciesinpeoplereadinessorprocessEventStoppedPROACTIVE NEAR MISSEventhasoccurredCreatingtheinterventiononthebarriers7Planning:ALLenergyiscontrolledCompetentworkersFitworkersInspectedequipmentClearProceduresInherently Safe
11、Designs:GasDetectionReliefvalvesEmergencyShutdownDevicesExecutionToolBoxtalksSiteInspection/SOCsPermitauditsSupervisionPPESeparatingenergyfrompeopleENERGYNEARMISSRECORDABLEDAFWC/LOSTTIMELeadingindicatorsmeasureworkplanningandexecutioncontrols8SafetyLeadingindicatorsmeasureLeadershippresenceonsitesan
12、dinvolvementinincisiveauditsEngagementoftheworkforceinowningsafetyLevelofadherencetocompanystandardsWeakeningofcontrolsEarlysignsofcomplacencyPreventativemaintenancenotbeingcompletedLevelofdeficiencyinriskassessmentandPermittoWorkUnderstandingofhazards9Howrelevantfortheseleadingtrends?Over4yearsobse
13、rvednegativetrendsinrelevantleadingindicatorsprecedeaccidentsby6monthsProvidesasourceofproactiveinterventiontomotivateleadersAllowsproactivecommunicationwiththeworkforceAllowsyoutoregaincontrolCanplanaheadwhenyouexpectseasonaldownwardtrendsAllowsfullparticipationofallMovessafetytobeingpredictablerat
14、herthanluck10JanSept15th09Man-Hours2,716,509FullYear2009-TARGETJan-Sept152009NumberFreqYTDFreqSOCsInTraction5,9237309#3587049519SOs-SafetyObservations72189#3539798685880HSETrainingHours32,33567520#3309667494914Closure-(OnTime)-Traction98%98%95%95%ELTVisits154664#3544533PTW&ICCAudits9,7669531#4678204
15、604JSAAudits4,9724841#2375321392NearMisses(Proactivereporting)600Monitor029110681Managementtoolsunderstandingthepulse11Whatthetrendspredict12Deviationsobservedfromleaderconversationsonsite13Deviationsfromleaderaudits14DeficienciesinPermitsfromsiteleaderaudits15WorkforceObservations16Input Frequency
16、IncreasingHIPO 50%RIF30%FirstAid 20%SOCsandequivalent-30%;STOPs-20%Traininghours-20%;NearMiss10%;Closureofactionsontime20%Decreasing Injuries DrivingimprovementwithleadingindicatorsThe chart shows the movement of teams over the last 3 months.17Risks?Personswhoarenotusedtopredictiveinterventionwillco
17、nsiderthesetobeanover-reactionWithoutthepropertrainingandcoachingthiscanresultingettingnumberswithoutqualityleadingindicatorsTheremustbeleadershipbuy-intomaketheinterventionwithoutwaitinguntilaccidentsbeginLeadingindicatorsneedtobelinkedtoriskmanagementprogramssothattheydonotstartnewinitiativesLeadersneedtobecarefuloftheirreactionstoanimprovedreportingprocessincreasingthenumberofreportsdoesnotmeanthingsaregettingworse.18HSSEOutputAnalysis






