Safety Differently Highly Reliable Organizations Todd Conklin Ph

Safety Differently Highly Reliable Organizations Todd Conklin Ph. D Human Performance Improvement/ HRO Toddconklin@gmail. com

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

The Safety Journey So Far… Compliance Behaviors Policy/Rules Enforcement Accidents • • • Design • • • Human Factors Process Safety Standardized Systems Time Human Fatality Performance Serious Event • • New Not like View others Not NO near Individual misses Organizational Exist in success issues Understand Identified work Conklin

New Safety View Traditional Safety View 1. 2. 3. Workers are the problem to be fixed. We fix safety by making workers better. We must tell workers what to do and, perhaps more importantly, not to do. Safety is the absence of accidents. 1. 2. 3. Workers are not the problem – They are the problem solvers. We don’t tell our organizations what to do – ask them what they need. Safety is not the absence of accidents – it is the presence of capacity. Conklin

Safety is not the absence of Accidents. Safety is the presence of Defenses. Capacity. Conklin

Workers are as safe as they need to be, Without being too safe, in order to be productive. Conklin

Until They’re NOT. .

“ To understand failure…we must first understand our reaction to failure. ” * — Sidney Dekker Conklin

Sharp End Workers Highest Influence Front-line Injury Over Supervisors Potential System Managers Leaders Company Customers Regulators Blunt End Conklin

3 Pre-Accident Investigations, Conklin 2013 Parts of an Event Conklin

Worker’s Don’t Failures. Cause Worker’s Trigger Latent Conditions That Lie Dormant In Organizations Waiting for This Specific Moment In Time.

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Shift your thinking from “Who Failed” to “What Failed” Conklin

Workers Are Masters of Complex Adaptive Behavior… Conklin

Clearly Safe to do Work The Gray Area: Uncertain interpretation of Safe work Clearly Not Safe to do Work * Conklin

Clearly Safe to do Work * Event Clearly Not Safe to do Work 17 Conklin

Start Of Job Work Execution Improvement Area Actual Operational Safety: Safety In Practice Hazard Safety Understood: Drift and Accumulation Conklin

Is the juice worth the squeeze? Conklin

Workers fail… when we make it easy to do work incorrectly and hard to do work Reliably. Conklin

The Power of Early Problem ID Capacity Identified or Discovered Problem Conklin

The Hazard of Capacity Late Problem Identified ID or Discovered Problem Conklin

Safety is not the absence of Accidents. Safety is the presence of Capacity. Conklin

Listen to… Pre. Accident Podcast Todd Conklin