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Point of View. Human Performance Improvement (HPI) tools are improving our work processes and strengthening ISM at the Office of River Protection (ORP). This presentation will present the process that we are using to incorporate HPI tools into our processes and some of the challenges and rewards
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1. Incorporating Human Performance Improvement Tools into DOE Processes Shirley J. Olinger, Deputy Manager, ORP
Brian Harkins, ORP Facility Representative
September 2006
2. Point of View Human Performance Improvement (HPI) tools are improving our work processes and strengthening ISM at the Office of River Protection (ORP). This presentation will present the process that we are using to incorporate HPI tools into our processes and some of the challenges and rewards involved.
3. Building on our existing ISM System Description Our ISM System Description attributes included HPI concepts in our processes. The concepts included;
Each employee instinctively feels responsible for safety
Leaders demonstrate commitment to safety
Trust towards each other
Decision-making reflects safety as the overriding priority
An inquisitive attitude and behavior
A disciplined authorization basis system is in place to ensure all hazards are identified and mitigated before work begins
Organizational learning is embraced
Openly examine our operations and solicit feedback
Incorporating HPI is strengthening our ISM system
4. Process HPI Training for ORP Staff
All ORP personnel will receive 8 hours HPI training
Personnel involved in direct oversight of Contractors’ activities will receive additional 32 hours HPI Training (~ 40 % of staff)
Hands on refresher training for all ORP personnel to reinforce specific principles
Error Precursors
Latent Organization Weakness
HPI Training tailored specific to employees duties
5. Hands on Refresher Training
6. Process (continued) Process Changes
Investigations using HPI Tools
Outside Independent
DOE
Joint DOE & Contractor
Encourage and reward reporting at a low level (errors without consequences)
Instilling “Just Culture”
9. Investigations using HPI Tools Outside Independent Investigation
ORP decided to conduct an investigation using HPI because of the continual recurrence of events at the WTP construction site. Although we appeared to handle each event adequately, we continued to have similar events.
ORP contracted with an expert in HPI to:
Review 10 events (occurrence & accident reports) (9 electrical & 1 LO/TO)
10. Investigations using HPI Tools DOE ORP Investigations
Before giving DOE identified issues to the Contractor for resolution, some items are reviewed using HPI Tools in an effort to identify latent organizational weakness. When issues is given to the Contractor, if latent organizational weaknesses have been identified they are given to the Contractors as areas for improvement.
Joint DOE & Contractor Investigations
ORP has participated in joint reviews using HPI tool to identify areas for improvement. DOE involvement adds independent view and helps assure that weakness found will be viewed as opportunities for improvement not violations.
12. Encourage and reward reporting at a low level (errors without consequences) ORP has encouraged our contractors to develop systems for their employees to report issues. Reporting levels are at a very low level.
CHM2Hill – Problem Evaluation Report (PER)
Bechtel National Inc – Project Issues Evaluation Reporting (PIER)
ORP has a data base system for DOE personnel to report site observations (OA Database)
14. Instilling “Just Culture” Definition: An environment that recognizes human potential for error and clearly defines acceptable behavior in a consistent manner
Attributes:
Recognition of fairness related to the identification and resolution of human performance problems
Distinction between honest mistakes and intentional shortcuts with respect to discipline
Free flow of plant information across all levels of an organization
High level of self-reporting
15. Instilling “Just Culture” ORP ISM System Description
HPI Focuses on the Organization not individuals or event
Recognition that every one makes mistakes
Encouragement/ reward personnel to disclose errors without consequences
Discovery Clock
16. Challenges Develop training specific to DOE employees that is applicable to their areas of responsibilities
The timing of reinforcement training
Instituting the mind-set change in the organization that HPI provides
Instituting a “Just Culture” both with our contractors and Federal personnel
17. Rewards Reporting errors without consequences
Self-reporting error resulted in identification of a potential life threatening latent organizational weakness
Employee Ownership — we have observed a increased involvement of staff in the effort to improve our processes
Process improvements
18. Path Forward Further institute HPI tools into our existing
Oversight reporting system
Just culture
Discovery clock
Critical Steps concept
Start using HPI tools to evaluate DOE management Systems (e.g. CAM, PIP’s)
Develop metrics to be able to gage improvement
19. Conclusions Implementing HPI tools into DOE’s process is taking us to a new level of performance
HPI tools should be trained, reinforced, and rewarded
Implementing HPI can seem like an overwhelming task. Evaluate your organizational needs and determine what HPI tools will benefit your organization the most and start with those tools
Incorporate processes from others (RL, ORP, INPO, Nuclear Power) whenever possible to reduce the need to redevelop programs