Initial Steps to Integrate HPI into ISMS
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Initial Steps to Integrate HPI into ISMS Continuous Improvement CH2M HILL Hanford Group, Inc. September 12-13, 2006. Background. Senior management received DOE sponsored HPI fundamentals training – Dec 05 Hanford contractors selected to participate in EM HPI pilot – Jan 06

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Background

Initial Steps to Integrate HPI into ISMSContinuous ImprovementCH2M HILL Hanford Group, Inc.September 12-13, 2006


Background

Background

  • Senior management received DOE sponsored HPI fundamentals training – Dec 05

  • Hanford contractors selected to participate in EM HPI pilot – Jan 06

  • Joint DOE/CH2M HILL implementation plan established based on INPO recommended approach – Jan 06

  • Senior management commitment to implement HPI – Jan 06

  • Senior management decision to include HPI as ISMS continuous improvement initiative – Mar 06


Hpi implementation plan

HPI Implementation Plan

  • Senior management commitment established

  • HPI steering committee formed

  • Gap analysis performed between INPO HPI attributes and existing event prevention activities

  • ISMS improvement plan revised to include HPI

  • Implemented the improvement plan


Hpi steering committee

HPI Steering Committee

  • Charter created

  • Composed of operations and support program personnel, including bargaining unit

  • Chaired by senior operations leadership

  • Includes organizational and process HPI champions

  • Approved GAP analysis and implementation plan

  • Provided program oversight for the training needs analysis

  • Tracks progress of implementation plan and makes course corrections as needed

  • Identifies and reviews communication needs


Hpi steering committee strategy

HPI Steering Committee Strategy

Shift the organizational focus

From:Emphasizing administration in our processesRobust defense against second guessingRobust reaction to events

To:

Robust hazard identification and mitigation

Processes built for the user

Robust prevention of events


Gap analysis

GAP Analysis

Provides current state of the organization and forms basis for improvement plan

  • Multi-disciplined team selected

  • GAP Analysis focused on event prevention

  • Assessment criteria obtained from 3 INPO sources

    • The Human Performance Improvement Initiative Site Gap Analysis Tool

    • Performance Objectives and Criteria, (INPO 05-003, May 2005) Human Performance Criteria OR.3

    • Job-Site Conditions Self-Assessment Questionnaire

  • Criteria based on commercial nuclear operational excellence

  • Criteria were modified for DOE activities

  • Assessment plan discussed with INPO representatives


Gap analysis methodology

GAP Analysis Methodology


Gap analysis opportunities

GAP Analysis Opportunities

  • Use of the critical task concept

  • Proactive planning defending against error likely situations

  • Tailoring controls to the critical task

  • Ensuring controls are not buried in extraneous information

  • Training for field/support personnel and management

  • Ensuring workers attention is properly focused

    • Recognition of error likely situations and error precursors

    • Defenses to minimize errors


Event prevention integration into isms implementation examples

Event Prevention Integration into ISMS Implementation Examples

  • Procedures development

  • Human resource processes

  • Work Planning

  • Walkdowns

  • Design engineering considerations

  • Pre-Job briefings

  • Post-Job briefings

  • Lessons learned

  • Management / self assessments

  • Event analysis / investigation


Example of hpi integration into isms implementation critical task

Example of HPI Integration into ISMS Implementation: Critical Task

  • Not all aspects of a job are equally important

    • Some actions/tasks are irrecoverable; once the action is taken, the reverse action cannot recover.

  • Some steps have more chances for error

  • Need to consider as part of hazards analysis

    • Is changing the state of the facility, system, component, or the well-being of the individual dependent on the individual worker?

    • Is the outcome of the error intolerable from a personnel safety or facility perspective?

  • Helps focus attention on potential consequences so appropriate defenses can be put in place


Training needs analysis

Training Needs Analysis

  • Purpose and approach

    • Consistent with SAT approach to training

    • GAP Analysis recommendations included

    • Guidance provided by HPI Steering committee

  • Objectives

    • Identify intended students (planners, procedure writers, managers, event investigators, etc)

    • Identify training emphasis and objectives

    • Identify timeframe & duration

  • Multidiscipline Analysis Team

    • Represented employees

    • Support Programs

    • First Line Supervisors

    • Line Management


Training needs analysis results

Training Needs Analysis Results

Identify and Train 3 Audiences

  • Subject Matter Experts

    • Focus on line organizations (work planning & operations)

    • Include support program staff as needed

  • Personnel that can facilitate implementation

    • Line managers, first line supervisors

    • Support program staff

  • General field workers on basic event prevention tools


Isms integration using hpi

ISMS Integration Using HPI

  • Define Scope of Work

    • Application to facility specific processes

  • Hazards Identification and Controls

    • Critical task emphasis

    • Shift from static to dynamic hazards analysis

    • Procedure development and use

    • HPI procedure checklist

  • Perform Work

    • Critical task

    • Error precursors

    • Error likely situations

    • Tools to prevent errors

  • Feedback & Improvement

    • Self-assessment process using INPO warning flags (based on Davis-Besse organizational behaviors)

    • INPO jobsite self-assessment


Early successes

Early Successes

  • Trained

    • 43 SMEs

    • Approximately 80 Managers (ongoing)

    • Approximately 400 Employees (ongoing)

  • Work Planning

    • Simplified process

    • Critical task focus improved hazards identification and control

    • Improved usability

    • Clearly identify hazards (dynamic hazards analysis)

  • Plans and Procedures

    • Event prevention focus simplified process (e.g., Waste Programs eliminated over 25 plans, procedures, etc)

    • Improved usability

    • Compliance is more easily demonstrated


Lessons learned

Lessons Learned

  • Senior management vision and commitment is essential

  • Adapting NRC/INPO safety culture principles (SWE) helped HPI implementation

  • Benchmarking was necessary and critical for effective change

  • HPI improvement initiatives must be integrated with ISMS

  • VPP initiative helped HPI implementation

  • Gap analysis was a good tool to focus initial improvement plan

  • Involvement of union safety representatives in event investigations helped support free flow of information

  • Involvement of bargaining unit personnel in procedure development has strengthened procedure usability and compliance


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