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Todd Conklin, PhD Safety Improvements Initiative Office Los Alamos National Laboratory. Never take a sleeping pill And a laxative at the same time. In any order…. Don’t ever remove A safety barrier that has a dent in it. Start Of Job. Mission Success. Work as Planned.

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Presentation Transcript
slide1

Todd Conklin, PhD

Safety Improvements Initiative Office

Los Alamos National Laboratory

slide2

Never

take a sleeping pill

And a laxative

at the same time.

In any order…

slide3

Don’t ever

remove A safety barrier that has a dent in it.

slide4

Start

Of

Job

Mission

Success

Work as Planned

slide5

Yourworkersare as safe as they need to be, without being overly safe, in order to do their work.

slide8

Human

Error

Expertise

Identification

Exercise

slide9
How many times does the uppercase or lowercase letter“F”appear in the following sentence?

Finished files are the re-

sult of years of scientific

study combined with the

experience of many years.

Finished files are the re-

sult of years of scientific

study combined with the

experience of many years.

limitations of human nature
Limitations of Human Nature

“Mistakes arise directly from the way the mind handles information, not through stupidity or carelessness.”

-Edward de Bono PhD

slide12

Start

Of

Job

Mission

Success

Work as Done

safety perceived
Safety Perceived
  • We respond to the feeling of safety – not the reality of safety
    • Most of the time these are the same
    • Until they are not
  • People make trade-offs based upon the feeling of being safe.
workers find safety at work
Workers FIND Safety at Work…

Clearly Safe

to do Work

The Gray Area:

Uncertain

interpretation

of Safe work

Clearly Not Safe

to do Work

after the event safety is clear
After the Event, Safety is Clear…

Success

Clearly Safe

to do Work

Clearly Not Safe

to do Work

Event

slide17

Start

Of

Job

Event

Hazard

Accumulation of Hazard

slide18

Four

Philosophical

Ideas

Your work is always Adaptive…

You discover work in the field…

Remember these 4 things:

slide19

1

Small things that go wrong are most often early warning signals of deepening trouble that provide insight into the health of the whole system-and signal strength matters.

slide20

Treat near-misses and close-calls as immediate, preventive information about the health of the system and try to learn from them. Value them.

All Prevention Happen

Through Learning.

2

slide21

3

Understand that when you catch problems before they grow bigger, you have more possible solutions and are much more powerful.

slide22

Imagine what is going to happen as you are planning and preparing to work.

  • What could surprise you?
  • What could happen right?
  • What may go wrong?
  • What hazards did we think of?
  • What hazards could we discover?
  • What can you Detect and Correct?

4

slide23

Safety is not the absence of accidents.

Safety is the presence of defenses.

slide24

You Manage Risk in order to…

Keep Failure From Being Successful.