Ray Karol

1
Human Performance Initiative at
Collider-Accelerator Department

• Ray Karol
• Collider-Accelerator Department
• ESSHQ Division Head
• August 19, 2009

2
Human Performance Initiative at C-AD

• C-AD began a human performance initiative in
  November 2005 after 4 staff attended a Human
  Performance course by DOE (Shane Bush) in the
  summer of 2005
• Fall 2005 - ESSHQ Division held five 2-hour
  training sessions for all staff with other
  Department/Divisions also attending very well
  received
• Using the HP principles from INPO and James
  Reason, C-AD created OPMs to assist staff in
  implementing Human Performance principles
• Conducting Effective Pre-Job Briefings,
  Walk-Downs and Post-Job Reviews
• Human Performance Tools for C-AD Staff
• C-AD Criteria for Application of Disciplinary
  Action (just cause)
• Institute of Nuclear Power Operations, Human
  Performance Fundamentals Course Reference, 2002
• James Reason, Managing the Risks of
  Organizational Accidents, 1997

3
Human Performance Initiative at C-AD

• August 2006 C-AD, PE and BNL QA met with Rob
  Fisher to develop a plan for HPI training at BNL
• December 2006 - C-AD placed James Reason text on
  the C-AD ESSHQ website for our staff to read and
  reference and began mailing chapters to all C-AD
  staff on a weekly basis
• Summer 2007 C-AD hired Rob Fisher to train 50
  Manager/Supervisors and 50 workers in Human
  Performance
• Fall 2007 BNL initiated lab-wide training using
  Rob Fisher.
• Spring/Summer 2008 C-AD sent 4 staff for Human
  Performance Advocate, 2 continued on to become
  certified trainers
• September 2008 C-AD trainers begin teaching C-AD
  staff.
• How I Work Safely Pocket Card distributed to
  all workers for the last few years
• FY07 and FY08 - The C-AD Work Control Manager
  held 1-hour sessions for C-AD staff each FY
  focusing on human performance tools used for work
  planning

4
Human Performance Initiative at C-AD

• FY09 - C-AD formed a Human Performance Committee
  our 4 C-AD Advocates are members. Held two
  Quarterly meetings to date
• C-AD has 95 of staff trained
• HP Training is currently routine
• C-AD has two designated HP Trainers
• 8 classes completed so far, 2 more scheduled
  in May 2009
• C-AD HP web page since 2/09
• Weekly 5-minute safety topic emails have included
  human performance since 2006
• Advocates now participate in all ORPs and
  Critique investigations

5
Human Performance Initiative at C-AD

• One OPM per month since January 2009 is being
  reviewed by an Advocate or worker for clarity and
  correctness of procedure
• Integrating HP principles into existing programs
• Trying to develop a meaningful system to measure
  human performance improvement within present
  resources
• Confounding factors make this hard to separate
  out
• We have always looked at performance trends which
  are continually improving
• Work Observations by C-AD management and DOE
  facility representative have noted use of HP
  principles
• April 2009 - One C-AD HPA attended the Just
  Culture Seminar
• One C-AD HPA to attend Procedure Writing Course
  June 2009

6
HPI Road Blocks

• Need to allow current HP Trainers to conduct
  Supervisor and Manager courses
• Need Knowledge-Based HP Course
• C-AD Human Performance Committee Chair attended
  the Knowledge-Based course in Summer of 2007
• C-AD attended the Recent Knowledge-Based Course
• Expectation that this special program will
  yield measurable results
• Legacy Latent Conditions that involve errors in
  the design of safety systems that protect from
  rare events exist

7
Forward-Looking Performance Indicator

• EXAMPLE PRACTICES
• Safety Meetings
• ESRC/ASSRC/RSC
• WOSH Committee
• Disciplinary Rules
• Work Planning
• Manager Work Observations
• Management Review
• Assessments
• Critiques
• Security Committee
• Human Performance Training
• HPI Committee
• Power Walks

• Best safe companies have 25 to 40 practices
• Practices may change/improve with time

8
Backward-Looking Performance Indicators Long
Term Trends
9
Potential Human Performance Indicators for C-AD

• C-AD Human Performance Event-Free Day Indicators
• Average number of days between the last 6 events
• Most number of days between events
• Number of days since the most recent event
• C-AD does Critiques, Illness/Injury
  Investigations and ORPs
• These will be used as input, judging those that
  have HP causes
• We already have a Quarterly Performance Indicator
  Report that tracks many of these indicators
• ORPs Criteria is very similar to INPO criteria
  but much more extensive
• One HPA is scheduled to discuss potential
  operations improvements related to human
  performance as one of the C-AD HP Committee
  assignments
• INPO 08-004, Human Performance Key Performance
  Indicators, June 2008

10
Questions?