Upload
others
View
10
Download
0
Embed Size (px)
Citation preview
Kevin Harris
Manager Transmission Test & Technical Support
“Effective Use of the Pre-Job Brief”
Near Hit
Near Miss
Close Call
Error with Consequence
Significant Error
Event
“Stay ON the Grid and OFF the Pyramid!”
Proactive
Reactive
Preemptive
Organizations Culture, Issues, Processes,
Procedures, Guidelines and Work Practices!
“Effective Use of the Pre-Job Brief”
DOE STANDARD
HUMAN PERFORMANCE IMPROVEMENT HANDBOOK
VOLUME 2: HUMAN PERFORMANCE TOOLS FOR INDIVIDUALS, WORK TEAMS, AND MANAGEMENT
OSHA 1910.269 C
Why?
Why do we communicate before we start a task?
Simon Sinek TEDx Talks
Start with Why?
Story of Communication
“This is a story about four people named Everybody, Somebody, Anybody and Nobody. There was an important job to be done, and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry about that because it was Everybody's job. Everybody thought Anybody could do it, but Nobody realized that Everybody wouldn't do it. It ended up that Everybody blamed Somebody when Nobody did what Anybody could have done.”
Why Avert from these Behaviors and Situations?
• Inadequate preparation
• Inadequate time for an
appropriate task brief
• Task Brief being held in a location
filled with distraction
• Stating human performance tools
in generic terms
• Monologue, without active
participation by those involved
with the task
• Workers failing to express their
concerns or to ask questions.
(CRM /Just Culture)
• Holding separate briefings for key
task performers
• Using a “cookbook” approach to
satisfy complying with expectation
• Being insensitive to how mind-sets
or expectations impact behavior
• Human Nature Traps
Accident and Event Analysis
OMMUNICATION !
Major Contributing Human Factor!
Poor communication is the trigger to virtually all undesirable outcomes.
Job Briefings Communicate! “an act or instance of giving precise instructions or essential information”
Job Briefings Communicate!
Job B
riefing
Hum
an F
acto
rs
Pro
cedure
s
PP
E
Wo
rk P
ractice
Focus
Defense Barriers in Depth Start
Grid EVENT
INJURY
Finish
Job Briefings Communicate!
Informative!
Open
Discussion
Be a Good Listener!
55% Body
Language 38% Tone
of Voice
7% Verbal
Anticipate!
Error Likely Situations
Job Briefings Communicate!
What Defenses Will We Use?
Be a Good Listener!
Task Load
Individual and Team Experience
Latent Organizational
Weakness
Human Nature
Anticipate!
Error Likely Situations
Job Briefings Communicate!
Skeptical Curiosity
within a
Positive Attitude
Anticipate!
Error Likely Situations
Job Briefings Communicate!
Foster an Environment
for a
Questioning Attitude
Job Briefings Communicate!
Identify!
What are Our Point of No Return Actions?
RAISE RISK AWARENESS
What Safeguards Will We Use?
Be a Good Listener!
Identify!
“Point of No Return”
Actions Summarize Critical Steps
Job Briefings Communicate!
Job Briefings Communicate!
Explore!
What is the worst thing that could happen?
What Barricades Will We Use?
Be a Good Listener!
•Task Preview •Job Site Review •Task or Job Brief •Questioning Attitude •Self-Checking (STAR)
•STOP When Unsure •Effective Communication •Procedure Use
•Place-keeping •Independent Verification •Turnover •Peer Checking •Peer Coaching •Post Job Brief •Creative Defense Barriers
Thinking Tools !
Why? When? How?
Start with Why?
Creative Defense Barriers
Start with Why?
Magnetic white board!
Communicate Tools to Address
Specific Hazards
Documented Briefing Sheet
Job Briefing
Why? When? How?
Job Briefings Communicate!
Task Review
Field Technicians have a white board!
Information to paint a Shared Mental Model!
Job Briefings Communicate!
Place-keeping
Fast Simple & Easy
Job Briefings Communicate!
Each Job starts with:
Job Site
Walk Down
Task Review
Feed into a
Job Briefing
Ask? “What is the worst thing that could happen?”
Identify “Point of No Return” Actions
Situational Awareness “…What? …So What? & …Now What?”
Flush out Error Likely Situations!
Defense Barriers Human Performance Tools being
employed:
- Peer Check - Drawings
- Procedures
Fast Simple & Easy
Promote Continuous Communication!
"If you focus on results, you will never change. If you focus on change, you will get results.“
~Jack Dixon
Coaching to Influencing Behavior
Management Engagement
Human Performance Tool !
Dominic DiBari
The Power of Critical Observations... from the Field to the Boardroom
Next Level performance through MENTORING!
Run
Video Training
Scenario
Toy Story 2
Having Fun & Checking for
Comprehension!
What goes well in this briefing?
& What might be improved in this briefing?
?
Kevin E. Harris
Kevin has 27 years of service with Northeast Utilities in the field of Test and Commissioning of Generation, Substation and Switchyard facilities. He started his career with Northeast Utilities Nuclear Production Test Group. After 11 years as an Electrical Test Specialist at a Nuclear Generating Facility, he continued his career as a Senior Test Analyst for Northeast Utilities unregulated Test Group, Northeast Generation Services. In this capacity, he maintained or commissioned electrical distribution and generation apparatus to include protection and control relays for nuclear generators, merchant generators, hydro generators, pharmaceutical, Industrial and commercial customers. In 2004, Kevin joined the Northeast Utilities Transmission Group with an opportunity to participate in the startup of the newly formed Transmission Test Department. In 2007, Kevin participated in an opportunity to explore human error reduction with several consultants. Kevin has since co-championed a successful human performance improvement initiative within the Northeast Utilities Transmission Group (72% reduction in Transmission Grid Events initiated by human error.) In 2012, Kevin presented on Electric Utility Industry Practices with Human Performance Tools at the first annual NERC conference on Human Performance in Atlanta, GA. He followed the NERC presentation opportunity with a presentation on a supervisor’s perspective at the first PPI Human Performance Conference in Galveston, TX. In 2013, he presented at the first WECC Human Performance Work Group Conference: Job Briefings, Creative Defense Barriers and HP Metrics. Kevin is a Charter Member of the Human Performance Association http://hpaweb.org/ and member of the inaugural Board of Advisors for the Association. [email protected] Office 860 652 6840