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Can one safety program change a railroad's safety culture?. First International Safety Culture Symposium Halifax, Nova Scotia October 1, 2014. What is safety culture?. " The way we do things around here“ - UK Cullen Report - PowerPoint PPT Presentation
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Can one safety program change a railroad's safety culture?
First International Safety Culture SymposiumHalifax, Nova Scotia
October 1, 2014
What is safety culture?
2
• "The way we do things around here“ - UK Cullen Report
• “The shared values, actions, and behaviors that demonstrate a commitment to safety over competing goals and demands”
• - U.S. DOT Safety Council
• “Safety Culture consists of the following 5 elements: informed culture, reporting culture, just culture, flexible culture and learning culture” - James Reason
C3RS Principles
3
• Build trust– Voluntary– Partnership– Confidential– Protection from discipline
• Focus on low consequence events• Accountability through learning from failure
Procedure
4
E m p lo y e e s u b m its re p o r t
T h ird P a r ty p ro c e s s re p o r ts
R a ilro a d a n a ly z e s re p o r ts
R a ilro a d re v ie w s , p r io r it iz e s , a n d
a u th o r iz e s c o rre c t iv e a c t io n s
R a ilro a d im p le m e n ts a n d
m o n ito rs c o rre c t iv e a c t io n s
R a ilro a d s h a re s in fo rm a tio n
T h ird P a r ty a n a ly z e s tre n d s a c ro s s
c a rr ie rs a n d s h a re s w ith s ta k e h o ld e rs
R a ilro a d p re p a re s fo r p a r t ic ip a tio n
R e p o r t in g P ro c e s s
5
Received over 3,900 reports
6
C3RS Impact at one site
Cars m
oved
bet
wee
n in
cide
nts
Discipl
inar
y ca
ses
-100%
-60%
-20%
20%31%
-51%
-90%
8%
Percent Change
7
Perceptions of safety culture before, during, and after C3RS at one site
Scale Labor Mngmt Labor Mngmt
Org. Concern for Employees
Organizational Labor - Management Relations
Org. Fairness During Change 51
Supervisor Fairness
Supervisor - Employee Relationship
Managerial Management Safety
Raising Concerns with Supervisors
Work Safety Priorities 51
Respectful Workplace
Co-Worker Helping Behavior
Propensity to Safe Behavior
Coworker Safety 51
B M F B M F
Change in ScoreBaseline to Final
Mean Scale Scores
8
Management: missing or unsupported safety processes
Understand the Problem
Identify and Select Solu-
tions
Implement Solutions & Evaluate
Impact
Provide Feedback
1. Select Reports
2. FillGaps
3. AnalyzeProblems
4. Define Measures
5. Identify Cor-rective Actions
6. Select CorrectiveActions
7. Identify Unintended Consequences
8. Implement Cor-rectiveActions
9. Deal with Con-sequences
10. ShareLessonsLearned
Regulator: Regulatory mechanisms support existing safety culture
9
• Reporting Systems focus on individual behavior and technology
• No acknowledgement of organizational factors or interdependencies between individuals, groups and technology
• Regulations foster negative safety culture
Labor: Incentives strongly influence behavior
10
• Protection from discipline – contributes to events involving rules violations– One report can protect all team members
reduces number of reports
How do we move to a more positive safety culture?
11
Secrecy Transparency
12
What reporting systems really look like
13
Can C3RS create a more positive safety culture?
Yes, but you have to WANT to change
“If you think safety is expensive, try an accident” – Trevor Kletz
•$10 Billion Implement PTC
• $200 million Litigation- Chatsworth, CA
• $58 million: Clean up Graniteville, SC
14
Imagine if the problems that caused these accidents were discovered and fixed before they occurred
15
For more information:
Jordan MulterVolpe [email protected]
http://www.closecallsrail.orghttp://c3rs.arc.nasa.gov
Thomas RaslearFederal Railroad [email protected]