fenoc

1. Course
1
Employee
Indoctrination
training

2. Welcome
2
Purpose
 Reinforce management expectations
and human performance tool usage for
DZ RP personnel to eliminate all Human
performance errors and incidents at
Fenoc stations

3. Welcome
3
Objective
 Employees to understand the
importance of engaged thinking at
all times (away from work and at
work).
 Employees to understand the
importance of using human
performance tools to help prevent
incidents from occurring.

4. Our “Values” Define Our Behaviors
4
Our Values

5. DZ RP Human performance assessment
5
 DZ RP Human performance assessment for
Fenoc plants (Davis Besse, Beaver Valley,
and Perry) was completed on 6/25/14.
 Assessment was initiated and performed
by DZ due to an increase in Human
performance and safety events
 Events occurred in the 4th quarter 2013
and the 1st & 2nd Quarters of 2014

6. DZ RP Human performance assessment
6
 15 CR’s were identified which included
events in;
 4 Safety - (1 Willful Act)
 5 Radiological - (2 Willful acts)
 3 Fitness for Duty – (Willful act)
 2 Security – (Willful act)
 1 Near miss

7. Behavior Accountability…You Own it
1/23/2015 Confidential 7
How Do Your Behaviors Align?
Perry Goldfish
Fun & Games? NOT
Incident
Company Prohibited Items
CellPhoneUse
Unauthorized
5-hour Abstinence Prior Work
BAC Rule Compliant  Drugs…Includes Medical
Know Them

8. Standards of Business Conduct
8
Willful decision or choice made by an
employee which violates nuclear
security, FFD and/or actions that are
adverse to site or DZ company
procedures/policies may result in;
Disciplinary action up to and
including termination.

9. DZ RP Human performance assessment
9
11/11/13 2013-18153 Contractor failed random FFD. FFD
2/4/14 2014-02026 Laceration to left thumb. SAFETY
2/4/14
DZ-
CA021414
Contractor failed for cause FFD following safety
incident. FFD
2/4/14 2014-02124 Security door violation. SECURITY
3/5/14 2014-04335
Dropped air sampling head while ascending
ladder.
SAFETY
3/7/14 2014-04549 Discovery of contraband PAF SECURITY
3/16/14 2014-05020
Two boundary guards not attentive during
radiography.
RADIOLOGICAL
4/22/14 2014-07364
Discrepancy found with documentation on
radiological survey.
RADIOLOGICAL
4/23/14 DZ-CA042314
Delayed reporting of a condition adverse to
integrity standards.
SAFETY

10. DZ RP Human performance assessment
10
4/29/14 2014-07896
Twisted ankle after stepping on flashlight left
on deck.
SAFETY
5/1/14 2014-08011
3 PCEs incurred following inadequate RP
engagement.
RADIOLOGICAL
5/2/14 2014-08103
RP Tech received PCE while providing assistance
to Rad worker.
RADIOLOGICAL
5/14/14 2014-08903
Sprain to right ankle after stepping on tube steel.
SAFETY
6/10/14 2014-10213
Employee placed electronic dosimeter through x-
ray machine.
RADIOLOGICAL
6/18/14
DZ- CA061814 Employee failed random FFD.
FFD

11. Human Performance
Human
Performance
overview
11

12. Human Performance
 To reduce human error you need to
understand:
 The best people will make mistakes
 Everyone possesses a wide range of
capabilities and shortcomings which can result
in performance errors.
 Errors can occur when defenses (barriers and
controls) are less than adequate or missing
12

13. Human Performance
Human performance
Keys
13
1. Influence behaviors
change how people think
and perform their work
2. Identify error precursors
put people in situations
where they are less likely
to make mistakes
3. Put good defenses in
place
prevent or reduce the
severity of errors

14. Behavior
• Behaviors are the Foundation for all Nuclear
Activities
• Nuclear Expectations & Behaviors are set & held
at a high Standards
• As a Nuclear worker you must be committed to
exhibiting Nuclear Grade Behaviors
• Your behavior and performance helps the
company create a safe, and productive workplace
14

15. Behavior
 Almost every event/incident can be tied to a
sub-standard Behavior
 Behaviors which are BAD and gets ignored
 get repeated until an event occurs.
 Recent events have demonstrated the need
to improve our Nuclear Grade Behaviors
15

16. Behaviors – Where do they Originate?
16
It Starts with
YOU!
Your Choice!
Changing the Experience…To Change Beliefs…To
Influence Actions…To Improve Behavior Results

17. Human Performance
17
Human Performance tools can prevent human
errors.
You must recognize error likely situations in order to
use error reduction tool.
These situations are called Human Performance
Error traps.
These traps include: (Student participation)

18. Human Performance
18
• Time Pressure
• Multiple tasks
• Overconfidence
• Mental Stress
• Distraction or
Interruption
• First or late shift
• Peer Pressure
• Change or Off-normal
• Physical Environment
• Vague or Interpretive
guidance
What can YOU do to STOP yourself from being caught in
one of these human performance error traps?

19. Human Performance Tools
Key # 1 Use Human Performance Tools
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• Pre-job Brief
• S.T.A.R.
• Questioning Attitude
• Stop When Unsure
• Peer Checking
• 2-Minute Drill
• 3-way Communication

20. Human Performance Tools
20
PROCEDURE USE and ADHERENCE
• Procedures are to be followed as directed and typically step
by step
• Use the circle/slash method for verification and place-
keeping
–Sign off the step when it is completed
–Ensure all required signatures from other groups are
completed
• If the procedure cannot be followed:
–Stop the job
–Put the job in a safe condition
–Notify your supervisor

21. Human Performance Tools
Key # 2 Know your Error precursors
21
 Identify error precursors
To put people in situations where
they are less likely to make
mistakes
 Define error precursors

22. Human Performance Tools
 Error precursor;
• Definition – UNFAVORABLE conditions, or
warning signs indicating error likely
situation
• To reduce the likelihood of an error
occurring we must identify, mitigate,
and/or eliminate all error precursors.
22

23. Human Performance Tools
• Four categories;
23
• Limited short-term memory• Personality conflicts
• Mental shortcuts (biases)• Unavailable support
• Inaccurate risk perception• Unexpected equipment conditions
• Mindset• Backshift or recent shift change
• Complacency / Overconfidence• Workarounds
• Assumptions (inaccurate mental picture)• Confusing displays or controls
• Habit patterns• Changes / Departures from routine
• Stress (limits attention)• Distractions / Interruptions
Human NatureWork Environment
• Illness / Fatigue• Lack of or unclear standards
• “Unsafe” attitude for critical task• Unclear goals, roles, & responsibilities
• Indistinct problem-solving skills• Interpretation requirements
• Lack of proficiency / Inexperience• Irrecoverable acts
• Imprecise communication habits• Repetitive actions, monotonous
• New technique not used before• Simultaneous, multiple tasks
• Lack of knowledge• High Workload (memory requirements)
• Unfamiliarity w/ task / First time• Time pressure (in a hurry)
Individual CapabilitiesTask Demands

24. Human Performance Tools
Key # 3 Know your Defenses
24
 Put good defenses in
place -
To prevent or reduce the
severity of errors

25. Human Performance Tools
25
Defenses are measures that:
• Create awareness / inform of the risks and
hazards
• Detect and warn about the presence of
abnormal conditions or imminent dangers
• Protect people, plant, and property from
harm
• Mitigate the consequences of the hazard:
reducing personal injury, equipment damage,
and cost

26. Human Performance Tools
26
 Put good defenses in place;
• Identify unsafe conditions and inform
workers of the abnormal conditions, risks,
and hazards
• Analyze the causes and extent of the
condition
• Correct the condition to protect people, plant
and property from harm
• Two types: Controls and Barriers

27. Human Performance Tools
CONTROLS
27
Task planning
Document reviews
Pre-job briefs
Just-in-time training
Inspections
Supervision / oversight
Human Performance Tools

28. Human Performance Tools
28
BARRIERS
– Entries / Boundaries
– Housekeeping
– PPE (personal
protective equipment)
– Postings / Signs
– Communication

29. Human Performance Tools
• Yourself
• Other People
• The plant
• The public
29
You are the 1st Line of defense in protecting;

30. Personal Accountability and Responsibility
 Keys to success
 Live company core values
 DZ safety manual/employee handbook
 Follow site management expectations
 Utilize Human Performance tools
 Know your Error precursors
 Know and use your defenses
30

31. 31
Thank you for working SAFELY