Explaination of More Personal Safety program designed and delivered by Safety Culture Initiative for public use and filling gap of human resources risk management at nation state and company level.
First phase of MPS program is action "From Zero To Hero" delivered during Cybersecurity October to Poland and other countries in Polish and English language.
The document discusses "The Dirty Dozen", which are the 12 most common human factor errors identified by Gordon Dupont that can lead to accidents. The 12 factors are: lack of communication, complacency, lack of knowledge, distraction, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. Each factor is then defined in more detail and safety nets or strategies are provided to help mitigate risks from these factors. The document emphasizes that understanding human factors is important for maintaining safety, especially in high-risk industries like aviation and healthcare.
This document provides a summary of key topics related to human factors in aircraft maintenance, including general human performance and limitations, social psychology factors, physical environment, tasks, communication, and human error. The goal is to raise awareness of how human behavior and errors can impact safety, and how following proper procedures can help minimize risks. Understanding human limitations and applying concepts from areas like social psychology, ergonomics, and communication can help reduce accidents caused by human factors.
Human factors aims to understand how human capabilities and limitations impact performance in the workplace. It originated with the FAA to improve safety among aircraft engineers and has since been applied more broadly. Key goals are characterizing how environmental and individual factors influence human performance, understanding error-causing events, and creating awareness to examine the human role. Effective application of human factors principles can help reduce risks to employees and customers.
Introduction to Human Factors Training for Safety Critical Organisations. Human Factors training was originally developed in the aviation industry to enhance safety and reliability in complex environments.
How can we prevent accidents caused by human error? This presentation deals with typical examples of severe accidents related to human errors, and shows methods to prevent them.
Behavior based safety how thinking safe leads to acting safeHNI Risk Services
Behavior based safety programs focus on identifying and controlling the root causes of unsafe behaviors through proactive education, motivation, reinforcement, and improvement efforts. The key aspects of developing an effective behavior based safety system include getting employee support, identifying key safety behaviors, conducting observations to provide feedback, and continuously improving the system by setting new safety goals. Behavior based safety uses a systematic approach centered on decision making and leading indicators rather than injuries and focuses on building a positive safety culture.
Human Factors Training: There's nothing that can't go wrong. This simple insight forms the foundation of human factors training for pilots. In special courses, pilots are prepared for any possible emergency situation and action strategies. Crews learn to analyze and evaluate their own behavior and that of those around them more effectively. Training leads to more efficient work processes, a functioning error management culture, and increased safety. This is a general prsentation and human factors management in aviation training.
This document discusses human error in systems operation and provides examples of common slips and lapses that can occur. It outlines three approaches to modeling human error - THERP, GEMS, and CREAM. It also discusses designing systems to minimize errors through mechanisms like forcing functions, narrowing the gulf of execution and evaluation, and considering human and organizational factors rather than just technical approaches. Key points are that human error is often implicated in accidents but may not be the sole cause, and that it can be difficult to definitively classify actions as errors.
The document discusses "The Dirty Dozen", which are the 12 most common human factor errors identified by Gordon Dupont that can lead to accidents. The 12 factors are: lack of communication, complacency, lack of knowledge, distraction, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. Each factor is then defined in more detail and safety nets or strategies are provided to help mitigate risks from these factors. The document emphasizes that understanding human factors is important for maintaining safety, especially in high-risk industries like aviation and healthcare.
This document provides a summary of key topics related to human factors in aircraft maintenance, including general human performance and limitations, social psychology factors, physical environment, tasks, communication, and human error. The goal is to raise awareness of how human behavior and errors can impact safety, and how following proper procedures can help minimize risks. Understanding human limitations and applying concepts from areas like social psychology, ergonomics, and communication can help reduce accidents caused by human factors.
Human factors aims to understand how human capabilities and limitations impact performance in the workplace. It originated with the FAA to improve safety among aircraft engineers and has since been applied more broadly. Key goals are characterizing how environmental and individual factors influence human performance, understanding error-causing events, and creating awareness to examine the human role. Effective application of human factors principles can help reduce risks to employees and customers.
Introduction to Human Factors Training for Safety Critical Organisations. Human Factors training was originally developed in the aviation industry to enhance safety and reliability in complex environments.
How can we prevent accidents caused by human error? This presentation deals with typical examples of severe accidents related to human errors, and shows methods to prevent them.
Behavior based safety how thinking safe leads to acting safeHNI Risk Services
Behavior based safety programs focus on identifying and controlling the root causes of unsafe behaviors through proactive education, motivation, reinforcement, and improvement efforts. The key aspects of developing an effective behavior based safety system include getting employee support, identifying key safety behaviors, conducting observations to provide feedback, and continuously improving the system by setting new safety goals. Behavior based safety uses a systematic approach centered on decision making and leading indicators rather than injuries and focuses on building a positive safety culture.
Human Factors Training: There's nothing that can't go wrong. This simple insight forms the foundation of human factors training for pilots. In special courses, pilots are prepared for any possible emergency situation and action strategies. Crews learn to analyze and evaluate their own behavior and that of those around them more effectively. Training leads to more efficient work processes, a functioning error management culture, and increased safety. This is a general prsentation and human factors management in aviation training.
This document discusses human error in systems operation and provides examples of common slips and lapses that can occur. It outlines three approaches to modeling human error - THERP, GEMS, and CREAM. It also discusses designing systems to minimize errors through mechanisms like forcing functions, narrowing the gulf of execution and evaluation, and considering human and organizational factors rather than just technical approaches. Key points are that human error is often implicated in accidents but may not be the sole cause, and that it can be difficult to definitively classify actions as errors.
In 1994, the University of Texas Human Research Project and Delta Airline developed the Line Operations Safety Audit (LOSA) program. With time, the LOSA program evolved into what is now known as Threat and Error Management (TEM).
The TEM framework is an applied concept which emerged from the observations and surveys of actual flight operations. It considers the various issues that a flight crew may encounter as a result of internal and external factors.
This model explores the contributing factors of the threat to aviation safety and, in turn, allows for the unearthing of ways to mitigate them and maintain proper safety margins. Now recognized and adopted across continents, the TEM framework aims to educate flight personnel on managing threats and errors before they degenerate into serious incidents or accidents. It is important to note that TEM is also applicable to maintenance operations, cabin crew, and air traffic control.
This document provides an induction training summary for a construction project at the Dubai Design District Office Building. It includes:
1. Key personnel overseeing the project including the Project Manager, Technical Manager, and HSE Manager.
2. Health and safety policies and objectives to provide a safe working environment and achieve zero injuries or fatalities through compliance with regulations and building a strong safety culture.
3. Safety requirements and prohibited behaviors covering smoking, alcohol and drugs, horseplay, proper PPE use, traffic and pedestrian rules, and more. Failure to comply can result in removal from the site or legal penalties.
The document introduces human factors and discusses the interaction between humans, tasks, equipment, and the environment. It covers the four key elements of human factors as liveware (the person), hardware (physical equipment), software (non-physical aspects like procedures), and environment. The document discusses how errors can occur at the interfaces between these elements when there is a mismatch. Specifically, it examines safety incidents from failures in liveware-liveware and liveware-hardware interactions.
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MROAmnat Sk
This manual is in response to the industry’s requests for a simple and manageable list of actions to implement a Maintenance Human Factors (MHF) program. A panel of experts selected the following six topics for such a program to be successful:
Event Investigation
Documentation
Human Factors Training
Shift/Task Turnover
Fatigue Management
Sustaining & Justifying an HF Program
For each of the six topics that contribute to the success of any MHF program, this manual offers the following:
Why is the topic important?
How do you implement it?
How do you know it is working?
Key references
Like any good operator’s manual, this document tells you what to do without excessive description of why you should do it. This manual recognizes you already know the importance of Human Factors. For detailed information, see the “Key References” at the end of each topic.
The selected six topics are critical because they are based on operational data and practical experience from the US and other countries. Transport Canada (TC), United Kingdom Civil Aviation Authority (UK CAA), and the European Aviation Safety Agency (EASA) regulations contributed to this manual. The steps are derived from a panel of ten industry and government contributors who have worked in aviation maintenance for an average of twenty-five years and in MHF for fifteen years. The contributors characterized these six topics and related steps as “information they wish they had known 15 years ago.”
These straightforward suggestions provide the key components for implementing a successful MHF program that will benefit your company, business partners, external customers, and the entire industry. Information is presented in summary bullets as follows:
These are six topics, from many, that a MHF program may consider.
Topics are not necessarily in order of importance, except that the data obtained from Event Investigation (Section 1) provide the foundation for many Human Factors activities.
You may implement any or all of the topics, however, they should be coordinated.
Your MHF activity should be based on the identified requirements and resources of your organization.
You are encouraged to supplement this Operator's Manual with additional references.
This document satisfies the industry request for a short and straightforward list of important actions.
Este documento presenta un plan de estudios sobre factores humanos en aviación. El plan consta de 7 módulos que cubren temas como error humano, factores físicos y psicológicos, comportamiento humano y clima organizacional. También define los factores humanos, sus objetivos de seguridad y eficiencia, y las disciplinas como psicología y ergonomía que contribuyen al campo. Finalmente, explica por qué es importante estudiar los factores humanos debido a su papel en la mayoría de los accidentes aeronáuticos.
Modulo 7 Aplicaciones Practicas de los FFHH-CRM.pptxPauloLandaeta
El CRM (Gestión Completa de los Recursos de la Tripulación) se desarrolló para mejorar la seguridad operacional mediante el entrenamiento en habilidades de trabajo en equipo, comunicación, toma de decisiones y conciencia situacional. El CRM ha evolucionado a través de 6 generaciones para ampliar su enfoque más allá de la cabina y abordar factores como la cultura organizacional y la gestión del error. El objetivo final es coordinar programas de CRM y SMS para crear una cultura de seguridad que maximice el rendimiento de la in
This document outlines 12 common causes of human error in aircraft maintenance, called "The Dirty Dozen". It describes each of the 12 factors, including lack of communication, complacency, lack of knowledge, distraction, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. For each factor, examples of accidents are presented and recommendations are provided for how to reduce errors by improving safety nets like checklists, inspections, and communication between maintenance technicians. The goal is to raise awareness of the types of human errors that can occur and how following best practices in maintenance can help prevent accidents.
This document provides guidance for supervisors to help keep their employees safe at work. It discusses that supervisors must make safety their top priority and daily mission. They are responsible for ensuring work is completed safely without incident. The document offers suggestions for supervisors such as starting each shift with a safety message, acting quickly on safety concerns, promoting good housekeeping, and involving employees in safety. It emphasizes the importance of supervisors communicating the message that safety is a priority and getting back to employees on actions taken regarding safety issues.
This document provides an overview of human performance characteristics relevant to aircraft maintenance engineers, including vision, hearing, information processing, and decision making. It discusses the basic structure and function of the eye, including the cornea, iris, lens, retina, rods and cones. Factors that can affect vision such as visual acuity, lighting, age, and eye defects are also examined. The role of the engineer as part of the overall aircraft maintenance system is discussed.
Lifting operation, as a huge and complicated systems engineering, involves every aspects of enterprise production. This paper will briefly introduce some common problems and control procedures during operation for occupational safety and health .
Process Safety | Process Safety Management | PSM | Gaurav Singh RajputGaurav Singh Rajput
This document provides an overview of process safety and major accident hazards. It defines process safety as proactively identifying, analyzing, and evaluating releases of hazardous substances and process accidents. The goal is to minimize the risk of major accident events and ensure necessary mitigation and emergency preparedness. Major accidents are defined by their severe consequences for people and the environment. The document discusses past major accidents and emphasizes preventing such events through inherent safety design, barriers, safety management systems, and a safety culture.
This document provides information on performing safety risk assessments. It defines risk assessment as identifying hazards, analyzing risks, and determining controls. It explains that risk assessments help ensure controls are adequate, prevent injuries, and prioritize hazards. The document outlines how to perform an assessment by including various personnel, identifying hazards and evaluating likelihood and severity of potential injuries, considering normal and abnormal situations, and reviewing all relevant safety information. Triggers for conducting an assessment include new projects, processes, equipment, employees, facilities, chemicals. It describes principles of identifying, evaluating, eliminating, substituting, isolating risks, and using PPE or avoiding risks. The final section presents the mission of the Safety Risk Assessment team to identify and eliminate hazards through assessments of
This document provides a summary of health and safety guidelines for employees. It begins by emphasizing that accidents can cause suffering and that safety should not be compromised for any reason. The document then outlines various safety policies and procedures for employees to follow, including proper use of personal protective equipment, working at heights, electrical safety, fire prevention, plant and machinery operation, and more. Employees are asked to acknowledge receiving the handbook and agreeing to comply with all health and safety requirements.
SQOSH provides Sustainability, Quality, Occupational Safety and health consultancy services across New Zealand.
This presentation is on hazard management, and can be viewed with other free resources at www.sqosh.co.nz
Behavior-based safety is a process that focuses on identifying and choosing safe behaviors over unsafe ones. It involves observing employees' behaviors, providing feedback, analyzing the data to determine improvements in safe behaviors over time, setting goals for increased safety, and reinforcing safe behaviors and goal attainment. When implemented effectively through observation, feedback, goal-setting, and rewards, behavior-based safety can lead to reductions in workplace accidents as well as increases in efficiency, productivity, morale and profitability.
The document outlines 8 steps for safely lifting objects to avoid back injury. It discusses the responsibilities of both employers and employees to ensure safety. The spine, especially the lower back, is most vulnerable to damage from improper lifting. Employers must assess risks and provide training, while employees must follow safe lifting techniques. These include keeping feet flat, bending knees, keeping the back straight, using an optimal grip, and holding loads close to the body. Turning the feet in the direction of movement is the final step.
This document discusses human factors and crew resource management (CRM) training. It aims to (1) demonstrate human factors concepts, (2) increase safety awareness, (3) ability to detect hazards, (4) effective communication, (5) decision making, and (6) identify human error factors. Past aviation accidents are reviewed that revealed human errors including distraction, fatigue, and failure to communicate effectively. Threats, errors, and their management are defined to optimize human performance and safety.
This document provides an overview of personal protective equipment (PPE) and its importance. It discusses what PPE is, why it is important for safety reasons, and what the law requires in terms of employer and employee responsibilities regarding PPE. The document also outlines the minimum PPE standards for MUS operational sites, common reasons why workers fail to wear required PPE putting their safety at risk, and situations where PPE may become a hazard and cease to be effective or increase risks. The goal is to promote proper PPE usage and a safety-first culture at work.
Human factors - what role should they play in Responsible CareAdvisian
Tony Geraghty's presentation examines how considering human factors can enhance safety and performance excellence in the chemical industry. It discusses James Reason's model of classifying human errors and using reliability centered maintenance (RCM) to identify vulnerabilities. The presentation provides examples of how an RCM analysis revealed issues like commissioning errors and inappropriate maintenance practices, and how addressing these issues improved a gas compressor fleet's reliability and availability. Geraghty argues that regularly questioning understanding of operations can help ensure responsible chemical production and management.
Dz human performance fenoc july 2015rev1Jon Ellison
This document provides an overview of a human performance assessment conducted at Fenoc power plants and subsequent employee indoctrination training. The assessment in June 2014 identified 15 condition reports related to safety, radiological, fitness for duty, security, and near miss events. The training objectives are to reinforce management expectations, promote engaged thinking, and teach employees to use human performance tools to prevent incidents. The training covers topics like human performance tools, identifying error precursors, and implementing defenses to reduce errors and protect people, equipment, and the public. Personal accountability and following procedures are emphasized.
In 1994, the University of Texas Human Research Project and Delta Airline developed the Line Operations Safety Audit (LOSA) program. With time, the LOSA program evolved into what is now known as Threat and Error Management (TEM).
The TEM framework is an applied concept which emerged from the observations and surveys of actual flight operations. It considers the various issues that a flight crew may encounter as a result of internal and external factors.
This model explores the contributing factors of the threat to aviation safety and, in turn, allows for the unearthing of ways to mitigate them and maintain proper safety margins. Now recognized and adopted across continents, the TEM framework aims to educate flight personnel on managing threats and errors before they degenerate into serious incidents or accidents. It is important to note that TEM is also applicable to maintenance operations, cabin crew, and air traffic control.
This document provides an induction training summary for a construction project at the Dubai Design District Office Building. It includes:
1. Key personnel overseeing the project including the Project Manager, Technical Manager, and HSE Manager.
2. Health and safety policies and objectives to provide a safe working environment and achieve zero injuries or fatalities through compliance with regulations and building a strong safety culture.
3. Safety requirements and prohibited behaviors covering smoking, alcohol and drugs, horseplay, proper PPE use, traffic and pedestrian rules, and more. Failure to comply can result in removal from the site or legal penalties.
The document introduces human factors and discusses the interaction between humans, tasks, equipment, and the environment. It covers the four key elements of human factors as liveware (the person), hardware (physical equipment), software (non-physical aspects like procedures), and environment. The document discusses how errors can occur at the interfaces between these elements when there is a mismatch. Specifically, it examines safety incidents from failures in liveware-liveware and liveware-hardware interactions.
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MROAmnat Sk
This manual is in response to the industry’s requests for a simple and manageable list of actions to implement a Maintenance Human Factors (MHF) program. A panel of experts selected the following six topics for such a program to be successful:
Event Investigation
Documentation
Human Factors Training
Shift/Task Turnover
Fatigue Management
Sustaining & Justifying an HF Program
For each of the six topics that contribute to the success of any MHF program, this manual offers the following:
Why is the topic important?
How do you implement it?
How do you know it is working?
Key references
Like any good operator’s manual, this document tells you what to do without excessive description of why you should do it. This manual recognizes you already know the importance of Human Factors. For detailed information, see the “Key References” at the end of each topic.
The selected six topics are critical because they are based on operational data and practical experience from the US and other countries. Transport Canada (TC), United Kingdom Civil Aviation Authority (UK CAA), and the European Aviation Safety Agency (EASA) regulations contributed to this manual. The steps are derived from a panel of ten industry and government contributors who have worked in aviation maintenance for an average of twenty-five years and in MHF for fifteen years. The contributors characterized these six topics and related steps as “information they wish they had known 15 years ago.”
These straightforward suggestions provide the key components for implementing a successful MHF program that will benefit your company, business partners, external customers, and the entire industry. Information is presented in summary bullets as follows:
These are six topics, from many, that a MHF program may consider.
Topics are not necessarily in order of importance, except that the data obtained from Event Investigation (Section 1) provide the foundation for many Human Factors activities.
You may implement any or all of the topics, however, they should be coordinated.
Your MHF activity should be based on the identified requirements and resources of your organization.
You are encouraged to supplement this Operator's Manual with additional references.
This document satisfies the industry request for a short and straightforward list of important actions.
Este documento presenta un plan de estudios sobre factores humanos en aviación. El plan consta de 7 módulos que cubren temas como error humano, factores físicos y psicológicos, comportamiento humano y clima organizacional. También define los factores humanos, sus objetivos de seguridad y eficiencia, y las disciplinas como psicología y ergonomía que contribuyen al campo. Finalmente, explica por qué es importante estudiar los factores humanos debido a su papel en la mayoría de los accidentes aeronáuticos.
Modulo 7 Aplicaciones Practicas de los FFHH-CRM.pptxPauloLandaeta
El CRM (Gestión Completa de los Recursos de la Tripulación) se desarrolló para mejorar la seguridad operacional mediante el entrenamiento en habilidades de trabajo en equipo, comunicación, toma de decisiones y conciencia situacional. El CRM ha evolucionado a través de 6 generaciones para ampliar su enfoque más allá de la cabina y abordar factores como la cultura organizacional y la gestión del error. El objetivo final es coordinar programas de CRM y SMS para crear una cultura de seguridad que maximice el rendimiento de la in
This document outlines 12 common causes of human error in aircraft maintenance, called "The Dirty Dozen". It describes each of the 12 factors, including lack of communication, complacency, lack of knowledge, distraction, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. For each factor, examples of accidents are presented and recommendations are provided for how to reduce errors by improving safety nets like checklists, inspections, and communication between maintenance technicians. The goal is to raise awareness of the types of human errors that can occur and how following best practices in maintenance can help prevent accidents.
This document provides guidance for supervisors to help keep their employees safe at work. It discusses that supervisors must make safety their top priority and daily mission. They are responsible for ensuring work is completed safely without incident. The document offers suggestions for supervisors such as starting each shift with a safety message, acting quickly on safety concerns, promoting good housekeeping, and involving employees in safety. It emphasizes the importance of supervisors communicating the message that safety is a priority and getting back to employees on actions taken regarding safety issues.
This document provides an overview of human performance characteristics relevant to aircraft maintenance engineers, including vision, hearing, information processing, and decision making. It discusses the basic structure and function of the eye, including the cornea, iris, lens, retina, rods and cones. Factors that can affect vision such as visual acuity, lighting, age, and eye defects are also examined. The role of the engineer as part of the overall aircraft maintenance system is discussed.
Lifting operation, as a huge and complicated systems engineering, involves every aspects of enterprise production. This paper will briefly introduce some common problems and control procedures during operation for occupational safety and health .
Process Safety | Process Safety Management | PSM | Gaurav Singh RajputGaurav Singh Rajput
This document provides an overview of process safety and major accident hazards. It defines process safety as proactively identifying, analyzing, and evaluating releases of hazardous substances and process accidents. The goal is to minimize the risk of major accident events and ensure necessary mitigation and emergency preparedness. Major accidents are defined by their severe consequences for people and the environment. The document discusses past major accidents and emphasizes preventing such events through inherent safety design, barriers, safety management systems, and a safety culture.
This document provides information on performing safety risk assessments. It defines risk assessment as identifying hazards, analyzing risks, and determining controls. It explains that risk assessments help ensure controls are adequate, prevent injuries, and prioritize hazards. The document outlines how to perform an assessment by including various personnel, identifying hazards and evaluating likelihood and severity of potential injuries, considering normal and abnormal situations, and reviewing all relevant safety information. Triggers for conducting an assessment include new projects, processes, equipment, employees, facilities, chemicals. It describes principles of identifying, evaluating, eliminating, substituting, isolating risks, and using PPE or avoiding risks. The final section presents the mission of the Safety Risk Assessment team to identify and eliminate hazards through assessments of
This document provides a summary of health and safety guidelines for employees. It begins by emphasizing that accidents can cause suffering and that safety should not be compromised for any reason. The document then outlines various safety policies and procedures for employees to follow, including proper use of personal protective equipment, working at heights, electrical safety, fire prevention, plant and machinery operation, and more. Employees are asked to acknowledge receiving the handbook and agreeing to comply with all health and safety requirements.
SQOSH provides Sustainability, Quality, Occupational Safety and health consultancy services across New Zealand.
This presentation is on hazard management, and can be viewed with other free resources at www.sqosh.co.nz
Behavior-based safety is a process that focuses on identifying and choosing safe behaviors over unsafe ones. It involves observing employees' behaviors, providing feedback, analyzing the data to determine improvements in safe behaviors over time, setting goals for increased safety, and reinforcing safe behaviors and goal attainment. When implemented effectively through observation, feedback, goal-setting, and rewards, behavior-based safety can lead to reductions in workplace accidents as well as increases in efficiency, productivity, morale and profitability.
The document outlines 8 steps for safely lifting objects to avoid back injury. It discusses the responsibilities of both employers and employees to ensure safety. The spine, especially the lower back, is most vulnerable to damage from improper lifting. Employers must assess risks and provide training, while employees must follow safe lifting techniques. These include keeping feet flat, bending knees, keeping the back straight, using an optimal grip, and holding loads close to the body. Turning the feet in the direction of movement is the final step.
This document discusses human factors and crew resource management (CRM) training. It aims to (1) demonstrate human factors concepts, (2) increase safety awareness, (3) ability to detect hazards, (4) effective communication, (5) decision making, and (6) identify human error factors. Past aviation accidents are reviewed that revealed human errors including distraction, fatigue, and failure to communicate effectively. Threats, errors, and their management are defined to optimize human performance and safety.
This document provides an overview of personal protective equipment (PPE) and its importance. It discusses what PPE is, why it is important for safety reasons, and what the law requires in terms of employer and employee responsibilities regarding PPE. The document also outlines the minimum PPE standards for MUS operational sites, common reasons why workers fail to wear required PPE putting their safety at risk, and situations where PPE may become a hazard and cease to be effective or increase risks. The goal is to promote proper PPE usage and a safety-first culture at work.
Human factors - what role should they play in Responsible CareAdvisian
Tony Geraghty's presentation examines how considering human factors can enhance safety and performance excellence in the chemical industry. It discusses James Reason's model of classifying human errors and using reliability centered maintenance (RCM) to identify vulnerabilities. The presentation provides examples of how an RCM analysis revealed issues like commissioning errors and inappropriate maintenance practices, and how addressing these issues improved a gas compressor fleet's reliability and availability. Geraghty argues that regularly questioning understanding of operations can help ensure responsible chemical production and management.
Dz human performance fenoc july 2015rev1Jon Ellison
This document provides an overview of a human performance assessment conducted at Fenoc power plants and subsequent employee indoctrination training. The assessment in June 2014 identified 15 condition reports related to safety, radiological, fitness for duty, security, and near miss events. The training objectives are to reinforce management expectations, promote engaged thinking, and teach employees to use human performance tools to prevent incidents. The training covers topics like human performance tools, identifying error precursors, and implementing defenses to reduce errors and protect people, equipment, and the public. Personal accountability and following procedures are emphasized.
‘Risk management is the Army’s principal risk-reduction process to protect the force. Our goal is to make risk management a routine part of planning and executing operational missions.’
This document discusses human performance and human error reduction at Manitoba Hydro. It provides background on human error, noting that 80% of incidents are due to latent organizational weaknesses rather than direct human or equipment failures. It describes different types of errors and how individual behaviors are influenced by organizational processes and values. The document also outlines several principles of human performance, including brain activities and error precursors. It discusses tools for human error reduction, including maintaining positive control, questioning attitudes, procedure use, self-checking, effective communication, and knowing when to stop. The tools should be used for critical steps to improve safety, quality, and communication.
2006 IChemE Manchester Branch - Human factors & risk managementAndy Brazier
This document provides an introduction to Andy Brazier and his expertise in human factors and risk management in industries such as oil, chemical and gas. It discusses the importance of human factors in controlling major hazards and preventing accidents. The Health and Safety Executive views human factors as a high priority and is looking for evidence that organizations understand human factors principles and apply them to areas such as task analysis, competence assurance, fatigue management and design.
This document discusses risk management best practices for recreation and aquatic facilities. It begins by outlining how municipalities are increasingly seen as easy targets for lawsuits due to availability of funds and liability laws. It then introduces risk management and reviews concepts like duty of care, standard of care, negligence, and liability. Common pitfalls in risk management like lack of safety culture and documentation are identified. The risk management process of identifying, evaluating, and addressing risks is described. Best practices around staff training, safety audits, engagement, and documentation are provided. The presentation ends by emphasizing the importance of a risk management culture.
The document discusses construction safety practices and accident causes. It defines an accident and identifies two broad sources of accidents: unsafe conditions and unsafe actions. It then discusses factors that can contribute to accidents, including mechanical, environmental, and human factors. Some specific causes mentioned are inadequate or lack of guarding, poor illumination or ventilation, and human errors. The document also discusses classifying and analyzing accidents in more detail. Finally, it examines human behavior factors in depth, including how management, environment, equipment, and individual human actions can all influence safety.
1. Human error is a leading cause of deviations in pharmaceutical companies, accounting for 25-60% of incidents.
2. Regulators expect thorough investigations of deviations to determine the most likely root cause, ensuring process, procedural or system errors are not overlooked before attributing a cause to human error.
3. Common ways of currently handling human errors, such as blaming employees or limited retraining, are ineffective; more robust corrective actions addressing underlying systems and processes are needed.
This document provides an overview of accident prevention. It defines key terms like accident, hazard, risk, and safety. It discusses the causes of accidents including management factors, environmental factors, equipment factors, and human behavior factors. It also examines theories of human behavior and strategies for changing unsafe behaviors. The document emphasizes that an effective accident prevention program requires a written plan, safety orientation for employees, and safety meetings or a safety committee to engage employees.
The document discusses non-technical skills that are important for anesthesiologists, including situation awareness, decision making, teamwork, and stress management. It describes how the Anesthetists' Non-Technical Skills (ANTS) system was developed to identify and rate non-technical skills in four categories (task management, team working, situation awareness, and decision making) based on observational studies. The ANTS system provides a standardized way to assess and provide feedback on anesthesiologists' non-technical performance.
People communicate effectively throughout the organisationpludoni GmbH
This document discusses effective communication throughout organizations. It provides an overview of communication approaches used by excellent organizations, including understanding communication needs, developing communication strategies, and enabling knowledge sharing. Barriers to communication like physiological, psychological, cultural, political, and technological barriers are examined. The importance of internal communication is emphasized through approaches like onboarding procedures, project debriefings, and employee feedback talks. Metrics from an IT industry survey on communication are presented. Effective feedback models and the use of 360-degree feedback for leaders are summarized.
This document outlines the key elements of process safety leadership. It discusses process safety management and how it differs from personal safety. It emphasizes the importance of process safety leadership, organizational learning, management of change, worker engagement, and competence. Effective process safety requires commitment from all levels of leadership to ensure proper resources, oversight, investigation of incidents to promote continuous learning, and management of risks associated with changes.
The document provides an outline for a workshop on incident reporting and investigation techniques, including Root Cause Analysis using the Tripod Beta methodology. The workshop will cover: the business case for accident investigations; accident causation mechanisms; reporting and investigation techniques; and conducting a Root Cause Analysis using the Tripod Beta method. It will include incident case studies and experience sharing. The document also provides background on the workshop presenter and an overview of the Tripod Beta methodology for structuring accident investigations and identifying underlying causes.
Introduction to Understanding Human errors in Pharmaceutical IndustriesKarishmaRK
This document provides an overview of human error, including its causes and how it can be prevented. It discusses that human error is often cited as a cause in accidents and disasters across many industries. Regulatory bodies require confirming that process or system errors were not overlooked before attributing an issue to human error. The document then covers the psychology and science behind why humans make errors, identifying three stages of human cognition - planning, storage, and execution - where errors can occur. It also discusses types of errors like slips, lapses, and mistakes. Finally, it emphasizes that while human nature cannot change, the conditions where humans work can be changed to help prevent errors by considering factors like procedures, training, process design, environment, and
You are facing a lot of human errors in your organization and you want to improve the performance of your team. Use this new and systemic approach to define a successful action plan.
This document provides an overview of safety fundamentals for supervisors. It discusses OSHA's top violations, the importance of leadership, and how supervisors can serve different stakeholders through accountability, expectations, feedback and measurements. It also covers new employee orientation, high risk jobs, areas to be aware of like asbestos and lead, and dealing with different personality types. The goal is to help supervisors think about safety, have discussions, and get back to basics.
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2. Overview Ask questions
• Why we fall with human
factor?
• How to manage human
factor?
Define
• Human factor – what is
about?
• Human factor decomposed
Analyze
• PEAR approach
• Dirty Dozen of human
errors
Simplify
• Focus on commonities
• Build more personal
security approach
3. Why we fail with human factor?
Because:
• Matter is far complex that looks like (you can’t force behavior)
• We are focused on quick remediation (keep incident statistics low)
• We are organizational centric (focused only on job side of life)
• We are self-limited by tools and knowledge (budget limitation)
• We create siloses (separation of topics and domains: real vs cyber,
private vs proffessional, test vs production)
We should decompose problem into smaller, managable components
4. How to manage situation of human factor?
• Learn about human factor from industry where is well described
• Learn the dirt dozen of human factors study for aviation industry *
• Learn to identify human factors presence
• Analyze human factor impact
• Plan the remediation actions
• Measure remediation actions
• Re-analyse human factor impact
* https://www.faa.gov/regulations_policies/handbooks_manuals/aircraft/media/AMT_Handbook_Addendum_Human_Factors.pdf
EASY TO SAY, HARD TO DO IT!
5. Simple answer
Develop human competences supporting process
and position safety responsibility to reduce time
for employee adoption to employer requirements
by continous role based security training and
testing of these competeces.
6. How to find and understand answer?
Define
problem
Analyze
details
Change
perspective
and find
similarities
Build
(synthesis)
conclusions
8. Human Factor vs Human Factors
• Human factor is commonly used term to determine impact of human behavior to
the process output
And in details
• Human factors is a term that covers the science of understanding of human
capability, application of this understanding to the desing development,
deployment of systems and services, and the art of ensuring successful
application of human factor principles into the maintenance working
enviroment*
Human factor can be decomposed, understand and managed based on second
definition!
* https://www.faa.gov/regulations_policies/handbooks_manuals/aircraft/media/AMT_Handbook_Addendum_Human_Factors.pdf
9. Human Machine –what determine your activity
List of components that determines Human activity:
• Human factors
• Human limitations
• Human capabilities
• Mental state
• Emotional state
• Physical state
• Enviromental conditions
11. Human Factors decomposed part 1
List of human factors disciplines:
• Clinical psychology
• Experimental psychology
• Educational psychology
• Organization psychology
• Anthropometric science
• Cognitive science
• Medical science
• Computer science
• Safety Engineering
• Industrial Engineering
12. Human factors decomposed part 2
Historical approach:
1487 – Leonardo DiVinci determines human limitation by Vitruvian
Man description
~1900 challenge-response system introduction in medicine: „scalpel” –
doctor request, „scalpel” – nurse response
~1900 human to machine compatibility by trial and error approach
Around World Wars – human limitations and advantage of human
capabilities for equipment/tools suite and controls and displays easier
for operators to use
13. Human factors decomposed part 3
PEAR model:
• People who do the job
• Enviroment in which they work
• Actions they perform
• Resources neccessary to complete the job
14. Human factors decomposed part 4
• Physical
• Physical size
• Sex
• Age
• Strength
• Sensory limitations
• Physiological
• Nutritional factors
• Health
• Lifestyle
• Fatigue
• Chemical dependency
• Psychological
• Workload
• Experience
• Knowledge
• Training
• Attitude
• Mental or emotional state
• Psychosocial
• Interpersonal conflicts
„People who do the job” factors:
Encourage the workers!
15. Human factors decomposed part 5
• Physical
• Weather
• Location inside/outside
• Workspace
• Shift
• Lighting
• Sound level
• Safety
• Organizational
• Personnel
• Supervision
• Labor-management relations
• Pressures
• Crew structure
• Size of company
• Profitabilitiy
• Morale
• Corporate culture
„Enviroment in witch they work” factors:
Create friendly enviroment!
16. Human factors decomposed part 6
• Actions
• Steps to perform a task
• Sequence of activity
• Number of people involved
• Information control requirements
• Knowledge reqirements
• Skill requirements
• Altitude requirements
• Certification requirements
• Inspection requirements
„Actions they perform”, Job Task Analysis (JTA) factors:
Identify & manage job tasks!
17. Human factors decomposed part 7
• Resources
• Procedures, work cards
• Technical manuals
• Other people
• Test equipment
• Tools
• Compuers and software
• Paperwork and signoffs
• Neccesairy equipment
„Resources neccessary to complete the job” factors:
Provide&monitor resources!
• Workplace helpers
• Fixtures
• Aterials
• Task lighting
• Training
• Quality systems
18. So far, so complicated...
IF THIS WILL BE EASY, EVERYONE WILL KNOW THE ANSWER
19. There is not considering the whole
human activity,
There’ s no need to take everything
into equations
Just focus on human errors!
20. ROOT CAUSE – HUMAN ERROR ANALYSIS
EVERYONE MAKE MISTAKES, ONLY FEW LEARN FROM THEM
23. Human factors decomposed – Dirty Dozen
• Lack of communication
• Lack of knowledge
• Lack of teamwork
• Lack of resources
• Lack of assertiveness
• Lack of awareness
• Originated from 1980s-1990s incidents by Transport Canada
• Identified most common 12 factors of human failure (no order):
Identify root cause of human failure incidents!
• Complacency
• Distraction
• Fatigue
• Pressure
• Stress
• Norms
http://www.skybrary.aero/index.php/The_Human_Factors_"Dirty_Dozen"
https://maritimecyprus.com/2016/12/27/the-deadly-dozen-12-significant-human-factors-in-maritime-safety/
24. Dirty dozen – Lack of communication
Issues:
Poor or non existing communication
Lost in transmission
Information reciver can make
assumptions about communicate
You should know that only 30% of verbal
communication is understood
You should know that usually begining
and end of message is understood
Body language is misunderstand or
neglected in person-to-person
communication
Countermeasures:
Write down complex instructions
Use checklists, logbooks, to communicate
work progress
Never assume that the work has been
completed
Ask if not understand
Reconfirm if not sure
Beware of culture effect on message
interpretation
Pay attention to body language
Always repeat most critical part of
message at the end
25. Dirty dozen – Lack of knowledge
Issues:
Acting based on outdated
documentation can create chaos or
error in process
Performing jobs without prior
training could put employee in risk
and damage company reputation
Attempt to solve issue without
knowledge and skills how to do it
efficiently may turn issue into crisis
Countermeasures:
Perform only job you are trained to
Do not try to help if you do not
know how
If you do not know, ask for help
Update your knowledge and
documentation to current state
26. Dirty dozen – Lack of teamwork
Issues:
Single point of failure
Knowledge, power, operations
concentration – creating „bottle neck”
situation
Resource wasting due to lack of
understanding of common goal
Communication degradation due to
social issues or lack of human
resources
Wasting resources due to competence
proving
Countermeasures:
Encourage team playing approach and
communication
All team members need to understad
common goal and way to cope with it
including their duties
Promote co-workers with safety in
mind
Promote disscusion to solve issues
Diverse skills and points of view
Encourage challenge
Celebrate success
27. Dirty dozen – Lack of resources
Issues:
Safety and quality concerns due to
improvised or outdated resources
Creating pressure on employee
that strenghtened other human
error components
Impact compliance and safety by
employee actions of crossing the
border or forced creativity
Countermeasures:
Plan resource utilization, maintain
resources and assets supply
Manage resources lifecycle
Optimize resources utilization
Request for resource if safety can
be impacted
Don’t agree with safety violations –
probably you will take
responsibility when something will
go wrong
28. Dirty dozen – Lack of assertiveness
Issues:
Suppress the concerns, feelings,
opinions, beliefs and needs
Continue to use culture of fear and
false responsibility
Falsing or failing the communication
and avoid resolving the root cause of
problem
Creating false/fake picture with
generalization
Countermeasures:
Never compromise your standards
Provide clear feedback when a risk or
danger is perceived
Speak up keeping calm, rational and
using specific examples rather
generalisations
Always direct criticism at actions and
their consequences rather than
people and their personalities
Invite feedback
Realize that It’s YOUR duty, your
decision and future
29. Dirty dozen – Lack of awareness
Issues:
Lack of role and impact
understanding can cause serious
damage to the employee or
company
Lack of visibility can lead to tunel
vision and affect actions or
effectiveness
Lack of foresight can lead to
serious incidents impacting
human life or company brand
Countermeasures:
Use checklists, logbooks, etc.
Don’t assume situation, ask for
clarification, ask for checkup
Constant questioning „what
if...?”
Promote to bexperience by
knowledge sharing and
situational awareness
Promote developing foresight
30. Dirty dozen – Complacency
Issues:
Relay on memory/custom/habit
Have a good faith with tendency
to neglect the obvious message
Overestimate strenghts,
realiability,
Ingore the warning signals, going
rouge in sack of custom
Countermeasures:
Always expect something could
go wrong
Never sign off on something
that you did not fully verify or
provide
Always double check your work
Never put yourself in risky
situation counting on luck or
experience
31. Dirty dozen – Distraction
Issues:
Distracted employee can easly
miss part of the process and
create defect
Can be caused or strenghtened
by other factors like fatique,
stress, complecancy to greatly
impact the productivity
Introduce delays, errors and
mistakes driven by chaotic or
messy job performance
Countermeasures:
Use detailed checklist
Secure your workplace and
tools, keep it safe and clean to
avoid unexpected
If you can’t focus on job, take a
break to remove distraction
Resuming job, go back and
double check what you think is
already completed
32. Dirty dozen – Fatigue
Issues:
Fatigue employee can make
harmful decisions,
When symptoms are ignored can
cause rapid fall down situation that
could be risky for health
Attempts to finish the job for any
cause could seriously damage
process and employee because
error or lost of control over tools
Strenghten negative impact and
probability of occurence when in
conjunction with other factor
Countermeasures:
Take care of yourself, eat healthy,
be active and maintain regular
sleep patern
Put down complex tasks if you
know that you are exhausted
Be aware of the fatigue symptoms
in yourself and coworkers
Manage short breaks to refresh
mind and body muscles
33. Dirty dozen – Pressure
Issues:
Regardles if self induced or
external, pressure can impact
process or product in way that
damage organization reputation
Creating false picture about job
conditions or covered trading
jobs can impact project deadline
or client relations with your
company
Countermeasures:
Ensure that pressure is not self
induced
Ask for extra help if time is an
issue
Communicate if you think you
will need more time to complete
job rather than rush through it
34. Dirty dozen – Stress
Issues:
If demands are too high or not
managed subconscious will
response with stress impacting
overall employee posture
Stress greatly strenghten employee
response to other factors,
increasing risk of damage to the
employee or error to the process
Countermeasures:
Reduce stress level by take time off
or a short break
Ask co-workers to monitor your
work
Excercise, eat healthy and have
sufficient ammount of rest to keep
stress level under control
Know you limits and communicate
this when expectations wil rease
35. Dirty dozen – Norms
Issues:
Crossing the line to the standard
violation in most cases is wrong
idea causes losses and potential
harm to the employee
Keeping wrong norm as standard
operation procedure or silent
employee agreement can harm
employee, impact process or
company in serious way
Countermeasures:
Ensure that everyone follows
the same standard
Even if something looks normal
does not make it correct
The easiest way of
accomplishing something may
not be the standard
Eradicate negative standards by
rising discussion about them
36. What is the common factor for human error?
LOOKING BEHIND THE COURTAIN OF HUMAN BEHAVIOUR
37. Again humans are specific machines, able to adopt
to the changing conditions, but this takes time.
38. Most of the human behaviour can be
explained by set of human abilities.
39. Following this approach allows to define errors as
manifestation of lack of human adoption because
of ability shortage.
40. Desired answer to the question:
How to limit human errors?
Is following:
By developing abilities supporting human adoption.
41. Any awareness program or training
will be effective only if auditorium has
developed specific subset of human abilities
required to understand, remember and use
learned skils and knowlede.
42. Ideal awareness program should help
developing relevant human abilities for
increasing effectivenes of skills or knowledge
adoption, and ultimately reduce the chance
for errors or mistakes occurence.
43. Mapping Dirty Dozen of human errors to the
human abilities set underlying safe behaviour
12 human error causes
countermeasured with 36
advises expresed in
language of 46 human
abilities related to safe
behaviour creates
matrix of human error
cause – countermeasure
human abilities
DirtyDozencomponent
Advise1
Advise2
Advise3
Identify
Protect
Detect
React
Recover
Respect
Privacy
Prudence
Assertiveness
Exemplar
altruism
assertiveness
thebalance
intransigence
vigilance
inquisitiveness
flexibility
empathy
individualism
communication
leaderhip
loyalty
wisdom
independence
responsibility
care
confidence
planning
senseofownership
havingapersonalculture
sacrifice
Respectforsomeoneelse'sproperty
lawfully
rationally
prudence
reliability
self-improvement
self-reliance
self-control
self-consciousness
meticulousness
effectiveness
observation
justice
awarenessoftheconsequences
awarenessoftheenvironment
resourceawareness
technicalskills
credibility
cooperation
imagination
perseverance
management
Lack of communication
Use checklists,
logbooks, to
communicate work
progress
Never assume that the
work has been
completed
Ask if not understand x x x x x x x x x x x x x x x x x x x x
Lack of knowledge
Perform only job you
are trained to
Do not try to help if you
do not know how
If you do not know, ask for help x x x x x x x x x x x x x x x x x x x x x
Lack of teamwork
Encourage team play
and communication
All team members need
to understad common
goal and way to reach it
including their duties
Promote disscusion to solve
issues
x x x x x x x x x x x x x x x x x x x x x x x x
Lack of resources
Plan resource
utilization, maintain
resources and assets
supply
Manage resources
lifecycle
Don’t agree with safety
violations – probably you will
take responsibility when
something goes wrong
x x x x x x x x x x x x x x x x x x x x x x x
Lack of assertiveness
Never compromise
your standards
Provide clear feedback
when a risk or danger is
perceived
Invite feedback x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
Lack of awareness
Use checklists,
logbooks, etc.
don’t assume situation,
ask for clarification, ask
for checkup
Constant questioning „what if...?” x x x x x x x x x x x x x x x x x x x x x x x x
Complecency
Always expect to find
something wrong
Never sign off on
something that you did
not fully check or
provide
Always double check your work x x x x x x x x x x x x x x x x x x x x x x x x x
Distraction
Secure your
workplace and tools,
keep it safe and
clean to avoid
unexpected
If you can’t focus on job,
take a break to remove
distraction
Ressuming job, go back and
double check what you think is
already completed
x x x x x x x x x x x x x x x x x x x x x x x x x x x
Fatigue
Forefeit complex
tasks if you know
that you are
exhausted
Take care of yourself, eat
healthy, be active and
maintain regular sleep
patern
Be aware of the symptoms and
look for them in yourself and co-
workers
x x x x x x x x x x x x x x x x x x x x x x x x x
Pressure
Ensure that pressure
is not self induced
Ask for extra help if time
is an issue
Communicate if you think you
will need more time to
complete job rather than rush
through it
x x x x x x x x x x x x x x x x x x x x x x x x x x
Stress
Reduce stress level
by take time off or a
short break
Ask co-workers to
monitor your work
Excercise, eat healthy and have
sufficient ammount of rest to
keep stress level under control
x x x x x x x x x x x x x x x x x x x x x x x
Norms
Erradicate negative
standards by rising
discussion about
them
Even if something looks
normal does not make it
correct
Ensure that everyone follows
the same standard
x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
44. Lack of
communication
communication
wisdom
responsibility
care
planning
having a personal culture rationally
prudence
reliability
self-reliance effectiveness
awareness of the consequences
awareness of the environment
resource awareness
cooperation
inquisitiveness
LOW MEDIUM HIGH
RISK SCALE
https://openclipart.org/detail/23762/scale-01
Example of abilities usefull for countermeasure the lack of communication issue
46. Employee responsibilities can be expressed also
in the context of:
• Process the employee supports
• Possition the employee occupies
And these responsibilities are also supported by
human abilities defined previously.
From other hand
47. Describing human support for process
knowledge
about role in the
process and impact
to environment
knowledge
about usage and
limitation of tools
used in process
knowledge
about predictable
process execution and
readiness to
notification any
deviations
ability
to signal the
concerns about
unexpected
changes
in process
ability
to sustain or
recovery of process
in case of
unexpected
disorder
Symbols are based on icons https://materialdesignicons.com/ according to license conditions https://github.com/Templarian/MaterialDesign/blob/master/license.txt
More about More Personal Security can be found here https://sci-ikb.blogspot.com
BASED ON NIST CYBSERSECURITY FRAMEWORK CORE
PROFFESSIONALCOMPETENCES
48. Describing human support for role
ability to
limited trust
behaviour and
awareness of
emotion influence
ability to
know information
value and to restrain
from information
sharing
ability to
assess of the
situation and
estimate
performed actions
ability to
independent
decision-making
and take care of
own life space
ability to
act and overcome
any adversities
resulting from
habits
Symbols are based on icons https://materialdesignicons.com/ according to license conditions https://github.com/Templarian/MaterialDesign/blob/master/license.txt
More about More Personal Security can be found here https://sci-ikb.blogspot.com
BASED ON NETIQUETTE QUIDANCES
PERSONALCOMPETENCES
49. Expressing the competences in ability language
Szacunek Prywatność Rozwaga Asertywność Wzór Poznaj Ochroń Wykryj Reaguj Odzyskaj
Cecha+A4:A4:B47 Definicja
zdolność do
ograniczonego
zaufania i
rozpoznawania
wpływu emocji
zdolność do
powściągliwości
w ujawnianiu
informacji i
ocenie jej
wartości - choć
ogólnie dotyczy
dowolnej
czynności
zdolność
do oceny
sytuacji i
oszacowan
ia
konsekwen
cji
podjętych
akcji
zdolność do
samodzielneg
o
podejmowani
a decyzji i
dbania o
swoją
przestrzeń
życiową
zdolność
do
działania i
pokonywan
ia
trudności
wynikający
ch z
przyzwycza
jeń
wiedza na
temat swojej
roli w
procesie i
wpływu na
otoczenie
znajomość
ograniczeń
narzędzi
stosowanych
w procesie
znajomość
przewidywaneg
o toku procesu i
gotowość do
odnotowania
odchyleń do
normy
zdolność do
przekazania
uwag
związanych z
niespodziewa
nymi
zmianami w
procesie
zdolność do
utrzymania lub
odtworzenia
procesu w
wyniku
niespodziewan
ego zaburzenia
altruizm umiejętność realizacji własnych planów w sposób przynoszący korzyść większej grupie społecznej x
asertywność odporność na wpływy zewnętrzne z uszanowaniem obcych wyborów x x
balans umiejętność optymalizacji efektów pracy w funkcji czasu x
bezkompromisowość spełnienie własnych założeń przed wymogami innych x
czujność umiejętność zachowania koncentracji pomimo niesprzyjających okoliczności, spostrzegawczość połączona z wyciąganiem wniosku i reakcją x
dociekliwość umiejętność uzyskania satysfakcjonującej odpowiedzi bez kompromisów x x x x x x
elastyczność umiejętność dostosowania się do sytuacji lub wymagań x
empatia zdolność do uzyskania perspektywy kogoś innego, bez stosowania założeń i uproszczeń x x
indywidualizm promowanie własnej perspektywy i utrzymywanie dystansu w celu podkreślenia występujących różnic x
komunikatywność łatwość nawiązywania relacji z innymi oraz swoboda w komunikacji x
przywództwo postawa mająca na celu poprzez własny przykład zaangażowanie innych do realizacji wskazanego celu x
lojalność umiejętność tworzenia relacji zaufania, zachowania tajemnicy x
mądrość posiadanie doświadczenia życiowego, znajomość schematów społecznych x
niezależność
cecha określająca minimalny wpływ czynników zewnętrznych na podejmowane decyzje i brak konieczności uwzględnienia zasobów
zewnętrznych przy wykonywanych akcjach
x
odpowiedzialność zdolność do konsekwentnego postępowania w reakcji na wcześniej podjęte decyzje i wykonane działania x x x x
ostrożność
w relacjach z innymi: umiejętność rozpoznawania intencji rozmówcy, stosowanie ograniczonego zaufania w kontaktach z innymi ludzmi
w przypadku ogólnym: umiejętność stopniowego wykonywania czynności z możliwością minimalizacji strat własnych w przypadku
x x x
pewność siebie przekonanie o słuszności podjętych decyzji, wartości posiadanej wiedzy i umiejętności, wykonanych czynnościach x x x
planowanie umiejętność efektywnego wykorzystania posiadanych zasobów w szerszym horyzoncie czasowym x x x
poczucie własności potrzeba posiadania zasobów na wyłączność lub w ograniczonym dla innych dostępie x
posiadanie kultury osobistej umiejętność zachowania się zgodnie z normami społecznymi x
poświęcenie zdolność do zaakceptowania strat własnych w celu osiągnięcia większej korzyści x
poszanowanie cudzej własności respektowanie ograniczeń wynikających z istnienia zasobów poza własnym zasięgiem x x
praworządność postępowanie zgodne z ustalonymi zasadami x x
rozsądek minimalizacja strat własnych poprzez umiejętność planowania i wykonywania czynności ze świadomością ich konsekwencji x x x x
roztropność planowanie uwzględniające elementy krytycznego myślenia i odpowiedzialności za podjęte decyzje x x x
rzetelność wykonywanie czynności w sposób oczekiwany, powtarzalny x x x x
samodoskonalenie umiejętność eliminowania nieporządanych cech charakteru, rozwój oczekiwanych umiejętności, zachowanie samokontroli x
samodzielność zdolność do niezależnego podejmowania decyzji i przeprowadzania czynności x
samokontrola umiejętność kontrolowania własnych emocji, świadomość ich wpływu na podejmowane decyzje x x
samoświadomość znajomość własnych zalet, wad, potrzeb i ograniczeń x x x x x
skrupulatność
umiejętność zapewnienia rozliczalności (kto,gdzie,kiedy,jak,po co,z kim) do poziomu pojedynczego zasobu/detalu, szczegółowe
analizowanie problemu
x x x x x x
skuteczność umiejętność osiągania celu pomimo występujących problemów i przeszkód x
spostrzegawczość
w relacjach z ludzmi: umiejętność odczytywania niewerbalnych form komunikacji
w przypadku ogólnym: umiejętność uwzględnienia większej liczby pozornie nie mających znaczenia czynników wpływających na decyzję
x x x x
sprawiedliwość wydawanie osądu w oparciu o fakty bez preferowania perspektywy jednej ze stron sporu x
świadomość konsekwencji wiedza i doświadcznienie dotyczące potencjalnych i możliwych skutków podjętych decyzji czy wykonanych czynności, wnioskowanie x x x x
świadomość otoczenia wiedza dotycząca czynników wpływających na wykonywanie czynności x x x
świadomość zasobów umiejętność oceny wartości i wzajemnej relacji informacji, zasobów x x x x
umiejętności techniczne
umiejętność zrozumienia języka technicznego (czytania ze zrozumieniem instrukcji obsługi), zdolności manualne i koordynacja niezbędna
do obsługi urządzeń, swoboda w przyswajaniu obsługi urządzeń i technologii
x x
wiarygodność dotrzymywanie danego słowa x x
współpraca umiejętność wspólnej pracy i współdzielenia zasobów x
wyobraźnia
zdolność do abstrakcyjnego myślenia, pozwalająca na symulację potencjalnych scenariuszy w oparciu o posiadaną wiedzę, pozwala wyjść
poza ramy rzeczywistych schematów i uwzględnić rzadko występujące zjawiska
x x x x
wytrwałość
koncentracja na osiągnięciu założonego celu, konsekwentne podejmowanie decyzji lub wykonywanie czynności w dążeniu do oczekiwanego
skutku, odporność na czynniki zakłócające i rozpraszające, determinacja
x x x
zarządzanie umiejętność organizowania dostępnych zasobów, monitorowania i planowania ich zużycia x x x x
Osobiste Wspierające proces
Przypisanie cech
Each of process (5) and role
(5) human competences
are defined in the subset of
46 abilities allowing to
define „macro” human
requirements -
competences
50. Expressing the Dirty Dozen in Competences
language
Dirty Dozen
Lack of communication Identify Recover Respect Prudence
Lack of knowledge Protect Detect Respect Prudence
Lack of teamwork Identify Protect Respect Exemplar
Lack of resources Detect React Privacy Prudence
Lack of assertiveness Protect React Prudence Assertiveness
Lack of awareness Identify Detect Respect Assertiveness
Complecency Protect Detect Privacy Assertiveness
Distraction Protect Recover Privacy Prudence
Fatigue Detect React Prudence Assertiveness
Pressure Detect React Respect Assertiveness
Stress Detect React Respect Assertiveness
Norms Identify React Assertiveness Exemplar
Process related Position related
Countermeasure competences
51. And now final step is required:
add all the ingredients to the safety culture recipie:
• DEFINE SET OF REQUIRED PERSONAL COMPETENCES
• DEFINE SET OF REQUIRED SKILS FOR COMPANY PROCESS
• ASSIGN THE REQUIREMENTS LEVEL TO EACH OF COMPETENCE FOR
SPECIFIC ROLE IN COMPANY
• LABEL TRAINING MATERIALS TO HELP DEVELOP DEFINED
COMPETENCES
• BUILD TEST FOR RISING THE LEVEL OF COMPETENCE(S)
• DEFINE TIME FRAME FOR REACHING REQUIREMENTS LEVEL PER
COMPETENCE
• DEFINE TIME FRAME FOR REACHING REQUIREMENTS LEVEL FOR
WHOLE SET OF COMPETENCES
52. To not overburn with effort and lose audience
attention focus on short, simple tasks:
+Micro learning
+Micro tests.
53. If you don’t have knowledge database ready for
that step use SCI-IKB collection of SANS Institute
Tip of a Day for solid fundation with cybersecurity
basic practices and knowledge.
54. Release one tip, each working day and the same,
or next day provide microtest to evaluate the
knowledge adoption – competence rise.
If anyone is able to finish the test – reward with
competence points.
55. Allow audience to monitor their progress with
building security posture by increasing the
competence values, each microtest, one by one.
Monitor points to go/compliance with
requirements.
56. Don’t spoil the gamification with forcing to react
with content or granting prizes at early stage.
Remember – culture growth requires time – like
tree – take care of it at begining, then will be
strong later.
57. Always stay open to feedback. This
program/approach is global, can’t be limited to
work enviroment or public domain only.
If required, create the same Identities in both
programs, summing the competences in both for
each Identity.
58. Make a lot of content – short, simple steps, even
for complicated or advanced knowledge.
Make it usefull – ask about solving the real
situation/issue/problem in microtest – this is a lot
of job, but great fun too.
59. Enhance your knowledge database with metadata
about competences – allow people who
understand the model/framework to mark the
articles, communication, almost everything that is
relevant to program (you may find that this will be
everythink you have)
60. Imagine that after few years, and global approach,
you may use this framework for recruting, carreer
planning, organization change, people risk
management as well as privatelly for your children
career advisory or your own self development.
This is about culture shift – remember the goal.