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Introduction to
                      Behavioral Safety
                                       Grainne A. Matthews, Ph.D.
                                              Quality Safety Edge
      Behavioural Safety Now Conference 2006
      Pre conference Workshop

Copyright Quality Safety Edge © 2006       1
Module One: Introduction




Copyright Quality Safety Edge © 2006        2
Workshop Agenda

                  Behavioral Safety
                    Where did it come from?
                    Why does anyone need it?
                    What is it?
                    How does it work?
                    What’s involved in implementation?
                    What does it take to be successful?




Copyright Quality Safety Edge © 2006   3
Introductions

                  Please introduce yourselves to each
                       other
                  Appoint a spokesperson for your
                       table
                  What is the most important question
                       your table would like answered today?




Copyright Quality Safety Edge © 2006   4
Behavioral Safety

                 Evidence-based process that
                       achieves…
                 Significant safety improvements as
                       measured by…
                              Increase in people working safely
                              Increase in safe conditions
                              Decrease in people getting hurt

                 As a result of…
                              Observations & Feedback
                              Goals & Celebrations
                              Analysis & Action

Copyright Quality Safety Edge © 2006               5
Ground Rules

                  What ground rules would you like to
                       have?




Copyright Quality Safety Edge © 2006   6
Module Two: Case for Change




Copyright Quality Safety Edge © 2006            7
Name That Hazard

                  List 25 hazards, risks, dangers, or
                        potential injuries employees face in
                        your industry.
                  Examples
                     Trip and fall on stairs
                     Back strain from heavy lifting
                     Cut by a utility knife

                  First table to 25 wins!


Copyright Quality Safety Edge © 2006     8
Safety Improvements


            Equipment &
                                        Safety Management
               Work
                                              System
            Environment




             Identify,                  Policies & Procedures
           Assess, and                  Training & Reminders
          Control Hazards              Incentives & Discipline


Copyright Quality Safety Edge © 2006           9
The Safety Triangle


                                            Deaths*

                                       Lost Workday Cases        1
                                                                     10        Research
                                  Medical Attention Cases
                                                                      100




                                                                                          Speculation
                                   First Aid Cases
                                                                              1,000
                                  Near Miss Cases
             Unsafe Behaviors or Conditions                                      10,000

                                                           *Not enough data
Copyright Quality Safety Edge © 2006                  10
Safety Triangle

                  Let’s create our own safety triangle




Copyright Quality Safety Edge © 2006   11
YES          NO                 Safety Triangle

                  A company that has 1 lost time injury, 10
                       recordable injuries, & no near miss reports
                       has a reliable reporting system.
                  A company that has a rate of 2 lost workday
                       cases should expect 20 medical attention
                       cases.
                  Focusing on unsafe behaviors & conditions
                       is more effective in reducing injuries than
                       focusing on incident rates.
                  Complacency comes from not
                       understanding the risk or knowing the safe
                       procedure.

Copyright Quality Safety Edge © 2006       12
Our Clients


           Behavior 76%

                                             Conditions & Behavior 20%




                                            Conditions 4%




Copyright Quality Safety Edge © 2006   13
Behavior + Conditions


                                   Condition
                                                 Behavior
                                                                   Serious Injuries


              Worn carpet
                                 Reading documents
                                             Lots of furniture
                                                                 Trip on carpet, fall
                                                                  over chair, twist
                                                                       ankle




Copyright Quality Safety Edge © 2006                    14
Injury Prevention Path




Copyright Quality Safety Edge © 2006      15
YES          NO           Preventing Injuries

                Behavior plays a very minor role in
                      causing injuries.
                Many serious injuries are caused by a
                      combination of behavior & conditions.
                Behavioral safety ignores conditions.




Copyright Quality Safety Edge © 2006      16
Everything Safety

                  List the programs you use to help
                       employees work safely
                  Examples
                    Safety moments
                    Office inspections by safety staff
                    Job Task Analysis

                  Team with most items in 1 minute
                       wins!


Copyright Quality Safety Edge © 2006   17
Current Safety Management

                  Policies & procedures
                  Formal & informal training
                     Safety meetings

                  Awareness efforts
                     Safety meetings
                     Competitions
                     Safety committees
                     Safety moments

                  Monitoring
                     Inspections
                     Audits

                  Safety incentives
                  Progressive discipline


Copyright Quality Safety Edge © 2006           18
Your Programs

                  Do all of your programs fall into
                       one of these categories?




Copyright Quality Safety Edge © 2006   19
Effective Programs

                  Effective programs to promote safety
                       behavior provide:
                              Clear instructions before the safe
                               practice
                              Frequent, positive feedback soon after
                               the safe practice
                                 Which of the programs on the list provide
                                  clear instructions?
                                 Which provide frequent, positive, immediate
                                  feedback?




Copyright Quality Safety Edge © 2006              20
Current Safety Management

                                              Instructions   Frequent, Positive,
                                                Before?          Immediate
                                                              Feedback After?
            Policies & procedures
            Formal & informal training
                   Safety meetings
            Awareness efforts
                Safety meetings
                Competitions
                Safety committees
                Safety moments

            Monitoring
                Inspections
                Audits

            Safety incentives
            Progressive discipline
Copyright Quality Safety Edge © 2006           21
Common Problems

                  Reactive because metrics are lagging
                       indicators
                  Less than optimal employee
                       involvement
                  Under-reporting of near misses &
                       minor injuries
                  Incident rate plateau but
                       unpredictable incidents


Copyright Quality Safety Edge © 2006    22
Typical Injury Data

                                              4.0


                                              3.5


                                              3.0
                Rate per 200,000 work hours




                                              2.5


                                              2.0
                                                           TRIR
                                                           LDR
                                              1.5


                                              1.0


                                              0.5


                                              0.0
                                                    1999          2000   2001    2002   2003   2004   2005

Copyright Quality Safety Edge © 2006                                            23
Beyond a Safety Plateau


           Equipment &                       Safety
                                                                    Behavioral
              Work                         Management
                                                                      Safety
           Environment                       System




                                        Policies & Procedures     Involve employees
             Identify,
                                        Training & Reminders      Observe & feedback
           Assess, and
                                       Incentives & Discipline     Remove barriers
          Control Hazards
                                                                 Recognize & celebrate



Copyright Quality Safety Edge © 2006             24
Module Three: Why Behavioral Safety




Copyright Quality Safety Edge © 2006   25
Feedback

                  Penny Toss



                  Three main points
                    1. ?
                    2. ?
                    3. ?




Copyright Quality Safety Edge © 2006   26
YES          NO             Penny Toss

                  Feedback has more influence than
                       instructions.
                  The ONLY problem with negative
                       feedback is that it doesn’t increase
                       successful behavior.
                  No feedback allows people to figure
                       out how to be successful on their
                       own.
                  Natural feedback sometimes
                       overpowers human feedback.

Copyright Quality Safety Edge © 2006    27
Values Based Safety Process Video

                  Five main points
                    1. ?
                    2. ?
                    3. ?
                    4. ?
                    5. ?




Copyright Quality Safety Edge © 2006   28
What’s The Difference?

                  How is Behavioral Safety different
                        from current safety management?
                  List five differences
                         1.      ?
                         2.      ?
                         3.      ?
                         4.      ?
                         5.      ?




Copyright Quality Safety Edge © 2006       29
What is Behavioral Safety?

                  Feedback – the Heart and Soul of the
                       process
                              Trained people watch someone working
                               and provide positive or frequent feedback
                               on safe practices from a checklist of
                               pinpointed safety practices.
                              They discuss any concerns and
                               opportunities to improve safety.
                              They take any possible immediate action
                               to improve safety.



Copyright Quality Safety Edge © 2006           30
Key Features

                  Anonymous

                  Voluntary

                  Immediate feedback

                  Positive focus

                  Short and simple

                  Discipline-free




Copyright Quality Safety Edge © 2006   31
What is Behavioral Safety?

                  Local control – Steering Committee
                     Employee-led, management supported
                     Provide feedback weekly on observed
                      practices
                     Use checklist information to improve
                      safety
                     Encourage participation through
                      recognition and celebration
                     Involve others through feedback and goal
                      setting



Copyright Quality Safety Edge © 2006          32
Does It Work?

                                               11              Behavioral
                 12
                                                             Safety Process
                 10

                    8
                                           6
                    6                                                               5
                                       4                                    4
                    4

                    2
                                                                    0
                    0
                               Year Before                    Year After
                         Lost Time Injuries         Medical Aid Injuries   Vehicle Injuries


Copyright Quality Safety Edge © 2006                  33
Does It Work?


                                   2.5

                                                                                                Values-Based Safety
                                                     Lost Time Incident Rate
                                    2
      No. per 200,000 work hours




                                   1.5



                                    1



                                   0.5



                                    0
                                         1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003




Copyright Quality Safety Edge © 2006                                            34
Does It Work?


            35

            30

            25

            20

            15                                                      TRR
                                                                    LTIR
            10

              5

              0
                       1               2   3   4       5    6   7          8
                                               Year
Copyright Quality Safety Edge © 2006              35
Multiple Effects

                                                        Feedback to
      “Observer Effect”                                 Observee


                                                  25%
                                       50%
                                                  25%

                                                      Action Plans by
                                                      Safety Committee
Copyright Quality Safety Edge © 2006         36
Power of Positive Reinforcement


  1000000
   100000
    10000
                                           Discretionary Performance
     1000
      100
       10                                  “Have-To” Performance
        1
                        1              2   3        4    5      6      7

Copyright Quality Safety Edge © 2006           37
Module Four: Values in Action




Copyright Quality Safety Edge © 2006             38
Creating Culture

                                        Mission & Goals

               Technology                                  Values


                                       Change Behavior

                                        Achieve Results

Copyright Quality Safety Edge © 2006          39
Creating Safety Culture

                                       Reduce Injuries
        Observation,                                     Respect, Integrity,
         Feedback,                                        Accountability,
       Remove barriers                                       Initiative


                      Change Safety and Interpersonal
                                Behaviors

                                       Achieve Results –
                                         The right way

Copyright Quality Safety Edge © 2006            40
Project Structure

              Design Phase                    Implementation
                     Leadership Staff              ManagementStaff
                                                    Leadership Committee


                          Safety Staff                 Safety Staff


                       Design Team                Steering Committee



                                                     Area Teams



Copyright Quality Safety Edge © 2006     41
Project Steps

                      Assessment         Educate          Design Team
                      & Orientation    Design Team          designs     Validate
                                                            process



                                  Roll Out                 Follow Up
                      • Train area teams                   with Area    Evaluate
                      • Train area leadership               Teams
                      • Train employees


                                      Implementation
                      • Staff conduct observations
                      • Steering Committee manages
                      • Leadership monitors




Copyright Quality Safety Edge © 2006                 42
Possible Integration Areas

                  Reward & incentive systems

                  Performance review

                  Data management

                  Safety Committees

                  Orientation of new hires

                  Ongoing training




Copyright Quality Safety Edge © 2006          43
Critical Success Features

                  Address issues of majority of people, not
                       CAVE people.
                  Change systems that conflict with safe
                       practices.
                  Initial focus on process & outcome
                       measures rather than results.
                  True employee empowerment – skills,
                       resources, & follow through.
                  Leaders held accountable for their support
                       of the process.

Copyright Quality Safety Edge © 2006         44
YES           NO            Values in Action

                  Behavioral Safety changes only the
                       culture, not the injury rate.
                  The main reason Behavioral Safety
                       reduces injuries is because we find
                       more mistakes with more
                       observations.
                  Behavioral Safety may result in
                       significant changes in our hiring,
                       training, promoting, and purchasing
                       systems.

Copyright Quality Safety Edge © 2006     45
Module Five: Planning




Copyright Quality Safety Edge © 2006     46
Some Design Questions

                  Who will conduct observations?

                  Who will be observed?

                  When and how often?

                  What happens to the checklist?

                  How will I participate?

                  How will we reinforce participation?




Copyright Quality Safety Edge © 2006       47
Typical Procedure

                  Announce the observation.
                  Observe for 2 – 3 minutes.
                  Check if you think the observed practice is
                       safe or if you have a concern.
                  If you check Concern, describe what you
                       saw.
                  Check the 2–3 most important safe items &
                       1 concern (if any) on which you plan to give
                       feedback.
                  Provide immediate positive feedback and
                       discuss one concerns.

Copyright Quality Safety Edge © 2006       48
Area Teams

                  Who will be on the area teams?

                  How will they analyze the data?

                  How will they communicate with
                       employees?
                  How will they work with leadership to
                       change systems that affect safety?
                  How will they make improvements to
                       the process?

Copyright Quality Safety Edge © 2006   49
Leadership Role

                  Participate
                    Observations and feedback
                    Steering Committee and area teams

                  Support
                    Committee and teams
                    Budget
                    Respond to recommendations

                  Monitor
                    Ensure the process is successful
                    Continuous improvement


Copyright Quality Safety Edge © 2006   50
Impact of Leader Participation

                                                          1998 14 Locations
               % Employee Participation



                                          70
                                          60
                                          50
                                          40
                                          30
                                          20
                                          10
                                           0
                                               80% - 100%        40% – 60%         0 – 20%
                                                Level of First Line Supervisor Participation
                                                              43% Correlation

Copyright Quality Safety Edge © 2006                             51
Impact of Leader Participation

                                                        1999 10 Locations
                                           80
                % Employee Participation



                                           70
                                           60
                                           50
                                           40
                                           30
                                           20
                                           10
                                           0
                                                   >80%            60-70%          <40%
                                                Level of First and Second Line Participation
                                                                78% Correlation
Copyright Quality Safety Edge © 2006                               52
Module Six: Observation and Feedback




Copyright Quality Safety Edge © 2006   53
Observing and Describing




Copyright Quality Safety Edge © 2006         54
Observation Checklists

                  Target significant practices
                     Analysis of incidents
                     Simple & short

                  Practices are pinpointed
                    Observable
                    Objective
                    Specific
                    Active




Copyright Quality Safety Edge © 2006       55
Video

                  Giving Feedback


                  Four steps                Six guidelines
                         1.      ?             1.   ?
                         2.      ?             2.   ?
                         3.      ?             3.   ?
                         4.      ?             4.   ?
                                               5.   ?
                                               6.   ?




Copyright Quality Safety Edge © 2006   56
Basic Feedback Model

                  Describe the action or result, not the
                       person
                              “I notice you have positioned your
                               monitor so that your eyes are level with
                               the center of the screen.”
                              NOT: “You are ergonomically correct.”

                  Describe reason for the practice
                    “That can prevent neck and back strain.”

                  Listen to response


Copyright Quality Safety Edge © 2006           57
Positive Feedback

              Role play providing POSITIVE
                    feedback based on your first
                    observation
              Use Feedback Worksheet

              Rotate roles




Copyright Quality Safety Edge © 2006   58
Suggestions

                  Talk with individual – maybe later

                  Discuss in area safety meeting

                  Consult with resources

                  Primary rule: Don’t argue!




Copyright Quality Safety Edge © 2006   59
YES           NO               Feedback

                  The purpose of observations is to
                       catch people working safely.
                  Completely review the checklist with
                       the person.
                  Make sure they don’t say anything.

                  Make sure they don’t see the
                       checklist.
                  Emphasize your concerns.


Copyright Quality Safety Edge © 2006   60
Behavioral Safety Process

                  Employees observe & discuss
                       significant practices
                  Safety Committee analyzes data &
                       recommends action
                  Leaders respond to recommendations
                       and take action
                  Safety Committee recognizes
                       individuals for support & celebrates
                       meeting goals

Copyright Quality Safety Edge © 2006          61
Key Features

                  Universal participation
                    Frequent, quality participation by
                     everyone
                  Employee designed and managed
                    Frequent, quality Action Plans by
                     employee-led Safety Committee
                  Leadership monitored and supported
                     Frequent, quality responses to
                      recommendations by leaders
                     Pay attention to process and
                      contributions of individuals

Copyright Quality Safety Edge © 2006   62
YES           NO     Workshop Evaluation

                  I never thought Behavioral Safety
                       would be this complicated.
                  I am enthusiastic & excited about this
                       new approach.
                  I am totally confused.

                  I think this process could really make
                       a difference at my company.



Copyright Quality Safety Edge © 2006     63

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Introduction to Behavioral Safety

  • 1. Introduction to Behavioral Safety Grainne A. Matthews, Ph.D. Quality Safety Edge Behavioural Safety Now Conference 2006 Pre conference Workshop Copyright Quality Safety Edge © 2006 1
  • 2. Module One: Introduction Copyright Quality Safety Edge © 2006 2
  • 3. Workshop Agenda  Behavioral Safety  Where did it come from?  Why does anyone need it?  What is it?  How does it work?  What’s involved in implementation?  What does it take to be successful? Copyright Quality Safety Edge © 2006 3
  • 4. Introductions  Please introduce yourselves to each other  Appoint a spokesperson for your table  What is the most important question your table would like answered today? Copyright Quality Safety Edge © 2006 4
  • 5. Behavioral Safety  Evidence-based process that achieves…  Significant safety improvements as measured by…  Increase in people working safely  Increase in safe conditions  Decrease in people getting hurt  As a result of…  Observations & Feedback  Goals & Celebrations  Analysis & Action Copyright Quality Safety Edge © 2006 5
  • 6. Ground Rules  What ground rules would you like to have? Copyright Quality Safety Edge © 2006 6
  • 7. Module Two: Case for Change Copyright Quality Safety Edge © 2006 7
  • 8. Name That Hazard  List 25 hazards, risks, dangers, or potential injuries employees face in your industry.  Examples  Trip and fall on stairs  Back strain from heavy lifting  Cut by a utility knife  First table to 25 wins! Copyright Quality Safety Edge © 2006 8
  • 9. Safety Improvements Equipment & Safety Management Work System Environment Identify, Policies & Procedures Assess, and Training & Reminders Control Hazards Incentives & Discipline Copyright Quality Safety Edge © 2006 9
  • 10. The Safety Triangle Deaths* Lost Workday Cases 1 10 Research Medical Attention Cases 100 Speculation First Aid Cases 1,000 Near Miss Cases Unsafe Behaviors or Conditions 10,000 *Not enough data Copyright Quality Safety Edge © 2006 10
  • 11. Safety Triangle  Let’s create our own safety triangle Copyright Quality Safety Edge © 2006 11
  • 12. YES NO Safety Triangle  A company that has 1 lost time injury, 10 recordable injuries, & no near miss reports has a reliable reporting system.  A company that has a rate of 2 lost workday cases should expect 20 medical attention cases.  Focusing on unsafe behaviors & conditions is more effective in reducing injuries than focusing on incident rates.  Complacency comes from not understanding the risk or knowing the safe procedure. Copyright Quality Safety Edge © 2006 12
  • 13. Our Clients Behavior 76% Conditions & Behavior 20% Conditions 4% Copyright Quality Safety Edge © 2006 13
  • 14. Behavior + Conditions Condition Behavior Serious Injuries Worn carpet Reading documents Lots of furniture Trip on carpet, fall over chair, twist ankle Copyright Quality Safety Edge © 2006 14
  • 15. Injury Prevention Path Copyright Quality Safety Edge © 2006 15
  • 16. YES NO Preventing Injuries  Behavior plays a very minor role in causing injuries.  Many serious injuries are caused by a combination of behavior & conditions.  Behavioral safety ignores conditions. Copyright Quality Safety Edge © 2006 16
  • 17. Everything Safety  List the programs you use to help employees work safely  Examples  Safety moments  Office inspections by safety staff  Job Task Analysis  Team with most items in 1 minute wins! Copyright Quality Safety Edge © 2006 17
  • 18. Current Safety Management  Policies & procedures  Formal & informal training  Safety meetings  Awareness efforts  Safety meetings  Competitions  Safety committees  Safety moments  Monitoring  Inspections  Audits  Safety incentives  Progressive discipline Copyright Quality Safety Edge © 2006 18
  • 19. Your Programs  Do all of your programs fall into one of these categories? Copyright Quality Safety Edge © 2006 19
  • 20. Effective Programs  Effective programs to promote safety behavior provide:  Clear instructions before the safe practice  Frequent, positive feedback soon after the safe practice  Which of the programs on the list provide clear instructions?  Which provide frequent, positive, immediate feedback? Copyright Quality Safety Edge © 2006 20
  • 21. Current Safety Management Instructions Frequent, Positive, Before? Immediate Feedback After?  Policies & procedures  Formal & informal training  Safety meetings  Awareness efforts  Safety meetings  Competitions  Safety committees  Safety moments  Monitoring  Inspections  Audits  Safety incentives  Progressive discipline Copyright Quality Safety Edge © 2006 21
  • 22. Common Problems  Reactive because metrics are lagging indicators  Less than optimal employee involvement  Under-reporting of near misses & minor injuries  Incident rate plateau but unpredictable incidents Copyright Quality Safety Edge © 2006 22
  • 23. Typical Injury Data 4.0 3.5 3.0 Rate per 200,000 work hours 2.5 2.0 TRIR LDR 1.5 1.0 0.5 0.0 1999 2000 2001 2002 2003 2004 2005 Copyright Quality Safety Edge © 2006 23
  • 24. Beyond a Safety Plateau Equipment & Safety Behavioral Work Management Safety Environment System Policies & Procedures Involve employees Identify, Training & Reminders Observe & feedback Assess, and Incentives & Discipline Remove barriers Control Hazards Recognize & celebrate Copyright Quality Safety Edge © 2006 24
  • 25. Module Three: Why Behavioral Safety Copyright Quality Safety Edge © 2006 25
  • 26. Feedback  Penny Toss  Three main points 1. ? 2. ? 3. ? Copyright Quality Safety Edge © 2006 26
  • 27. YES NO Penny Toss  Feedback has more influence than instructions.  The ONLY problem with negative feedback is that it doesn’t increase successful behavior.  No feedback allows people to figure out how to be successful on their own.  Natural feedback sometimes overpowers human feedback. Copyright Quality Safety Edge © 2006 27
  • 28. Values Based Safety Process Video  Five main points 1. ? 2. ? 3. ? 4. ? 5. ? Copyright Quality Safety Edge © 2006 28
  • 29. What’s The Difference?  How is Behavioral Safety different from current safety management?  List five differences 1. ? 2. ? 3. ? 4. ? 5. ? Copyright Quality Safety Edge © 2006 29
  • 30. What is Behavioral Safety?  Feedback – the Heart and Soul of the process  Trained people watch someone working and provide positive or frequent feedback on safe practices from a checklist of pinpointed safety practices.  They discuss any concerns and opportunities to improve safety.  They take any possible immediate action to improve safety. Copyright Quality Safety Edge © 2006 30
  • 31. Key Features  Anonymous  Voluntary  Immediate feedback  Positive focus  Short and simple  Discipline-free Copyright Quality Safety Edge © 2006 31
  • 32. What is Behavioral Safety?  Local control – Steering Committee  Employee-led, management supported  Provide feedback weekly on observed practices  Use checklist information to improve safety  Encourage participation through recognition and celebration  Involve others through feedback and goal setting Copyright Quality Safety Edge © 2006 32
  • 33. Does It Work? 11 Behavioral 12 Safety Process 10 8 6 6 5 4 4 4 2 0 0 Year Before Year After Lost Time Injuries Medical Aid Injuries Vehicle Injuries Copyright Quality Safety Edge © 2006 33
  • 34. Does It Work? 2.5 Values-Based Safety Lost Time Incident Rate 2 No. per 200,000 work hours 1.5 1 0.5 0 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Copyright Quality Safety Edge © 2006 34
  • 35. Does It Work? 35 30 25 20 15 TRR LTIR 10 5 0 1 2 3 4 5 6 7 8 Year Copyright Quality Safety Edge © 2006 35
  • 36. Multiple Effects Feedback to “Observer Effect” Observee 25% 50% 25% Action Plans by Safety Committee Copyright Quality Safety Edge © 2006 36
  • 37. Power of Positive Reinforcement 1000000 100000 10000 Discretionary Performance 1000 100 10 “Have-To” Performance 1 1 2 3 4 5 6 7 Copyright Quality Safety Edge © 2006 37
  • 38. Module Four: Values in Action Copyright Quality Safety Edge © 2006 38
  • 39. Creating Culture Mission & Goals Technology Values Change Behavior Achieve Results Copyright Quality Safety Edge © 2006 39
  • 40. Creating Safety Culture Reduce Injuries Observation, Respect, Integrity, Feedback, Accountability, Remove barriers Initiative Change Safety and Interpersonal Behaviors Achieve Results – The right way Copyright Quality Safety Edge © 2006 40
  • 41. Project Structure Design Phase Implementation Leadership Staff ManagementStaff Leadership Committee Safety Staff Safety Staff Design Team Steering Committee Area Teams Copyright Quality Safety Edge © 2006 41
  • 42. Project Steps Assessment Educate Design Team & Orientation Design Team designs Validate process Roll Out Follow Up • Train area teams with Area Evaluate • Train area leadership Teams • Train employees Implementation • Staff conduct observations • Steering Committee manages • Leadership monitors Copyright Quality Safety Edge © 2006 42
  • 43. Possible Integration Areas  Reward & incentive systems  Performance review  Data management  Safety Committees  Orientation of new hires  Ongoing training Copyright Quality Safety Edge © 2006 43
  • 44. Critical Success Features  Address issues of majority of people, not CAVE people.  Change systems that conflict with safe practices.  Initial focus on process & outcome measures rather than results.  True employee empowerment – skills, resources, & follow through.  Leaders held accountable for their support of the process. Copyright Quality Safety Edge © 2006 44
  • 45. YES NO Values in Action  Behavioral Safety changes only the culture, not the injury rate.  The main reason Behavioral Safety reduces injuries is because we find more mistakes with more observations.  Behavioral Safety may result in significant changes in our hiring, training, promoting, and purchasing systems. Copyright Quality Safety Edge © 2006 45
  • 46. Module Five: Planning Copyright Quality Safety Edge © 2006 46
  • 47. Some Design Questions  Who will conduct observations?  Who will be observed?  When and how often?  What happens to the checklist?  How will I participate?  How will we reinforce participation? Copyright Quality Safety Edge © 2006 47
  • 48. Typical Procedure  Announce the observation.  Observe for 2 – 3 minutes.  Check if you think the observed practice is safe or if you have a concern.  If you check Concern, describe what you saw.  Check the 2–3 most important safe items & 1 concern (if any) on which you plan to give feedback.  Provide immediate positive feedback and discuss one concerns. Copyright Quality Safety Edge © 2006 48
  • 49. Area Teams  Who will be on the area teams?  How will they analyze the data?  How will they communicate with employees?  How will they work with leadership to change systems that affect safety?  How will they make improvements to the process? Copyright Quality Safety Edge © 2006 49
  • 50. Leadership Role  Participate  Observations and feedback  Steering Committee and area teams  Support  Committee and teams  Budget  Respond to recommendations  Monitor  Ensure the process is successful  Continuous improvement Copyright Quality Safety Edge © 2006 50
  • 51. Impact of Leader Participation 1998 14 Locations % Employee Participation 70 60 50 40 30 20 10 0 80% - 100% 40% – 60% 0 – 20% Level of First Line Supervisor Participation 43% Correlation Copyright Quality Safety Edge © 2006 51
  • 52. Impact of Leader Participation 1999 10 Locations 80 % Employee Participation 70 60 50 40 30 20 10 0 >80% 60-70% <40% Level of First and Second Line Participation 78% Correlation Copyright Quality Safety Edge © 2006 52
  • 53. Module Six: Observation and Feedback Copyright Quality Safety Edge © 2006 53
  • 54. Observing and Describing Copyright Quality Safety Edge © 2006 54
  • 55. Observation Checklists  Target significant practices  Analysis of incidents  Simple & short  Practices are pinpointed  Observable  Objective  Specific  Active Copyright Quality Safety Edge © 2006 55
  • 56. Video  Giving Feedback  Four steps  Six guidelines 1. ? 1. ? 2. ? 2. ? 3. ? 3. ? 4. ? 4. ? 5. ? 6. ? Copyright Quality Safety Edge © 2006 56
  • 57. Basic Feedback Model  Describe the action or result, not the person  “I notice you have positioned your monitor so that your eyes are level with the center of the screen.”  NOT: “You are ergonomically correct.”  Describe reason for the practice  “That can prevent neck and back strain.”  Listen to response Copyright Quality Safety Edge © 2006 57
  • 58. Positive Feedback  Role play providing POSITIVE feedback based on your first observation  Use Feedback Worksheet  Rotate roles Copyright Quality Safety Edge © 2006 58
  • 59. Suggestions  Talk with individual – maybe later  Discuss in area safety meeting  Consult with resources  Primary rule: Don’t argue! Copyright Quality Safety Edge © 2006 59
  • 60. YES NO Feedback  The purpose of observations is to catch people working safely.  Completely review the checklist with the person.  Make sure they don’t say anything.  Make sure they don’t see the checklist.  Emphasize your concerns. Copyright Quality Safety Edge © 2006 60
  • 61. Behavioral Safety Process  Employees observe & discuss significant practices  Safety Committee analyzes data & recommends action  Leaders respond to recommendations and take action  Safety Committee recognizes individuals for support & celebrates meeting goals Copyright Quality Safety Edge © 2006 61
  • 62. Key Features  Universal participation  Frequent, quality participation by everyone  Employee designed and managed  Frequent, quality Action Plans by employee-led Safety Committee  Leadership monitored and supported  Frequent, quality responses to recommendations by leaders  Pay attention to process and contributions of individuals Copyright Quality Safety Edge © 2006 62
  • 63. YES NO Workshop Evaluation  I never thought Behavioral Safety would be this complicated.  I am enthusiastic & excited about this new approach.  I am totally confused.  I think this process could really make a difference at my company. Copyright Quality Safety Edge © 2006 63