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Transportation Research Board
Ferry Transportation, Marine Safety
and Human Factors Committees
Joint Mid-Year Meeting Whitehall Terminals
NYC 12 May 2017
Linking Safety Culture & Safety Performance
In Marine Transportation
Martha Grabowski
Le Moyne College
Rensselaer Polytechnic Institute
grabowsk@lemoyne.edu
http://web.lemoyne.edu/~grabowsk
Twitter: grabowsk2
Passing in Houston Ship Channel
http://pixdaus.com/pics/1285391280WU3sTdJ.jpg,
Retrieved 24 October 2011
CultureCulture
A set of shared, basic, tacit assumptions about
how the world is and ought to be (Schein, 1992, 1996)
Determines perceptions, thoughts, behavior
Safety culture: characteristics and attitudes in
organizations and individuals that establish
safety as an overriding priority (International Atomic Energy Administration, 1986)
Individual safety knowledge
Team, vessel safety culture, behavior
Organizational safety culture, behavior
2
http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
Safety Culture ThemesSafety Culture Themes –– National Academies, 2016National Academies, 2016
Leadership commitment to safety values, action
Work environment – respectful, open to concerns
Hazard identification, risk mgmt, work processes
Continuous process improvement
Effective safety, environmental communication
Personal accountability
Inquiring attitude
Data challenges
Culture
3
http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
Minimize
Human
Errors
Minimize
Mechanical
Failures
Improve
Individual’s
Safety Attitude
Improve
Shipboard
Safety Culture
Improve
Organizational
Safety Culture
Minimize
Immediate
Causes
Minimize
Accidents
Hiring Quality
Personnel
CommunicationOrientation
in Safety
Responsibility
Promotion
of Safety
Formal
Learning System
Problem
Identification
Prioritization
Feedback
Feedback
Anonymous
Reporting
Responsibility
Empowerment
Basic / Root Causes
Reward
Safety
Multi-
Cultural Ops
Integrity
Willingness
to Change
Respect
4
Safety Factor ModelSafety Factor Model (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010)
Minimize
Human
Errors
Minimize
Mechanical
Failures
Improve
Individual’s
Safety Attitude
Improve
Shipboard
Safety Culture
Improve
Organizational
Safety Culture
Minimize
Immediate
Causes
Minimize
Accidents
Hiring Quality
Personnel
CommunicationOrientation
in Safety
Responsibility
Promotion
of Safety
Formal
Learning System
Problem
Identification
Prioritization
Feedback
Feedback
Anonymous
Reporting
Responsibility
Empowerment
Basic / Root Causes
Reward
Safety
Multi-
Cultural Ops
Integrity
Willingness
to Change
Respect
• 20 interviews over 3-year period
• Gather safety factor metrics and data
• Validate existing safety culture surveys – nuclear, chemical,
aviation, offshore, medical
• Pilot test shipboard, shoreside safety culture surveys
Senior Executive
interviews
Vessel Leadership
interviews Safety, Health & Environmental
Vetting interviews
http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
Safety Culture, PerformanceSafety Culture, Performance (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010)
Safety factors
• Characteristics, artifacts of culture
• Interviews, data gathering
Safety factor metrics
Measuring characteristics of culture
5
http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
Minimize
Human
Errors
Minimize
Mechanical
Failures
Improve
Individual’s
Safety Attitude
Improve
Shipboard
Safety Culture
Improve
Organizational
Safety Culture
Minimize
Immediate
Causes
Minimize
Accidents
Hiring Quality
Personnel
CommunicationOrientation
in Safety
Responsibility
Promotion
of Safety
Formal
Learning System
Problem
Identification
Prioritization
Feedback
Feedback
Anonymous
Reporting
Responsibility
Empowerment
Basic / Root Causes
Reward
Safety
Multi-
Cultural Ops
Integrity
Willingness
to Change
Respect
Safety performance data
• Accidents, incidents, near misses, conditions of
class, port state deficiencies, LTI >= 3 days
• Survey data – perceived safety
• Validation data
• US Coast Guard Marine Safety Mgmt System (MSMS),
MISLE, MSIS, MinMod, CASMAIN, etc.
• National Transportation Safety Board (NTSB) reports
• UK MAIB database, Paris, Hong Kong MAIB
• Lloyd’s List, Equasis, NOAA oil spill databases
• Coastal state, local, pilot, environmental, native data
• Open source, proprietary, company-sensitive data
• Integration
Initial ResultsInitial Results (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010)
P
Organizational Safety Factors
Hiring Quality Personnel
Safety Orientation
Promotion of Safety
Formal Learning System
Reward Safety
Multicultural Organization
Vessel (Team) Safety Factors
Communication
Responsibility
Problem Identification
Feedback
Prioritization of Safety
Organizational Safety Performance
#Accidents
#Incidents
#Near Losses
#Conditions of Class
#Port State Deficiencies
#Long Term Injuries (LTI) > 3days
Vessel Safety Performance
#Accidents
#Incidents
#Near Losses
#Conditions of Class
#Port State Deficiencies
#Long Term Injuries (LTI) > 3days
Perceived Safety
Individual Safety Factors
Empowerment
Responsibility
Anonymous Reporting
Feedback
Respect
Integrity
Willingness to Change
Individual Safety Performance
#Accidents
#Incidents
#Near Losses
#Conditions of Class
#Port State Deficiencies
#Long Term Injuries (LTI) > 3days
Perceived Safety
P1, P3, P4
P7 – P10
P11, P13, P14
N = 1764
Individuals
102
Vessels
3 companies
Secondary AnalysisSecondary Analysis (2011-2015)(2011-2015)
Network of safety culture influences
(DeJoy, et al., 2004; Neal, et al, 2000; Zohar, 1980; 2003).
Assumption: When safety culture (climate) high,
workers perceive safety as critical
Workers & supervisors actively make causal inferences about safety (DeJoy,
1994; Hofmann & Stetzer, 1998)
Workers are motivated to be proactive in identifying & correcting anomalies
(O’Dea & Flin, 2001; Parker, et al., 2003; Simard & Marchand, 1995)
Overseas Houston
http://www.osg.com/siteFiles/SiteManager/108074FE485F3B5B879DD6C3AB711C3A.jpg, retrieved
24 October 2011
Safety
Performance
Safety
Culture
Efficacy (Empowerment)
Efficacy’s Moderating EffectEfficacy’s Moderating Effect
on Team (Vessel) Performanceon Team (Vessel) Performance
P
Safety
Culture
Safety Performance
• # accidents
• # unplanned
maintenance
• # safety suggestions
H1, H2***,
H3Alt***
Worker
Efficacy
H4A, H4B***,
H4CAlt****
N = 23 vessels
(vs. 102; 239 vessels; missing data) • Vessel level
• Negative binomial regression
• Accidents: Zero-inflated
negative binomial regression
Overseas Houston
http://www.osg.com/siteFiles/SiteManager/108074FE485F3B5B879DD6C3AB711C3A.jpg, retrieved
24 October 2011
Efficacy: Perceived ability to
exert control over outcomes
(Bandura, 1977; 1997)
--measured at individual level,
aggregated
Efficacy (Behavioral proactivity)
motivates safety improvements
--fewer accidents
--fewer unplanned maintenance activities
--more (or fewer?) safety suggestions
ImplicationsImplications (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010)
Networks of safety culture influences
Moderating influence of efficacy/empowerment
Safety culture manifests at different org’l levels
Safety culture metrics, rewards, incentives vary across organizational levels
Safety factors linked to safety performance
Organizational – Hiring Quality People, Promote Safety, Formal Learning
System
Vessel – Communication, Responsibility, Problem ID, Feedback
Individual – Empowerment, Anonymous Reporting, Feedback
Safety performance impacts vary by level
Near loss metric significant across all levels
Near loss measurement systems provide safety performance lens across levelshttp://t0.gstatic.com/images?q=tbn:ANd9GcQDMElQOYAF7oL-TUY1TkBmwHBchrJulPVeQ17ovstAVreH0-BZQO1IplJ_
Retrieved 24 October 2011
Safety Culture ReferencesSafety Culture References
Antonsen, S., Nilsen, M., & Almklov, P. G. 2017. Regulating the intangible. Searching for Safety Culture in the Norwegian
Petroleum Industry. Safety Science, 92, 232-240.
National Academies. 2016. Strengthening the Safety Culture of the Offshore Oil & Gas Industry.
https://www.nap.edu/catalog/23524/strengthening-the-safety-culture-of-the-offshore-oil-and-gas-industry, retrieved 4/27/2017.
Merrick, J.R.W. & Grabowski, M.R. 2014. Decision Performance and Safety Performance: A Value-Focused Thinking Study in
the Oil Industry, Decision Analysis, 11:2, June. http://scholarscompass.vcu.edu/cgi/viewcontent.cgi?
article=1009&context=ssor_pubs
Dhami, H. & Grabowski, M.R. 2011. Technology Impacts on Safety and Decision-Making over Time in Marine Transportation.
Proceedings of the Institution of Mechanical Engineers, Part O: Journal of Risk and Reliability. September, 225: 1-24. Special
issue on Risk and Reliability in Marine Transportation.
Grabowski, M.R., You, Z., Song, H., Wang, H. & Merrick, J.R. 2010, Sailing on Friday: Developing the Link between
Organizational Safety Culture and Performance in Safety-Critical Systems. IEEE Transactions on Systems, Man & Cybernetics,
Part A, Systems and Humans, 40:2, March, 263-283. doi: 10.1109/TSMCA.2009.2035300.
Grabowski, M.R., You, Z., Zhou, Z., Song, H., Steward, M. & Steward, B. 2009.Human and Organizational Error Data Challenges
in Complex, Large-Scale Systems. Safety Science, 47:9, October, 1185-1194, doi:10.1016/j.ssci.2009.01.008.
Grabowski, M.R., Ayyalasomayajula, P., Merrick, J.R., Harrald, J.H. & Roberts, K.H. 2007. Leading Indicators of Safety in Virtual
Organizations. Safety Science. 45:10, December, 1013-1043. DOI doi:10.1016/j.ssci.2006.09.007.
Grabowski, M.R., Ayyalasomayajula, P. Merrick, J., & McCafferty, D. 2007. Accident Precursors and Safety Nets: Leading
Indicators of Tanker Operations Safety. Maritime Policy and Management, 34:5, October, 405-425.
National Research Council. 2009. Risk of Vessel Accidents and Spills in the Aleutian Islands: Designing a Comprehensive Risk
Assessment. Special Report 293. Washington, DC: National Academies Press. http://www.nap.edu/openbook.php?
record_id=12443&page=73, retrieved 21 October 2011. Passing in Houston Ship Channel
http://pixdaus.com/pics/1285391280WU3sTdJ.jpg,
Retrieved 24 October 2011

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Linking Safety Culture & Safety Performance In Marine Transportation

  • 1. 1 Transportation Research Board Ferry Transportation, Marine Safety and Human Factors Committees Joint Mid-Year Meeting Whitehall Terminals NYC 12 May 2017 Linking Safety Culture & Safety Performance In Marine Transportation Martha Grabowski Le Moyne College Rensselaer Polytechnic Institute grabowsk@lemoyne.edu http://web.lemoyne.edu/~grabowsk Twitter: grabowsk2 Passing in Houston Ship Channel http://pixdaus.com/pics/1285391280WU3sTdJ.jpg, Retrieved 24 October 2011
  • 2. CultureCulture A set of shared, basic, tacit assumptions about how the world is and ought to be (Schein, 1992, 1996) Determines perceptions, thoughts, behavior Safety culture: characteristics and attitudes in organizations and individuals that establish safety as an overriding priority (International Atomic Energy Administration, 1986) Individual safety knowledge Team, vessel safety culture, behavior Organizational safety culture, behavior 2 http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
  • 3. Safety Culture ThemesSafety Culture Themes –– National Academies, 2016National Academies, 2016 Leadership commitment to safety values, action Work environment – respectful, open to concerns Hazard identification, risk mgmt, work processes Continuous process improvement Effective safety, environmental communication Personal accountability Inquiring attitude Data challenges Culture 3 http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007 Minimize Human Errors Minimize Mechanical Failures Improve Individual’s Safety Attitude Improve Shipboard Safety Culture Improve Organizational Safety Culture Minimize Immediate Causes Minimize Accidents Hiring Quality Personnel CommunicationOrientation in Safety Responsibility Promotion of Safety Formal Learning System Problem Identification Prioritization Feedback Feedback Anonymous Reporting Responsibility Empowerment Basic / Root Causes Reward Safety Multi- Cultural Ops Integrity Willingness to Change Respect
  • 4. 4 Safety Factor ModelSafety Factor Model (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010) Minimize Human Errors Minimize Mechanical Failures Improve Individual’s Safety Attitude Improve Shipboard Safety Culture Improve Organizational Safety Culture Minimize Immediate Causes Minimize Accidents Hiring Quality Personnel CommunicationOrientation in Safety Responsibility Promotion of Safety Formal Learning System Problem Identification Prioritization Feedback Feedback Anonymous Reporting Responsibility Empowerment Basic / Root Causes Reward Safety Multi- Cultural Ops Integrity Willingness to Change Respect • 20 interviews over 3-year period • Gather safety factor metrics and data • Validate existing safety culture surveys – nuclear, chemical, aviation, offshore, medical • Pilot test shipboard, shoreside safety culture surveys Senior Executive interviews Vessel Leadership interviews Safety, Health & Environmental Vetting interviews http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007
  • 5. Safety Culture, PerformanceSafety Culture, Performance (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010) Safety factors • Characteristics, artifacts of culture • Interviews, data gathering Safety factor metrics Measuring characteristics of culture 5 http://www.menkent.dk/cliffpics/lookout.jpg, retrieved 9 December 2007 Minimize Human Errors Minimize Mechanical Failures Improve Individual’s Safety Attitude Improve Shipboard Safety Culture Improve Organizational Safety Culture Minimize Immediate Causes Minimize Accidents Hiring Quality Personnel CommunicationOrientation in Safety Responsibility Promotion of Safety Formal Learning System Problem Identification Prioritization Feedback Feedback Anonymous Reporting Responsibility Empowerment Basic / Root Causes Reward Safety Multi- Cultural Ops Integrity Willingness to Change Respect Safety performance data • Accidents, incidents, near misses, conditions of class, port state deficiencies, LTI >= 3 days • Survey data – perceived safety • Validation data • US Coast Guard Marine Safety Mgmt System (MSMS), MISLE, MSIS, MinMod, CASMAIN, etc. • National Transportation Safety Board (NTSB) reports • UK MAIB database, Paris, Hong Kong MAIB • Lloyd’s List, Equasis, NOAA oil spill databases • Coastal state, local, pilot, environmental, native data • Open source, proprietary, company-sensitive data • Integration
  • 6. Initial ResultsInitial Results (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010) P Organizational Safety Factors Hiring Quality Personnel Safety Orientation Promotion of Safety Formal Learning System Reward Safety Multicultural Organization Vessel (Team) Safety Factors Communication Responsibility Problem Identification Feedback Prioritization of Safety Organizational Safety Performance #Accidents #Incidents #Near Losses #Conditions of Class #Port State Deficiencies #Long Term Injuries (LTI) > 3days Vessel Safety Performance #Accidents #Incidents #Near Losses #Conditions of Class #Port State Deficiencies #Long Term Injuries (LTI) > 3days Perceived Safety Individual Safety Factors Empowerment Responsibility Anonymous Reporting Feedback Respect Integrity Willingness to Change Individual Safety Performance #Accidents #Incidents #Near Losses #Conditions of Class #Port State Deficiencies #Long Term Injuries (LTI) > 3days Perceived Safety P1, P3, P4 P7 – P10 P11, P13, P14 N = 1764 Individuals 102 Vessels 3 companies
  • 7. Secondary AnalysisSecondary Analysis (2011-2015)(2011-2015) Network of safety culture influences (DeJoy, et al., 2004; Neal, et al, 2000; Zohar, 1980; 2003). Assumption: When safety culture (climate) high, workers perceive safety as critical Workers & supervisors actively make causal inferences about safety (DeJoy, 1994; Hofmann & Stetzer, 1998) Workers are motivated to be proactive in identifying & correcting anomalies (O’Dea & Flin, 2001; Parker, et al., 2003; Simard & Marchand, 1995) Overseas Houston http://www.osg.com/siteFiles/SiteManager/108074FE485F3B5B879DD6C3AB711C3A.jpg, retrieved 24 October 2011 Safety Performance Safety Culture Efficacy (Empowerment)
  • 8. Efficacy’s Moderating EffectEfficacy’s Moderating Effect on Team (Vessel) Performanceon Team (Vessel) Performance P Safety Culture Safety Performance • # accidents • # unplanned maintenance • # safety suggestions H1, H2***, H3Alt*** Worker Efficacy H4A, H4B***, H4CAlt**** N = 23 vessels (vs. 102; 239 vessels; missing data) • Vessel level • Negative binomial regression • Accidents: Zero-inflated negative binomial regression Overseas Houston http://www.osg.com/siteFiles/SiteManager/108074FE485F3B5B879DD6C3AB711C3A.jpg, retrieved 24 October 2011 Efficacy: Perceived ability to exert control over outcomes (Bandura, 1977; 1997) --measured at individual level, aggregated Efficacy (Behavioral proactivity) motivates safety improvements --fewer accidents --fewer unplanned maintenance activities --more (or fewer?) safety suggestions
  • 9. ImplicationsImplications (Merrick & Grabowski, 2014; Grabowski, et al., 2010)(Merrick & Grabowski, 2014; Grabowski, et al., 2010) Networks of safety culture influences Moderating influence of efficacy/empowerment Safety culture manifests at different org’l levels Safety culture metrics, rewards, incentives vary across organizational levels Safety factors linked to safety performance Organizational – Hiring Quality People, Promote Safety, Formal Learning System Vessel – Communication, Responsibility, Problem ID, Feedback Individual – Empowerment, Anonymous Reporting, Feedback Safety performance impacts vary by level Near loss metric significant across all levels Near loss measurement systems provide safety performance lens across levelshttp://t0.gstatic.com/images?q=tbn:ANd9GcQDMElQOYAF7oL-TUY1TkBmwHBchrJulPVeQ17ovstAVreH0-BZQO1IplJ_ Retrieved 24 October 2011
  • 10. Safety Culture ReferencesSafety Culture References Antonsen, S., Nilsen, M., & Almklov, P. G. 2017. Regulating the intangible. Searching for Safety Culture in the Norwegian Petroleum Industry. Safety Science, 92, 232-240. National Academies. 2016. Strengthening the Safety Culture of the Offshore Oil & Gas Industry. https://www.nap.edu/catalog/23524/strengthening-the-safety-culture-of-the-offshore-oil-and-gas-industry, retrieved 4/27/2017. Merrick, J.R.W. & Grabowski, M.R. 2014. Decision Performance and Safety Performance: A Value-Focused Thinking Study in the Oil Industry, Decision Analysis, 11:2, June. http://scholarscompass.vcu.edu/cgi/viewcontent.cgi? article=1009&context=ssor_pubs Dhami, H. & Grabowski, M.R. 2011. Technology Impacts on Safety and Decision-Making over Time in Marine Transportation. Proceedings of the Institution of Mechanical Engineers, Part O: Journal of Risk and Reliability. September, 225: 1-24. Special issue on Risk and Reliability in Marine Transportation. Grabowski, M.R., You, Z., Song, H., Wang, H. & Merrick, J.R. 2010, Sailing on Friday: Developing the Link between Organizational Safety Culture and Performance in Safety-Critical Systems. IEEE Transactions on Systems, Man & Cybernetics, Part A, Systems and Humans, 40:2, March, 263-283. doi: 10.1109/TSMCA.2009.2035300. Grabowski, M.R., You, Z., Zhou, Z., Song, H., Steward, M. & Steward, B. 2009.Human and Organizational Error Data Challenges in Complex, Large-Scale Systems. Safety Science, 47:9, October, 1185-1194, doi:10.1016/j.ssci.2009.01.008. Grabowski, M.R., Ayyalasomayajula, P., Merrick, J.R., Harrald, J.H. & Roberts, K.H. 2007. Leading Indicators of Safety in Virtual Organizations. Safety Science. 45:10, December, 1013-1043. DOI doi:10.1016/j.ssci.2006.09.007. Grabowski, M.R., Ayyalasomayajula, P. Merrick, J., & McCafferty, D. 2007. Accident Precursors and Safety Nets: Leading Indicators of Tanker Operations Safety. Maritime Policy and Management, 34:5, October, 405-425. National Research Council. 2009. Risk of Vessel Accidents and Spills in the Aleutian Islands: Designing a Comprehensive Risk Assessment. Special Report 293. Washington, DC: National Academies Press. http://www.nap.edu/openbook.php? record_id=12443&page=73, retrieved 21 October 2011. Passing in Houston Ship Channel http://pixdaus.com/pics/1285391280WU3sTdJ.jpg, Retrieved 24 October 2011