20 20 YEARS YEARS Tony Gower-Jones Stichting Tripod Foundation - PowerPoint PPT Presentation

TRIPOD Foundation 20 20 YEARS YEARS Tony Gower-Jones

Stichting Tripod Foundation Building Better Performance Measures For Better Conversations To Provoke Change (A better alternative to measuring events or injuries)

Stichting Tripod Foundation Injury Frequency rate 12 month moving average 3.5 Unit D 3 Unit B 2.5 Unit A 2 1.5 1 Unit C 0.5 0 Jan-01 Feb-01 Mar-01 Apr-01 May-01 Jun-01 Jul-01 Aug-01 Sep-01 Oct-01 Nov-01 Dec-01 Jan-02 Feb-02 Mar-02 Apr-02 May-02 Jun-02 Jul-02 Aug-02 Sep-02 Oct-02 Nov-02 Dec-02 Unit A Unit B Unit C Unit D Total

Stichting Tripod Foundation Tripod Incident Causation Model Underlying Preconditions Immediate causes causes To take That influences the action or Causes That Accidents, That person inaction causes result incidents and barriers to business upsets in Error / fail violation promoting An conditions organisation Precondition Immediate Event Underlying cause cause Failed barrier

Stichting Tripod Foundation Jim Reason’s Swiss Cheese Model ∂ ∂ ∂ ∂ ∂ ∂ ∂ Incident Hazard ∂ ∂ Probability of Failure

Stichting Tripod Foundation Press f9 and get a different result Injury Frequency rate 12 month moving average 7 6 Unit B 5 4 Unit A 3 2 Unit D 1 Unit C 0 Jan-01 Feb-01 Mar-01 Apr-01 May-01 Jun-01 Jul-01 Aug-01 Sep-01 Oct-01 Nov-01 Dec-01 Jan-02 Feb-02 Mar-02 Apr-02 May-02 Jun-02 Jul-02 Aug-02 Sep-02 Oct-02 Nov-02 Dec-02

Stichting Tripod Foundation Injury ratees 12 month moving average over ten years 4 3.5 3 2.5 2 1.5 1 0.5 0 Unit A Unit B Unit C Unit D Total 20-30 events per year and 12 million hours worked per year

Stichting Tripod Foundation Conversations about safety in leadership meetings 45 40 35 Number of times discussed 30 25 20 15 10 5 0 Underlying Causes Influencing factors Individual's Barrier failure Event behaviour Causation pathway category To take Creates That influences the person That causes That Accidents, incidents action or barriers to fail result in and business upsets inaction Error / violation promoting conditions

Stichting Tripod Foundation Dashboards Unit 1 Unit 2 Unit To take Creates That influences the person That causes That Accidents, incidents action or barriers to fail result in and business upsets inaction Error / violation promoting conditions

Stichting Tripod Foundation What could we measure Completion of safety Management Classification of Barrier critical activities activities and Human Error reliability behaviours

Stichting Tripod Foundation How to decide what to measure Use the Tripod Accident Causation and Bow tie models to generate alternatives Ask the workforce What conversation do you want to create What is the time and effort to collect the data

Stichting Tripod Foundation Conclusions • Celebrate that injury rates are no longer an effective measure of performance • Think of the type of conversation you are trying to create • Ask the workforce • Use our understanding of accident causation to generate new measures to create positive conversations

Stichting Tripod Foundation Acknowledgements / Thank You / Questions • My fellow board members for their input in co-authoring this paper W. T. Peuscher, J. Groeneweg, S. King, and M. Taylor. • Tripod Assessors for their input and support • Questions