Rail Resource Management Rail Resource Management (RRM) (RRM) Post - - PowerPoint PPT Presentation

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Rail Resource Management Rail Resource Management (RRM) (RRM) Post - - PowerPoint PPT Presentation

Rail Resource Management Rail Resource Management (RRM) (RRM) Post Post Post Post implementation review implementation review implementation review & future directions implementation review & future directions &


slide-1
SLIDE 1

Rail Resource Management Rail Resource Management (RRM) (RRM)

Post Post‐ ‐implementation review implementation review & future directions & future directions Post Post‐ ‐implementation review implementation review & future directions & future directions

3rd

rd International

International 3rd

rd International

International Rail Human Rail Human Factors Conference Factors Conference

RRM RRM

f

London London March 2013 March 2013 Post Post Implementation Implementation Re ie and Re ie and Jennifer Alcock Review and Review and Future Future Directions Directions Elizabeth Grey Dr Barbara Klampfer Louise Raggett Adrian Rowland

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SLIDE 2

Overview Overview Overview Overview

  • RRM in Australia: the story so far

y

  • Post implementation review

RRM RRM

  • Post implementation review
  • The need for a new approach

Post Post Implementation Implementation Re ie and Re ie and

  • The need for a new approach
  • Project overview

Review and Review and Future Future Directions Directions

  • Project overview
  • Next steps
  • Next steps
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SLIDE 3

The The story so far… story so far… The The story so far… story so far…

Project launch

Sponsorship by TSV & ITSR Dédale appointed

2005

Best practice review

2006

Dédale appointed National endorsement Industry steering committee

Launch of RRM Guidelines & Materials

2007

RRM industry working group

2008-9

RRM RRM RRM industry working group V/Line business case

2008 9

Post Post Implementation Implementation Re ie and Re ie and

Industry briefing

2010

V/Line pilot

Review and Review and Future Future Directions Directions

RRM facilitator training QR Coal implementation

2011

Post implementation Review

2012

QR Coal implementation Future directions?

2013

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SLIDE 4

Setting a high Setting a high standard standard Setting a high Setting a high standard standard standard standard standard standard

  • Unique product for rail

Unique product for rail

  • Expert developers
  • Extensive consultation

RRM RRM

  • Extensive consultation
  • Holistic approach

G id h t

Post Post Implementation Implementation Re ie and Re ie and

  • Guidance on how to

– develop – Implement Review and Review and Future Future Directions Directions – Implement – evaluate & maintain

  • Comprehensive &
  • Comprehensive &

generic

  • Customisable
  • Customisable
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SLIDE 5

Uptake of RRM Uptake of RRM Uptake of RRM Uptake of RRM

Positive indications

  • Positive evaluation of pilot
  • Implementation by division
  • f leading freight operator

RRM RRM

  • f leading freight operator
  • Anecdotal evidence of early

scoping work Post Post Implementation Implementation Re ie and Re ie and – Passenger operators

Post implementation

Review and Review and Future Future Directions Directions

Post implementation review to ascertain:

  • Awareness of RRM
  • Awareness of RRM
  • Use of materials
  • Beliefs about human error as

source of risk in rail

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SLIDE 6

The The status status of

  • f RRM 2012

RRM 2012 The The status status of

  • f RRM 2012

RRM 2012

On-line survey August 2012 58 Respondents

  • Freight (8)

RRM RRM

  • Passenger(10)
  • Infrastructure managers (20)

Post Post Implementation Implementation Re ie and Re ie and

  • Infrastructure managers (20),
  • Infrastructure maintainers (21)

Review and Review and Future Future Directions Directions

  • Tourist & heritage (16)
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SLIDE 7

Survey results Survey results Survey results Survey results

  • 57% heard about RRM

10 h d i l

  • 10 have used materials
  • 4 running RRM in some form

RRM RRM

  • 1 preparing
  • 3 individuals keen but no

Post Post Implementation Implementation Re ie and Re ie and

3 individuals keen but no

  • rganisational support
  • 25% attributed human error as

Review and Review and Future Future Directions Directions

  • 25% attributed human error as

factor in less than 20% incidents

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SLIDE 8

Rated effectiveness of strategies Rated effectiveness of strategies t d h t d h Rated effectiveness of strategies Rated effectiveness of strategies t d h t d h

Least effective Most effective

to reduce human error to reduce human error to reduce human error to reduce human error

Least effective

  • Human error

t

  • Supervision &

t

Most effective

RRM RRM

management RRM / NTS training

  • Human Factors

support

  • Toolbox-

talks/pre-work Post Post Implementation Implementation Re ie and Re ie and

  • Human Factors

awareness training

  • Advanced

talks/pre-work briefings

  • Procedures

Review and Review and Future Future Directions Directions technology

  • Counseling &

appropriate & relevant disciplinary action

  • Equipment/system

design

  • Training
  • Incident

analysis design analysis

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SLIDE 9

Possible barriers? Possible barriers? Possible barriers? Possible barriers?

  • Industry HF

readiness/capability

  • Accessibility of RRM product

RRM RRM

y p

  • Expertise & resources to

customise tools

Post Post Implementation Implementation Re ie and Re ie and

  • Ability to take workers off-line
  • Perceived cost/benefit

Review and Review and Future Future Directions Directions

  • Perceived cost/benefit
  • Acceptance by management
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SLIDE 10

Future Future directions directions Future Future directions directions

Options considered:

  • Bridging program?

– Increase understanding of human performance /error

RRM RRM

human performance /error management

  •  RRM promotion/support?

Post Post Implementation Implementation Re ie and Re ie and

  •  RRM promotion/support?
  • Change management

approach?

Review and Review and Future Future Directions Directions

approach?

  • Target specific human

performance issue using RRM performance issue using RRM tools?

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SLIDE 11

Human performance issue: Human performance issue:

Safety critical communications Safety critical communications

Human performance issue: Human performance issue:

Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications

  • Identified regulator priority

Identified regulator priority

  • Known issue for operators

Known issue for operators

  • 1 April 2010- Strathfield- near

RRM RRM

1 April 2010 Strathfield near strike track workers

  • 5th May- 2010- Newbridge-

Post Post Implementation Implementation Re ie and Re ie and collision between XPT & track- mounted excavator

  • 13th April 2010

Kogarah track Review and Review and Future Future Directions Directions

  • 13th April 2010- Kogarah- track

worker fatality

  • 3 March 2011- Narrandera – run

3 March 2011 Narrandera run away wagon set derailing onto public road

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SLIDE 12

Communication failures Communication failures Communication failures Communication failures

  • UK data: communication a factor in 33% of

irregular working events (Network Rail, RSSB June 2012 T869 Bondsall-Clark K.)

  • Local data: V/line analysis

RRM RRM

Post Post Implementation Implementation Re ie and Re ie and Review and Review and Future Future Directions Directions

Courtesy of Dr Todd Bentley V Line 2010

Source – Business Case for RRM Courtesy of Dr Todd Bentley V Line 2010

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SLIDE 13

Potential benefits Potential benefits

  • Market to known need

R d d ti b i

  • Reduce adoption barriers
  • Provide measurable proof of

RRM RRM

concept

  • Improved SCC behaviours

Post Post Implementation Implementation Re ie and Re ie and

  • Reduced SCC incidents
  • Improved awareness of HF and

Review and Review and Future Future Directions Directions

  • Improved awareness of HF and

potential of RRM to address HF issues

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SLIDE 14

Project overview Project overview Project overview Project overview

Phase 1 – Rail operator trial

  • Identify SCC errors
  • Measure current performance
  • Customise RRM Materials for SCC

D i d I l t t i l

RRM RRM

  • Design and Implement trial
  • Evaluate

Post Post Implementation Implementation Re ie and Re ie and

Phase 2 – Industry roll out

  • Develop promotional materials

R ll t d t t id i d t Review and Review and Future Future Directions Directions

  • Roll out product to wider industry
  • Extend behavioural monitoring
  • Evaluate

Evaluate

Phase 3

  • Future applications for human
  • Future applications for human

performance improvement

slide-15
SLIDE 15

Phase 1

  • Conduct

Project overview Project overview Project overview Project overview

  • Conduct

surveillance

  • Establish a baseline

Voice

  • Establish a baseline

measurement for current SCC

Accident reports Voice recordings

RRM RRM

performance

  • Identify scenarios for

Post Post Implementation Implementation Re ie and Re ie and

RRM training

Review and Review and Future Future Directions Directions

Behaviour Behaviour marker

Yes/no 15

slide-16
SLIDE 16

Project overview Project overview Project overview Project overview

Design intervention

  • Customise RRM and

deliver training

RRM RRM

  • Use surveillance

scenarios to customise t di

Post Post Implementation Implementation Re ie and Re ie and

case studies

  • Create distributed team

exercises to practice new

Review and Review and Future Future Directions Directions

exercises to practice new skills in a safe environment environment

16

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SLIDE 17

Project overview Project overview Project overview Project overview

Following a successful evaluation of phase1… Phase 2 industry roll out:

RRM RRM

  • voluntary participation
  • Industry working group

Post Post Implementation Implementation Re ie and Re ie and

  • train the trainer course
  • voluntary behavioural monitoring program

Review and Review and Future Future Directions Directions – training program for observers – Implementing peer to peer observation program

Collect data centrally

  • Collect data centrally
slide-18
SLIDE 18

Project overview Project overview Project overview Project overview

Phase 2 – Evaluation

  • Survey industry

engagement

  • Gauge awareness of

RRM RRM

HF issues

  • Measure RRM uptake

Post Post Implementation Implementation Re ie and Re ie and

Desirable behaviours Goal State

  • Monitoring SCC

behaviours D i i id t

Review and Review and Future Future Directions Directions

  • Decrease in incidents

due to poor SCC?

undesirable behaviours Baseline time Baseline

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SLIDE 19

Project Project overview

  • verview

Project Project overview

  • verview

Phase 3 Phase 3 Future Future Phase 3 Phase 3 Future Future

  • Guidance on customising

further RRM training Phase 3 Phase 3 – – Future Future Phase 3 Phase 3 – – Future Future

RRM RRM

further RRM training

  • Apply tools to another

human performance

Post Post Implementation Implementation Re ie and Re ie and

human performance Issue?

  • Support for uptake of full

Review and Review and Future Future Directions Directions

Support for uptake of full RRM programs?

19

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SLIDE 20

Next Steps Next Steps Next Steps Next Steps

  • Detailed project planning
  • National approval
  • Engaging industry partners

RRM RRM

including RISSB

  • Establish working/steering

Post Post Implementation Implementation Re ie and Re ie and

groups

  • Identify potential ‘champions’

for Phase 1 trial

Review and Review and Future Future Directions Directions

for Phase 1 trial

slide-21
SLIDE 21

Challenges Challenges Challenges Challenges

  • Change in Australian rail industry

E i f i d

  • Engaging support from industry

partners and unions

RRM RRM

  • Technical constraints
  • System constraints

Post Post Implementation Implementation Re ie and Re ie and

  • Economic pressures on industry and

government

Review and Review and Future Future Directions Directions

21

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SLIDE 22

Independent Transport Safety Regulator (NSW) Independent Transport Safety Regulator (NSW)

www.transportregulator.nsw.gov.au/human_factors.html contact@transportregulator nsw gov au contact@transportregulator.nsw.gov.au

Transport Safety Victoria

RRM RRM

www.transportsafety.vic.gov.au elizabeth.grey@transportsafety.vic.gov.au Post Post Implementation Implementation Re ie and Re ie and g y@ p y g Review and Review and Future Future Directions Directions

THANK YOU & QUESTIONS? QUESTIONS?