Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Offshore
Project Safe Forum
HumanFactorsandBehaviours
Tuesday1May,2012
Agenda
AGENDA
HUMANFACTORSANDBEHAVIOURS
PERTHCONVENTIONANDEXHIBITIONCENTRE
RIVERVIEWROOM5,LEVEL2
08.30
Arrival|TeaandCoffee
09.00 Welcome,SafetyBriefingandObjective
09.10
MessagefromtheContractorProjectSafe
Committee
09.20 AllsafeSafetyBehaviourProgram
09.50
ClaudeCahuzac|INPEXAustralia 10mins
KevinShannon|Chevron
10mins
PieterKambier|Allseas
30mins
CoffeeBreak|MorningTea
10.30 ARegulatoryPerspectiveonHumanFactors
30mins
40mins
JoelleMitchell|NOPSEMA
45mins
11.15
SSafetyCultureandOtherHumanFactorsWork
f t C lt
d Oth H
F t W k
EmilyNovatsis|Woodside
atWoodside
45mins
12.00
Lunch
60mins
13.00
AWiderLookatHumanandOrganisational
FactorsinHealthandSafetyy
14.30
CoffeeBreak|AfternoonTea
RonnyLardner|TheKeilCentre
90mins
30mins
15.00 FeedbackfromSSCP
SteveWilliams|AnMe
40mins
15.40 ClosingRemarksandForumClosure
SimonBingham|ApacheEnergy
20mins
16.00
Networking|DrinksandNibbles
OffshoreProjectSafeForum|Friday10June2011
MessagefromtheContractorProjectSafe
Committee
KevinShannon
Upstream Development Manager GorgonProject,
UpstreamDevelopmentManager
Gorgon Project
ChevronAustraliaPtyLimited
SSeniorbusinessleadersfromOffshoreOil&GasOperatorsandContractors
i b i
l d f
Off h
Oil & G O
dC
Vision:TodrivesafetyimprovementsinoffshoreprojectsinAustraliathrough
industrycooperationandcollaboration
Recentfocus:DevelopmentandimplementationoftheSafeSupervisor
CompetenceProgram(SSCP)foroffshoreconstructionsupervisors
p
Forwardplansandfocus:
ExpandthemembershipoftheSteeringCommitteetomatchtheexpanding
NWAustraliaoffshoreconstructionfuture
AmplifiedindustryacceptanceandtrainingrequirementsforSSCP
Amplified industry acceptance and training requirements for SSCP
APPEAacceptanceandsupportoftheSSCPasarequirement
ContinuousimprovementofSSCPasanessentialtoolforsupervisorstoolkit
ImprovesafetyperformanceacrossAustralianupstreammarineconstruction
OffshoreProjectSafeForum|Friday10June2011
Source:APPEA2010HSEReport
Totalcontractorhours
havedoubled inthelast
5 years
5years
Threefold increasein
hours in last 10 years
hoursinlast10years
Howisoursafety
p
performancetrending?
g
Howareweproviding
ourpersonnelthe
propertrainingand
toolstoworksafely?
OffshoreProjectSafeForum|Friday10June2011
Australian
Australiantrendnot
trend not
keepingupwithindustry
Whatisyourvisionofa
y
safeconstructionsite?
Whatisyour
commitmenttoachieve
thevision?
Isyourvisionand
commitmentsharedby
the team?
theteam?
Howcanyourteam
achieve the vision?
achievethevision?
OffshoreProjectSafeForum|Friday10June2011
Morethanjustminorinjuries.
More than just minor injuries.
Source:IntlAssociationofOil&GasProducers
OffshoreProjectSafeForum|Friday10June2011
Allsafe
Allsafe SafetyBehaviourProgram
Safety Behaviour Program
PieterKambier
ProjectDirector,Allseas
j
,
Safety Journey
Existing
i i
Safety tools
Safety
S
f t
Behavior
Program
Regulations
R
l ti
HAZID
JSA
Audits
PPE
Design
Training
Installation
P
Procedures
d
HAZIDs
Equipment
selection
Operational phase
Some Questions
Induction Program
Supervisor Program
Allseas Safety Awareness Program (positive recognition)
Coaching and monitoring
Induction Program
Tailor made for the Audience:
In-house development
Differentiation engineering and operational personnel
Small g
groups
p of people
p p
Keep it simple and practical:
Ownership
Communication
Recognise Risk
Intervention
Relationship &
Teamwork
Supervisor Program
ASAP
Summarized
Believe
You can do it
ARegulatoryPerspective
onHumanFactors
Joelle Mitchell
JoelleMitchell
TechnicalOfficer HumanFactors
Outline
1May2012
WhatisNOPSEMAsrole?
H d
HowdowedefineHumanFactors?
d fi H
F
?
WhatisNOPSEMAsapproach?
Whatcandutyholdersexpect?
A216253
29
NOPSEMA sroleinSafety
NOPSEMA's
role in Safety
PerformanceImprovement
AHistoryofHumanError
1May2012
CostaConcordia
DeepwaterHorizon
p
Montara
T
TexasCity
Cit
Columbia
GlenbrookTrain
Longford
PiperAlpha
A216253
KingsCrossFire
Chernobyl
Challenger
g
ExxonValdez
Th
ThreeMileIsland
Mil I l d
WestGateBridge
Titanic
31
HumanErrorinAustralianOffshorePetroleum
HumanFactorsidentifiedasacausalfactor:
Human Factors identified as a causal factor:
innineoutoftennotifiedaccidentsanddangerous
occurrences
in100%ofactualorpotentialdeathsandserious
injuries
j
Possibleinterpretations:
P ibl i t
t ti
inaccuratereporting
blamefocusedinvestigations
humanfactorsarecriticaltosafeoperations
1May2012
A216253
32
SoWhat?
If
IfHumanFactorscontributetoaccidentsand
Human Factors contribute to accidents and
dangerousoccurrences
thenregulatoractivitymustaddresshumanas
wellastechnicalfactors
1May2012
A216253
33
Regulators
NOPSEMAsfunctions :
1
Compliance
Improvement
Governance
1.OffshorePetroleumandGreenhouseGasStorageAct2006
1May2012
A216253
34
DutyHolders OperatorsandEmployers
1May2012
A216253
OffshorePetroleumandGreenhouseGasStorageAct2006
35
HumanError
1May2012
A216253
37
Plan
Action
Adequate
Unintentional
Inadequate
Intentional
Desire
1May2012
A216253
38
HumanReliability
Humansareinherentlyunreliable
Humans are inherently unreliable
1errorper100stepsforprocedurebasedtasks
1errorper10stepsforcriticalalarmdiagnosisand
response
Whatinfluenceshumanreliability?
1May2012
A216253
39
HumanFactors
Individual
Organisational
Personality
Competence and skill
Competenceandskill
Mood
Attitude
Health
Culture
ResourceAvailability
Resource Availability
Communication
Systems
Supervisor
Commitment
Job
1May2012
Humanmachineinterface
Workload
Procedures
Taskrequirements
A216253
40
AnInteraction
Organisational
Individual
1May2012
Job
A216253
41
ModelofHumanFactors
Organisation
I di id l
Individual
J b
Job
HumanReliability
SafePerformance
HumanError
Event
NearMiss
1May2012
A216253
42
NOPSEMAsHumanFactorsDefinition
Th
Thewaysinwhichtheorganisation,thejob,
i hi h h
i i
h j b
andtheindividualinteract toinfluencehuman
reliabilityinmajoraccidenteventcausationin
theoffshorepetroleumindustry.
1May2012
A216253
43
ASeriesofNational
A
Series of National
Programs
NOPSEMAsFunctions
Compliance
Monitor&Enforce
Investigate
Promote
Advise
Improvement
Coordinate
Report
Governance
1May2012
A216253
45
NOPSEMAsApproachtoHumanFactors
Compliance
Improvement
Governance
Inspection Tools
InspectionTools
Industry Research
InterAgency
Reporting
Inspection Reports
InspectionReports
1May2012
A216253
46
PromotingHumanFactors
HumanFactorsModules,e.g.:
SafetyCulture
S f t C lt
HumanReliabilityinRiskAssessments
PsychosocialRiskManagement
SuccessiveNationalPrograms
Inspections
p
IndustryResearch
Guidance
1May2012
A216253
47
Module1 SafetyCulture
ProjectOutline:
Project Outline:
DefiningSafetyCulture
Tool development
Tooldevelopment
Toolvalidation
Implementation
Results
ProjectLaunch
j
Comingsoon
1May2012
A216253
48
WhatcanDutyHolders
What
can Duty Holders
Expect?
DutyHolders OperatorsandEmployers
1May2012
A216253
OffshorePetroleumandGreenhouseGasStorageAct2006
50
NOPSEMAsActivities
Duringinspections:
During inspections:
Increasedfocusonhumanfactors
Participationinresearch
Participation in research
HumanFactorsspecialists
GuidanceandAdvice
Accesstoresearchfindings
Publishedmaterials
Forums,conferences,etc.
1May2012
A216253
51
Outline
1May2012
WhatisNOPSEMAsrole?
H d
HowdowedefineHumanFactors?
d fi H
F
?
WhatisNOPSEMAsapproach?
Whatcandutyholdersexpect?
A216253
52
KeyMessages
HumanFactorsareimportant
Individual,Job,andOrganisationalinteraction
NOPSEMA
NOPSEMAwillbefocusingonHumanFactorsin
will be focusing on Human Factors in
MajorAccidentEventprevention
1May2012
A216253
53
Questions?
Thank You!
ThankYou!
Joelle.Mitchell@nopsema.gov.au
SafetyCultureandOtherHumanFactors
WorkatWoodsideEnergyLimited
EmilyNovatsis
SeniorHumanFactorsAdvisor,WoodsideEnergy
,
gy
Limited
2006
Safety culture
2008
H
Human ffactors
t
iin iincident
id t iinvestigation
ti ti
2011
2012
Hum
man fa
actors in
ntegrattion
2006
Human fa
actors ccapabiility
Slide 57
Safety culture
Slide 58
Safety culture
What works
Present focus
Slide 59
Slide 61
The scenario
Realistic scenario
Designed to address the general
lessons in previous isolation events
Developed with subject matter experts
and tested before use
Events unfold
Picture of
Page 1 here
Slide 62
Slide 63
Slide 64
Slide 65
Many human
M
h
factors spotters
Wide network of
focal points
Human factors
competencies
Multiple
human factors
advisers
External
E
t
l consultant
lt t
help when needed
Slide 66
Challenges
Keeping out noise and maintaining focus on selected tools
and methods
Keeping
p g some topics
p fresh and interesting
g
Education on human factors and influencing behaviour can
take time
Maintaining enough and depth of capability
Building a shared understanding across occupational groups
Using
g a pull
p
approach
pp
contributes to varied understanding
g
Ensuring interfaces with other disciplines are clear
Slide 67
Positive outcomes
Better understanding of safety culture
Improvement in safety culture in some areas
Safety culture work provided a foundation for discussion of
other human factors topics
Positive evaluations of other projects
Demand and enthusiasm for using human factors tools
and
d methods
th d tto iimprove performance
f
Preferred set of research based human factors tools
Provided practical ways for people to get involved in
health and safety
Slide 68
Thank you!
y
Q
Questions?
Slide 69
Slide 70
Lunch Break
LunchBreak
1200 1300hrs
AWiderLookatHumanandOrganisational
FactorsinHealthandSafety
RonnyLardner
FounderandOccupationalPsychologist,
p
y
g ,
TheKeilCentreLimited
Overview
Top-ten "human and
organisational
g
factors" most
relevant to high-hazard
industries
Knowingly
g y broken the speed
p
be paying attention
limit
Bumped
u ped into
to tthings
gs o
or peop
people?
e
Stolen something
Told a white lie
Not seen something you want in
the supermarket, even though
its right
g in front of yyou
place (e
(e.g.
g milk into oven)
company business
equipment, or products
Misunderstanding a work
instruction
Mis-reading a manual or
drawing
Why
y human factors?
UK Health and Safety
Executive
BP Texas City
Client
Cli t / partner
t
expectations
t ti
Human factors
R d i
Reducing
error and
d influencing
i fl
i
behaviour
b h i
Safety-critical
communication
Human factors in
design
Fatigue
F ti
& shiftwork
hift
k
Organisational
((safety)
y) culture
Maintenance,
inspection and testing
Core
Competence
assurance
Human factors
in accident
investigation
Identifying
human failure
Common
Emergency
response
Maintenance
error
Safety critical
communications
Specific
Alarm handling
and control
room design
Managing
f ti
fatigue
risks
i k
Organisational
change and
t
transition
iti
management
Reliability and
usability of
procedures
Safety culture
Assemble
Timeline
Traditional
analysis
CF 2
Intentional
ABC Analysis
Behaviour
intentional or
unintentional?
Unintentional
Human Error
Analysis
CF 3
Assemble
Timeline
Traditional
analysis
CF 2
Intentional
ABC Analysis
Behaviour
intentional or
unintentional?
Unintentional
Human Error
Analysis
CF 3
Identify
Id tif what
h t iis needed
d d tto
strengthen defences
Probability
y of failure
?? in 1000
?? in 1000
?? in 1000
Probability
y of failure
3 in 1000
9 in 1000
81 in 1000
Performancep g
shaping
factors
The Keil Centre
Recommendations
Reducingg isolation error rate
Early detection of isolation errors
Educate personnel on human error, and performance-shaping
ffactors
t
Share learning with other platforms, and other organizations
using
g same control of work software
Reducing isolation violations
Key points
Decreasing
D
i
number of
unsafe acts
Maturing
safety
culture
More traditional
behavioural safety wont
help
Capability
improvement
po e e t
needed here?
Intentional Unintentional
(Violation)
(Error)
A
developing
safety
culture:
55%
violations;
45% error
Thi session
This
i
Safety
Safety-critical
critical
communication
handover & control of work
Human factors
f
in
design
Fatigue & shiftwork
Organisational culture
Maintenance,
inspection and testing
Importance of communication
Onshore
Sellafield incidents
Buncefield
Offshore
Piper Alpha
Other fatalities/ serious injuries
Aviation
Tenerife disaster
Ergonomics
Accidents
P h l
Psychology
Safety
Linguistics
HSE reports
Organisational
Behaviour
Multiple
p methods
Management
The Keil Centre
Nursing
Group exercise
Shift handover worksheet
Based on actual incidents
Designed to involve
involve, and
make people think about
effectiveness
Results in specification
p
of
good handover what and
how
The Keil Centre
Outgoing Incoming
Update of
mental model
Potentially
problematic
handovers
Specify information
requirements
The Keil Centre
Two-way
Repetition
Feedback
The Keil Centre
Incoming
2 - way
Verbal and
Written
F
Face
- to
t - Face
F
Some results.
Chemical plant
Oil refinery
4
Drillers
3
Fixed Installations
2
1
Platform11
Platform10
0
Platform9
9
Platform8
8
Platform7
7
Platform6
6
Platform5
5
Platform4
4
Platform3
3
2
Platform2
Platform1
Driller5
5
Driller4
4
Driller3
3
2
Driller2
0
Driller1
Type of installation
Drillers = 3.0
Platforms = 4.3
More emphasis on
monitoring/auditing &
staff selection by
platform operators
Scope to share good
practice across industry
In conclusion
Communication can be
measurably improved
Human
H
ffactors
t
knowledge
k
l d
and tools
Literature review
Short article
Audit methodology
Paper describing
improvement project
Communications model
Summary
More sophisticated
understanding of scope of
safety culture, and the many
& varied influences on
behaviour
Integration of human
factors into design
factors
design,
operations, maintenance
and decommissioning
Organisational Issues
safety culture
Internal consultancy skills
Process safety culture &
leadership
Behavioural safety principles
Organisational change
Staffing and workload
Training and competence
Effective supervision
workspace design
Safety-critical communication
Design of the human - machine
i t f
interface
Developing useable procedures
investigation
Download free at
http://www.keilcentre.co.uk/downloads.aspx
http://www.hse.gov.uk/humanfactors/index.htm
http://www.csb.gov/videoroom/videorequest.aspx?
p
g
q
p
http://www.energyinst.org.uk/index.cfm?PageID=811
p
gy
g
g
Step-Change in Safety
The end
Questions?
Ques o s
Thanks
Good luck
Safe
S f journey
j
h
home!!
SSCP Implementation
Update and Top Tips
1 May, 2012
SSCP Update
TheMandate
SSCP Development
SSCPDevelopment
WhatisSSCPtoday?
Wherearewenow?
Where are we going?
Wherearewegoing?
Opportunitiesforimplementation
Nextsteps
Program
og a Mandate
a da e
www.safesupervisor.com.au
Development Phase
Industry
Competency
Units
Supervisor
Competence
Standards
AQTF Units of
Competency
MODULE 1
MODULE 2
MODULE 3
MODULE 4
MODULE 5,
etc.
Project
Deliverables
Training
Organisation
Deliverables
Lesson Plans
Development of Competence
Standards and Modules
Training
Environment
Assessment
Workplace
Assessment
= Assurance Component
= Governance Component
Standards, Modules
and Assessment
Checklist
Delegated
Authority Criteria
Industry
Management
Group
Nominated
Assessor Criteria
Independent
Reviewer
Review
Guidelines
RPL Guidelines
External Training
Providers
Experience
Participating
Companies
Training /
Qualifications
Workplace Asses
ssment
Review
Guidelines
Offshore
Project Safe
Assessment
Checklist
Workplace
observation
Start
Undergo SSCP
training
Y
Training
environment
outcomes
satisfied?
RPL
guidelines
satisfied?
Results sent to
SSCP
S
Secretariat
t i t
Arrive at
workplace undergo
orientation
Conduct
workplace
assessment
Workplace
outcomes
satisfied?
Y
SSCP card
issued
Results sent to
SSCP
Secretariat
Development of Participant
Completion Pathway
E
Engagement
t Kit
-
SSCPENGAGEMENTKIT
Website
-
Supervisors
p
Trained
80
60
Supervisors
Assessed
d
40
20
0
Numberofapprovedtrainingorganisations:2
Number of participating workplaces: 5
Numberofparticipatingworkplaces:5
Numberofpeopletrainedtodate:128
Numberofcardsissued:35
Implementation Progress
OperatorA
OperatorB
OperatorC
OperatorD
No current
projects
OperatorE
No current
projects
ContractorA
ContractorB
MANPOWERPROVIDER
ContractorC
ContractorD
MANPOWERPROVIDER
SSCP in contracts
Implementing SSCP
APPEA??