Taking a New Look At Safety

fresh look

By Phil La Duke

 Let me begin by thanking all of you who voiced your support for me over the past week. As you may have surmised I get frustrated from time to time, mostly because so many safety practitioners still don’t get it—despite cognizant arguments (I’m not talking about what I have been saying, I’m arrogant but I’m not THAT arrogant) made by really smart people so many in the field of safety cling to shear stupidity. Arguing a point that should have been conceded long ago gets exhausting and it got to me. Add to that a moderate case of writer’s block and it’s been a rough couple of weeks.

But enough about that, some time ago I posted an article that postulated that safety in itself wasn’t something we should be managing, that safety is an outcome not a priority or a factor or…fill in the blank. Safety isn’t what happens to or doesn’t happen to workers it’s an indicator of business efficiency. We have to view safety in a radically different way and I realize going into this upset some of the delicate sensibilities of some in the safety community, but safety cannot be effective on a functional level, it needs to be managed by operations. Operations ownership of safety isn’t a new idea, and certainly not a radical change, but what I am suggesting is more than simply moving a corporate function out of administration or compliance to under Operations leadership. What I am suggesting is that Operations needs to view safety as an indicator of the health of the organization, as a criterion for judging the effectiveness of Operations management.

If safety is truly a value (and it really should be) than what is it that we are valuing? A lack of injuries? Can we really say that is a value? But let’s back up. “Value” is one of those words that simpletons bandy about without really having a clear understanding of the definition of the word. I realize that in the age of Wikipedia people feel that it is an inalienable right to assign whatever definition they want to a word; sorry imbeciles it doesn’t work that way. “Values” are your personal code of beliefs, and one of the elements of a culture is “shared values”, that is, the most deeply held belief set that guides our decisions. So if “safety” is a core value it should guide our decisions as we manage our operations in five[1] key areas: Competency, process capability, hazard management, accountability, and engagement. This week I would like to tackle competency.

I tend to boil this down to a single statement: “if people don’t have the skills to do their jobs they can’t do them safely.” I stand by this, and it makes for a great “elevator speech”[2] but there is so much more to this. Recruiters have to find the right people to do the job, people capable—physically, mentally, and emotionally—of doing the job as designed. There is a lot of cowardice in recruiting and many in Human Resources will hide behind antidiscrimination laws for not doing a thorough job of screening people for their ability of inability to do the job without hurting themselves or others. The difficulty in hiring the right people isn’t completely the fault of recruiters. In many organizations the jobs are so poorly defined that it is for all intents and purposes impossible to identify which skills and abilities are bona fide job requirements. Companies, often abetted by misguided hackneyed legal advice deliberately add competency-risk to their organization because they are afraid someone will use his or her job description as a shield. In a well-managed organization competencies are mapped so specifically that an intern can see the skills and experiences that he or she would need to master/acquire to become CEO. Before you scoff and pooh-pooh the idea as nonsense, I developed such a system for a large, tier-one Automotive supplier, not only did it help in succession planning, but it helped individuals to own their own careers, and yes, an output of a good competency management system is a safer operating environment. Competency cannot stop at the date of hire.

There is seldom, if ever, a perfect hire. Even in the best case there is at least some gap between a new-hire’s skill set and the requirements to expertly do the job. Unfortunately, in most companies the training department doesn’t do individual placement testing to ascertain a new-hire’s true competency level and tends to train to the lowest common denominator (which here again they really can’t know without testing) and over train, often with a schlocky eLearning module that is about much like actual skill building as I am like a flamenco dancer. So there is much work to be done to increase true competency in our hiring and training process.

And it doesn’t end there, once someone has been hired and appropriately trained, there is still a large degradation of skills and behavioral drift where people move away from the established process, so the organization has to have a strong performance evaluation process that focuses on performance improvement and not on pay increases or cover your assets thinking that pervades so many performance evaluation processes. At this point you’re probably seeing where there begins to be overlap between the five antecedent processes. You can probably also connect the dots between getting these basic management practices right. Not only will the organization see it’s safety increase, but in all the other business elements as well.

____________________________________________

[1] I used to have seven, I have colleagues who have identified ten, others who have as many as 35, but I’ve found that much more than five of anything confounds the organization so I simplified mine to five

[2] If someone ever gave me a little speech about what they do while I was riding in an elevator I would be tempted to smack them, but I digress.

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Discouraging Workers from Reporting Injuries Is Bad Business

Paperwork

By Phil La Duke

Under-reporting injuries is a poor business practice bordering on criminal behavior. Nowhere was this better evidence than when the U.S. government leveed a whopping $70 million fine on Honda of America for doing just that. In what The New York Times describes as a “sharp escalation of penalties against automakers that skirt safety laws” Honda Fined for Violations of Safety Law, Honda was fined for not reporting consumer injuries and deaths caused by quality defects and for not reporting the defects themselves. Last year, General Motors faced similar sanctions.

It’s worth noting that neither company has been accused (at least formally) of underreporting worker injuries, but is that such a stretch? General Motors has consistently reported one of the best safety records in industry and Honda of America hasn’t made OSHA’s radar since 1999 when one of its contractors were fined over $1 million for machine guarding issues.

All that having been said, is it a stretch to believe that companies that deliberately lie to and one branch of the government (the Department of Transportation) about public safety might not also lie to another branch of the government (OSHA) about the safety of its workers? How confidant are you that companies that do not report one set of data (in this case public deaths and defect claims) that is publicly available and can easily be discovered will willingly and openly and accurately report injuries that happen under the shroud of company secrecy? We talk a lot about indicators in this business and to me there is a strong correlation between cooking one set of books and the likelihood that another set of books is equally cooked.

Rumor has it that underreporting is an area of increasing concern among OSHA inspectors and that companies can expect stricter penalties for underreporting.

Underreporting potentially poses a much more serious threat to worker safety than injuries themselves. When a worker is injured it provides the company with irrefutable evidence that safety is not present in the workplace, assuming you define, as most persist in doing, safety as the absence of injuries. As horrible as it is to have workplace injuries the silver lining is that a heretofore-unknown hazard is revealed and can be rectified; not so if the injury goes unreported and unknown.

Companies need not hatch any insidious plot to conceal injuries in most cases thirty years or more of hackneyed incentive programs and half-baked schemes from safety pundits have created a culture where injuries are taboo and only those injuries that cannot be manipulated via case management are reported.

It’s no accident that recordable injuries are falling while fatalities are staying flat (or in some industries actually rising)—it’s tough to turn a corpse into a first aid case no matter how creative you are. Case management has become a crucial part of the safety management system and it should be. No one should be allowed to fraudulently file injury claims in an attempt to cheat the system, but then again, as loathsome as it is, the company has to balance the cost of fighting the cost of fraud against the actual cost of the fraud. This is well known in the insurance and legal communities where it is common practice to settle a dubious lawsuit rather than face a lengthy and costly legal battle. And yet companies still invest considerable sums into case management. Why? Is fraud so widespread that something has to be done or western civilization itself would collapse? No, at least according to studies cited by Lisa Cullen in her article The Myth of Workers’ Compensation Fraud only 1–2% of Worker Compensation claims are fraudulent. So why do so many companies continue to fund Case Management efforts. Is it fiscally responsible to invest money disputing claims when only 2% or less are fraudulent? Not unless disputing claims serves some other, more profitable purpose. In the instance of case management the purpose is clear (although seldom admitted): reducing recordable injuries. I know of cases where companies have sent representatives to the clinic with injured employees to instruct the medical professionals in how to treat an injuries—weighing in on everything from the type of pain reliever used to whether to suture a cut or to close it using butterfly bandages. Such practices smack of questionable ethics but are widespread nonetheless.

Some efforts that discourage injury reporting are less malignant in intent but are just as damaging to the overall efforts to reduce risk. Companies routinely sponsor incentive programs for workers to not get hurt. If that phrasing sounds odd to you it should. When you provide incentive for someone not to do something that they can’t control and aren’t doing on purpose, what message are you sending? When you provide incentive for something beyond one’s control—whether that be injuries or sales—the only true incentive is to cheat and lie. The incentive in the case of zero injury rewards is to underreport.

One can take this effort to discourage reporting injuries even further and pit worker against worker through “behavior observations” which in effect vilify the injured worker; the injured worker spoils the Safety BINGO, and may even cost coworkers their bonuses. The coercive pressure to conceal workplace injuries can be overwhelming.

We talk a lot about changing the culture and about how workers need to change how they view safety, but maybe the cultural change needs to be in who we view injury and injury reporting. If we as organizations and individuals truly value safety we have to stop pretending that condoning injuries provided that they aren’t recordable injuries is the same thing as valuing safety.

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Lone-Gunman Based Safety

Multiple causes

By Phil La Duke

Ever since Jack Ruby gunned down Lee Harvey Oswald while being transferred from a Dallas police station to county jail debate has raged as to whether or not Oswald acted alone or if he was part of a larger conspiracy. There’s not much satisfaction in the “Lone Gunman” theory; it lacks the panache and high drama of a conspiracy, but beyond that, the Lone Gunman theory seems too simple, too convenient, and too pat. I got thinking about the Lone Gunman theory as it pertains to safety and think the comparison is apt.

I came to realize that most safety professionals see injuries as the result of “Lone Gunman” thinking after listening to yet another argument about the nature of injures. “Injuries are caused by behaviors” “no they’re caused by process flaws” “no they’re caused by…” it sure sounds to me like the people who argue whether or not Oswald acted alone. Sound crazy? Think about it: if you believe that the majority of injuries are caused by a single thing you are essentially dismissing the possibility that worker injuries are caused by a complex situations with multiple and often inter-related cause and effects.

The lone gunman theories are attractive; they boil our problem down to a single factor that we can rigorously attack and solve it. This kind of thinking is satisfying because it means that all we need do is to solve one problem and we don’t have to be distracted by all the other things that may or may not be causing injuries.

Now some reading this will immediately hide behind the fact that they never said that ALL injuries are caused by (fill in the blank) but that MOST injuries are caused by (fill in the blank). That’s a convenient (albeit cowardly) way to stack the deck in your favor but it’s a specious and facile argument, even if we can say with credibility that 99% of injuries are caused by a single cause we have always have that 1% that aren’t and that allows us to dismiss it as an outlier.. Dismissing causes that don’t neatly fit into your view of the world as statistical aberrations or outliers is just another form of calling a fatality an unforeseeable act of God.

No One is So Dangerous as the Man with the Whole World Figured Out

When we start to see any topic with a fanatic’s singularity we become dangerous. If we believe that most injuries are caused by a single cause—whether it be leadership, or culture, or process failures, or human error, or risk taking, or pixies, faeries, and trolls—we create a world where anyone who disagrees must be heretics and heretics must die or at very least publicly mocked behind the walls of anonymity of a LinkedIn discussion thread.

Call Us Legion, For We Are Many

I am distrustful of the “one-size-fits-all” approaches to injury reduction, which let’s face it, isn’t the same as safety and yet many of the programs, snake-oils, and magic bullets our there promise safety and only sometimes deliver injury reduction. It’s dangerous to think in terms of a lone-gunman cause for injuries (even when allowing for the possibility that there could be other lone gunman working simultaneously. The opposite of lone gun thinking is conspiracy theory, which okay, I admit, makes me sound like even more of a whack-job than usual. But for our purposes think of injury causes as being somewhat, or at least potentially, benign by themselves. We interact with hazards every day and in the fast majority of those interactions we don’t get harmed. But the more hazards that are present the greater the probability of injury and the presence of some catalyst causes us to be injured. Think of the straw that broke the camel’s back: up until that last minute the camel was uninjured, but given enough objects loaded onto the camel’s back eventually the camel will exceed its capacity to hold the weight.

There are many things, often working in tandem, that cause injuries and we have to stop arguing over whether the straw broke the camel’s back or whether the man who overloaded the camel was to blame, or whether the camel made poor choices, or whether both camel and man had been poorly trained, or whether we could provide an incentive for the camel’s back not to break and realize that there is seldom only one thing going on, and in most cases hazards work together to achieve a lethal synergy that can maim, cripple, and kill.

We Need To Look for Questions Not Answers

I taught problem solving for many years. One technique we used was called Situation Analysis. This technique is used to solve problems with more than one cause, has inter-related causes and effects, and grew over time. The technique was useful for solving broad problems (like…I don’t know…injuries). What I found interesting is that this technique taught people that if you only focus on one of the causes and ignore the others you won’t really SOLVE the problems you would merely make the symptoms go away until the other causes would cross a threshold causing the problem to return even worse than it had been before. I think of the conundrum of fatalities. Injury rates seem to be going down (although many believe that this is largely the result of under-reporting or more rigorous case management) while fatalities are staying flat or in some cases rising. This is the exact pattern one would expect from methodologies that attack one cause while ignoring others─ the problem seemed to be going away until it roared back worse than ever. It has left safety professionals scratching their heads, but if we attack the lack of safety as a complex problem that has multiple causes that are interrelated we might just be able to manage things better and save some lives.

I’m Not Alone

I know I may sound like a broken record, but when you sell hammers all the world looks like a nail, and while I have heard many say “well BBS is just a tool in my toolbox” (and I use BBS as an example because I hear this more then let’s say “human performance” or “leadership improvement”) I get skeptical. I want to ask what other tools do you use? When do you use them? When is it inappropriate to use them? But I don’t; frankly I’m tired of arguing with fanatics. One bright spot is that I am meeting more and more people who are beginning to think like me. Rockwell, for example, talks about the 3Cs of safety. The 3 C’s are Capital, Compliance, and Culture. Now I’m not here to promote Rockwell but I like where their heads are at on this. I’m over simplifying their spiel here but effectively what they are saying is that you have to consider all three of these things when attacking safety issues. Capital-you have to make capital expenditures to fund projects to improve your equipment. I would expand that to include your facilities as well, but I think their point is well taken. Compliance-let’s not forget that we have to follow the law and that basic compliance is the gateway to more advanced safety solutions. And Culture-hiring qualified organizational development professionals to make substantive changes in how your organization views and values safety is important. To hear Rockwell tell it, you can’t expect great results without looking at all three; I think they are right.

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2014 New Year’s Resolutions for Safety Professionals

by Phil LaDuke

Last year I wrote a list of New Year’s resolutions for Safety Professionals. The piece proved popular and people this time of year seem to come looking for them. I decided to write this piece without looking at the previous list and after doing so taking a look at them to see if I am capable of any sort of growth. 2014 has been a rough year for me. I lost my father-in-law and one of my few remaining uncles to work-related illness and despite by best efforts through writing and speaking and working I don’t seem to have changed anything, not a single mind. But this time of year makes the best of us reflective and after doing some soul searching and reflecting I came up with a short list of things I think we as professionals can do to be even more effective:

  1. Seek first to understand before seeking to be understood. Okay, I borrowed this one from St. Frances of Assisi but I think safety practitioners need to adopt it, especially those of us who sell safety services and solutions. We need to listen to the organization and ask probing questions—not in an attempt to lead people to our preordained solutions but so that we can understand their pain points, we cannot solve a problem that we don’t fully understand.
  2. Keep things simple. When we offer advice we need to do so because we truly want the other to benefit from our wisdom and experience not because we want to show off or demonstrate our brilliance. The best advice I have received in life was simply stated and to the point. Perhaps the absolute best advice ever given me was a single word, “stop” (my friend Ken said to me as I was about to mindlessly walk into the path of speeding Chicago traffic). We don’t need to write grand, self-serving treatises to be effective.

We have become a profession of theorists who, when proven wrong, change the rules. We need to get back to basics, as my boss if fond of saying “the best companies get the basics right and they get them right every time”. So what are the basics? Competency, Risk Management, Process Capability, Accountability and Engagement. But on an even more basic level we need to tackle the basics of hazard identification, containment, correction, and communication.

  1. Be kind. I know it may sound hypocritical of me to preach kindness but as a wise man once said to me, “make the day, don’t let the day make you”. To a large extent what we send out comes back to us and when we are kind people are more likely to be persuaded by us than when we are jerks. Besides, being the safety jerk is my job. When someone has been injured they are particularly vulnerable, “I told you so” or “you should have…” never soothed an injured worker.
  2. Serve the Organization. I spent last weekend poring over incident reports and Workers’ Compensation reports and I was struck by how often we assume the injury was intentional until proven otherwise. Are their liars and cheats who want to fake claims? Sure, but far more of the injured are victims and if we just lived our lives in service to the organization instead of standing in judgment of the injured we would see that most injuries are painful, embarrassing moments in the lives of workers. Do we have to protect the company against fraud? Absolutely, but let’s resolve to do so without treating everyone as criminals.
  3. Collaborate. We cannot be successful trying to do this alone and we have to swallow our pride and reach out to other disciplines. I have seen so many safety professionals wrestling for control with the continuous improvement group only to have both groups remain impotent in the organization. Reach out and help someone and ask for help in return; at the end of the day we’re all in this together.
  4. Teach. To be truly safe workers need to be able to do their jobs and they need to have mastered their jobs. I wrote this to a safety executive once and he wrote me back with scorn. “Why do they have to master their jobs?” he scoffed at me. I resolved right then and there never to do business with him. I don’t think he can be reached and if he can learn, he cannot learn from me.
    But in answer to his question, why do they have to master their job? Because the level of mastery of one’s job equates to the level of risk one operates under while working. Workers who don’t know how to do their jobs—or our just marginally competent—are far more likely to be injured or to injure another worker. This is most acutely evident in how companies view training temporary workers; in the minds of many better to kill a temp than to waste money training one. It’s ugly, but it’s true.
  5. The more we sharpen our skills as safety professionals the more good we can do, but I’m not talking about learning the latest safety fad. We need to learn how our businesses work, how our organizations survive, and how our companies make money. We can’t change anything unless we know how our businesses work. Instead of going to the same tired professional conferences and hearing the same tired speeches from the same tired hucksters why not attend a business seminar, or a Lean Management course? You will be a better professional for it.
  6. Safety is a tough way to make a buck, and it’s getting tougher. Hang in there, this isn’t a job for quitters.

Last year I gave you 10, but this year only eight. But I will make you a bargain. If you do these eight come see me and I’ll give you another 10.

#5s, #accountability, #aerospace, #at-risk-behavior, #attitude, #attitudes-toward-safety, #awareness, #behavior, #behavior-based-safety, #behavior-observations, #behaviour-based-safety, #branding, #change, #combustible-dust-2, #construction-safety, #continuous-improvement, #contract-house-safety, #contractor-safety, #contractor-safety-training, #contractor-training, #core-skills-training, #criticisms-of-bbs, #culture-change, #deming, #distracted-driving, #driving-while-distracted, #empowerment, #enforcement, #engagement, #fabricating-metalworking, #fabricating-and-metalworking-magazine, #fleet-safety, #guiding-behaviors, #happiness, #hazard-management, #healthcare, #human-error, #incident-investigation, #increasing-efficiency, #individual-accountability-for-safety, #injury-reporting, #jim-raney, #joy, #just-culture, #kan-ban-systems, #line-of-fire, #logistics, #loss-prevention, #manufacturing, #mining-safety, #mistake-proofing, #mistakes, #national-safety-council, #near-miss-reporting-2, #new-year-resolutions, #oil-gas, #oil-and-gas, #operating-efficiency, #organizational-change-2, #organizational-development, #peace, #pedestrian-safety, #performance-improvement, #phil-la-duke, #poke-yoke, #process-capability, #process-improvement, #process-safety, #regulations, #risk, #risk-management, #risk-taking, #root-cause-analysis, #rules, #safe-work-culture, #safety, #safety-branding, #safety-culture, #safety-culture-development, #safety-incentives, #safety-observations, #safety-slogans, #safety-tours, #safety-training, #selling-safety, #selling-safety-in-tough-times, #situation-analysis, #situational-analysis, #stop-trying-to-prevent-every-possible-accident, #systems-based-safety, #talent-management-2, #temp-agencies, #temp-agency-safety, #temp-safety, #temporary-workers, #temps, #texting-while-driving, #the-enforceable-rule, #the-nature-of-mistakes, #traffic-fatalities, #traffic-safety, #training, #training-safety, #transformational-safety, #values, #variability-in-human-behavior, #why-we-violate-rules, #worker-safety, #worker-safety-net, #workplace-fatalities, #you-cant-fix-stupid

Why BBS will Live Forever

By Phil La Duke

Just when you think the debate over Behavior-Based Safety has faded from the landscape something brings it crashing back into your consciousness. For me it was a recent article (and the response to it) by Dr. James Leemann. Jim asked the question “will Human and Organization Performance (HOP) finally supplant BBS” as the prevalent approach to worker safety? As one might suppose the BBS zealots and whack-jobs came crawling out of the woodwork to complain.

I’m a big proponent of HOP because it fixes system problems not the blame. HOP goes beyond the behavior and address the system-wide antecedents, the things that precede and encourage the very behaviors that influence safety. I don’t think it’s a perfect system for protecting workers but I believe that safety is the output of well-managed business systems and so HOP makes a lot of sense to my clients and me.

The backlash to Jim’s article was predictable; the usual suspects accused Jim of not understanding BBS, not having seen BBS properly deployed, etc. etc. etc.

The whole argument exhausts me. I’ve said before that arguing against BBS is like telling someone you don’t like eating fricasseed squirrel anus. The first response is always, “well you just haven’t had it cooked right; you need to try MY fricasseed squirrel anus—you’ll love it!” So you try there version and it tastes even worse that the last time. But you still don’t, in the eyes of the fricasseed squirrel anus lobby, have any real standing, how many squirrel anuses (anusi?) does a man have to eat before the nut jobs cooking it will allow that said man to refuse on the grounds that squirrel anus is unpalatable?

To speak up against BBS is, in the mind fanatics, to speak out against safety, God, apple-pie and motherhood; it doesn’t matter how much evidence you produce that BBS doesn’t work, creates bloated bureaucracies, and encourages under-reporting of injuries, you will never convince the true believers that BBS is anything less than the one true path. It’s like trying to convince Lynette “Squeaky” Fromme that Charles Manson isn’t a pure soul; talking about it is like doing a card trick for a dog.

I’m at a loss to explain why BBS lingers in the same way I’m at a loss to explain why some people still believe in the Loch Ness Monster when most of the most credible evidence has since been exposed as so much bunk, or why there are Big Foot sightings in every state of the Union (including Hawaii), or why people believe in alien autopsies while others refuse to believe that the moon landing was anything more than a government conspiracy with a Hollywood twist.

For some BBS is an important source of income and in those cases it is not inconceivable that either they unethically cling to something that they know is snake oil or they have convinced themselves to ignore information that threatens their livelihoods; either way they have the strongest possible financial incentive to refute any claim that BBS doesn’t work. It’s much like a child who begins to doubt the existence of Santa Clause but is terrified that if he or she voices this doubt the Christmas gravy train will end and there will be no more Christmas present bonanza; the pragmatist in each of us will play it safe and perpetuate the Santa Claus myth even though long after we ourselves have long stopped believing.

For others BBS is a crutch on which they lean to compensate for the lack of real competency in safety. When one doesn’t quite get it, one clings to those things that they CAN understand. If you have a safety practitioner who lacks understanding of the basic safety regulations will find BBS a comforting alternative, with it’s simplistic “just reward safe behaviors” philosophy. Many people who don’t know the hard science side of safety will gravitate toward the simple argument that “if 80% of injuries is caused by behavior then we should focus on behaviors”.

In a broader sense BBS has a wide appeal to the key players within an organization. Management likes the “let’s hold workers accountable for working safe” underpinnings of BBS. Safety professionals like the number of resources that fall under their control; they get to spend money and engage in a wide range of activities. Employees love the pizza parties and safety BINGOs and safety bonuses. And of course vendors love the revenue it brings in. There is a conspiratorial feel to all this that sets off alarm bells.

Still others, and I believe this is the largest group speak about BBS in philosophical terms. Those in this group will insist vendors have a behavior-based safety system in place as a condition of doing business; it’s a nice thought but what then constitutes a “behavior-based safety” system? Is it enough that the safety system address unsafe behaviors? If so, this is fundamentally flawed unless the definition includes some context, and because all behavior exists within a context the definition would have to be exhaustive to be of any use whatever. What’s that old saying about the road to Hell being paved with good intentions? Wikipedia, granted nobody’s vision of a credible source, defines Behavior Based Safety as “the “application of science of behavior change to real world problems”.or “(their spelling error not mine). A process that creates a safety partnership between management and employees that continually focuses people’s attentions and actions on theirs, and others, daily safety behavior.BBS (again their screw up) “focuses on what people do, analyzes why they do it, and then applies a research-supported intervention strategy to improve what people do” Let’s take that one phrase at a time:

“application of science of behavior change” according to behaviorscience.com the science of behavior change is behaviorism. And according to the American Board of Professional Psychology (people who it would seem ought to know) “behaviorism” “emphasizes an experimental-clinical approach to the application of behavioral and cognitive sciences to understand human behavior and develop interventions that enhance the human condition.” I’m pretty sure that BBS as practiced is just about as far from this as can be reasonably imagined.

“A process that creates a safety partnership between management and employees that continually focuses people’s attentions and actions on theirs, and others, daily safety behavior”. Here, while many BBS systems aspire to this none can honestly say they have achieved it, for if such a system does exist there would be no injuries, no near misses, no need for the hapless companies to frantically feed the BBS money machine.

“focuses on what people do, analyzes why they do it, and then applies a research-supported intervention strategy to improve what people do” Again, while BBS may do all these things, to what end? They haven’t and never will prove that all this focus and research changes human behavior one whit, nor does it change the ingrained tendency for people to make errors, take risks, and behave unpredictably. No, I am not condemning anyone who requires his or her vendors to have a behavior-based safety system—just using safety performance as a criteria for selection will save more lives than not doing so. I am not condemning anything really, I just want to know why merely asking the question “is it time to dump BBS and consider another approach” is seen as abject ignorance or malicious heresy. Is a world without BBS so threatening and scary?

#5s, #accountability, #aerospace, #at-risk-behavior, #attitude, #attitudes-toward-safety, #awareness, #behavior, #behavior-based-safety, #behavior-observations, #behaviour-based-safety, #branding, #change, #combustible-dust-2, #construction-safety, #continuous-improvement, #contract-house-safety, #contractor-safety, #contractor-safety-training, #contractor-training, #core-skills-training, #criticisms-of-bbs, #culture-change, #deming, #distracted-driving, #driving-while-distracted, #empowerment, #enforcement, #engagement, #fabricating-metalworking, #fabricating-and-metalworking-magazine, #fleet-safety, #guiding-behaviors, #happiness, #hazard-management, #healthcare, #human-error, #incident-investigation, #increasing-efficiency, #individual-accountability-for-safety, #injury-reporting, #jim-raney, #joy, #just-culture, #kan-ban-systems, #line-of-fire, #logistics, #loss-prevention, #manufacturing, #mining-safety, #mistake-proofing, #mistakes, #national-safety-council, #near-miss-reporting-2, #oil-gas, #oil-and-gas, #operating-efficiency, #organizational-change-2, #organizational-development, #peace, #pedestrian-safety, #performance-improvement, #phil-la-duke, #poke-yoke, #process-capability, #process-improvement, #process-safety, #regulations, #risk, #risk-management, #risk-taking, #root-cause-analysis, #rules, #safe-work-culture, #safety, #safety-branding, #safety-culture, #safety-culture-development, #safety-incentives, #safety-observations, #safety-slogans, #safety-tours, #safety-training, #selling-safety, #selling-safety-in-tough-times, #situation-analysis, #situational-analysis, #stop-trying-to-prevent-every-possible-accident, #systems-based-safety, #talent-management-2, #temp-agencies, #temp-agency-safety, #temp-safety, #temporary-workers, #temps, #texting-while-driving, #the-enforceable-rule, #the-nature-of-mistakes, #traffic-fatalities, #traffic-safety, #training, #training-safety, #transformational-safety, #values, #variability-in-human-behavior, #why-we-violate-rules, #worker-safety, #worker-safety-net, #workplace-fatalities, #you-cant-fix-stupid

Insights on Culture

By Phil LaDuke

On Friday I went to the neighborhood bar as I am wont to do from time to time. While there I saw a regular who works with my brother in an open die forge. I passed the pleasantries with him and asked him how he was. He said he was doing a lot better and was healing. I didn’t know what he was talking about so I asked him. He explained that he was burned badly at work; second-degree burns over most of his lower leg. He quickly produced a cellphone and proudly displayed a gruesome photo of a badly burned leg. As I looked at the sickening display he recounted the details. He prefaced his story with a quick, “It was my own fault, I was so (expletive) stupid”, and told his tale of his not paying attention to a hot piece and having his pants catch on fire. Instead of using sand to put out the flames he panicked and ran. There were some jokes made in poor taste about the old Bill Cosby “Stop, Drop, and Roll” television ads, and I asked him how much time he missed. “Not a day. I took it like a man.” Took it like a man; his comment made me think about culture.

Culture is all the rage in safety these days. Circa 1972 James Reason made the observation that before an organization can create a “Just Culture” it must first create a “Safety Culture”. Reason wasn’t talking about worker safety, at least not in the way we tend to think of it. Unfortunately, the snake oil salesmen have glommed onto the term like lampreys on a fish’s soft white underbelly and subvert it more and more each day.

My acquaintance’s story tells us a lot about culture and the relationship between safety and culture. It occurred to me that there are levels within culture and if we are hoping to change the culture of our organizations we need to examine the nuances of culture. Each level of safety culture is characterized by a perception of a reaction of some sort; each one is driven by a fear of some sort.

Fear of Discipline

The other day I was late for a doctor’s appointment and I was tempted to speed; I didn’t. My first thought was, “I don’t need a ticket”. The idea of spending money on a ticket and the time it would take up just didn’t seem to favorably balance against the time I might save. As many times as my doctor made me wait (ultimately I had to wait in the doctor’s office anyway) I figured I was owed some slack. In the moment of decision, I placed more value on compliance than I did on the potential value.

Fear of Loss of Reputation

As I reflected on my decision I thought about culture. What, I asked myself, would I have done if my speeding had been through a school zone. What influence would the opinions of my friends and neighbors have on my decision. I think it would be fair to say that for many the risk of damaging our public image (coupled with the fear of discipline) would put more pressure on me to conform to a norm and to adhere to the values of the community. My desire to preserve my reputation was stronger than my desire to get to the doctor’s on time.

Fear of Culpability

Of course there also was my concern for public safety. I’d like to think that most of us want to behave safely when the lives of innocent school children are at stake. But even when the situation isn’t about endangering school children there is on some level a desire to be a good person and good member of the population; a good citizen, if you will. In our heart of hearts we all want to conform to the shared values of the culture. We go along to get along.

Putting It Into Practice

If these fears are the drivers of culture then what are we to do with this information. Well think back to the guy in the bar who set fire to his leg. Clearly the culture of his company valued guys who “man up” when it comes to injury. Here is a guy who is working while heavily medicated; doped up on pain medication. This is a culture that values a lower DART rate than it does the safety of the remaining employees (how do you think the performance of a heavily medicated employee will be effected?). This is a culture that encourages workers to “man up” and work while injured. This is a culture that doesn’t seem to value worker safety much. I realize this is harsh criticism and that I can’t really make judgments on the company simply because of an account from an injured worker. I think it’s important to note that the worker in question likes his employers and generally has good things to say about his company. The net sum total is this worker’s willingness to go to work rather than to stay home and recuperate he didn’t do it out of fear of repercussions he did it out of fear for his reputation and to conform to the shared values of the population.

The takeaway here is to change your culture you first have to understand the coercive pressures you put on people every day. You need to ask yourself three basic questions:

  • What value does the organization place on discipline? Are people hailed as heroes for “manning up” or dismissed as wimps because they report injuries or seek appropriate medical attention.
  • How are people who value safety viewed? Are they seen as solid professionals
  • How is risk viewed? Are people with a low risk tolerance seen as top performers or as “worry warts”?

The point I’m trying to make is that you may be fostering a culture that actually promotes the things that you are trying to change.

 

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Worshiping at the altar of false gods

Golden-Calf

By Phil La Duke

Yesterday was the anniversary of the attack on Pearl Harbor. Last week I buried an uncle. He, like his brother before him, my father, died the agonizing death that only mesothelioma can bring. Watching the rapid deterioration of someone who was recently so full of life is hard enough to watch, but watch it repeatedly unfold is tough. My brother was one of seven boys in his family and all but one of them served in World War II and even though one served at Guadalcanal and another flew Corsairs over the Pacific they all came home safe. The workplace did what World War II couldn’t kill these men of the greatest generation. But injury rates are down so maybe I should just shut up about it. I guess it just grinds me that so many of our profession look at one of indicator (Incident Rates) and pronounce the battle if not won, certainly nearly so.

Incident rates are falling, any safety professional will tell you that. But according to the Bureau of Labor Statistics over 8,000 people get injured on the job every day in the United States alone. EVERY DAMNED DAY! Add to that that fatalities are trending flat and we have an alarming statistic. Last week I talked about indicators and (in part) how indicators in a vacuum lead us astray. When we consider these two indicators together it would seem that they tell us very different things. When considered together, however they can mean any number of confusing, contradictory things, and maybe they can tell us something we don’t want to face.

What could reduced injury rates mean? Certainly it could mean that fewer people are getting hurt and I guess that’s cause for celebration, unless of course you are one of the 8,000 who will get hurt this today. Reduced injury rates could also mean more accurate case management; that is, perhaps organizations are doing a better job exposing fraud, which is a good thing. Of course reduced injury rates could indicate a dangerous trend of under-reported injuries or injuries deliberately manipulated such that they are no longer “recordables”.

Without any other evidence, no further indicators, all of these explanations are equally plausible. But the ugly fact is that taken together we have scant little explanation for this discordance. One of two states exists: either the workplace is getting safer or it is not. On the side of the safer workplace argument is the reduced injury trend, but on the side of the “things are more less the same “ argument is the flat fatalities trend. Either reduced injuries mean that the work place is getting safer or flat fatality trends mean that things aren’t getting any better. There are other possibilities, however unlikely. For example the workplace could be increasingly free of “low hanging fruit” those simple hazards that are quick, cheap, and easy to fix. Walk through any industrial setting and you will soon be convinced that this isn’t true. It could also indicate that while fewer people are getting hurt the chances of a worker getting killed aren’t getting any lower. We should either see fewer injuries and a corresponding drop in fatalities or a flat trend in both figures indicating that nothing is improving.

What then are we to make of the flat trend in fatalities? Certainly it is exceedingly difficult for an organization to use case management to turn a first aid or case into a fatality, so I think we can rule out better case management or even case management fraud as the reason that fatalities aren’t improving. It is also incredibly difficult to over-report fatalities so we can rule that out as a reason that we don’t see fewer fatalities. So we must accept the possibility that there are indeed other forces acting on the incident rates and that these other forces aren’t really making the workplace safer, they are just making it possible to “juke the stats”. We can play games with the numbers to make our performance look better without actually making the workplace safer.

I’m no conspiracy fanatic, I don’t believe there is a conscious effort on the part of most companies to mislead the government or workers, but I do believe that many companies have misused incentives, perpetuated antiquated thinking that convinces senior leadership that behavior-based nonsense somehow is making the workplace safer when it is not. We have to consider that maybe, just maybe, the falling incident trend is a lie, or at very least an indication not of improved safety but of organizations bowing to pressure to get their rates down and doing so by means other than lowering their risk to workers. This is dangerous ground. If we fail to recognize our risk, because we believe our risk of injury is artificially lower than it is we place our workers and ourselves in harms way. It’s high time that we take a hard look at this cherished fact that incident rates have been falling and that falling incident rates mean a safer workplace.  If it is a pure fact that incident rates are falling for no other reason than because fewer people are getting injured that means that the workplace is getting more dangerous because a higher percentage of workers die because of their injuries.  I don’t think this is true.

Some believe that this discrepancy between fatality number and injury rates is because fatal injuries fundamentally caused by different factors than less serious injury. They may be right, but it’s also possible that they believe this because the idea of improving incident rates is so appealing that many will reject any suggestion that this trend is bogus. We in safety love our idols, our false gods; falling incident may be just one myth with which we are so enamored. Meanwhile, in the time it took to write this article approximately 223 workers were injured. Isn’t it time for us to rethink this statistic and stop trotting it out as proof that we are doing a good job?

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