Teaching Point: Talking together, with each other

In order to build a culture of safety excellence, information needs to be widely shared in a way that it is credible, clear and understood. Talking together is so important.

Treating people with respect, showing them that we care about them and their safety, listening to them as they share their hopes, concerns and ideas, is vital to building a culture of safety excellence.

creating a safety cultureAs managers go into their workplaces, walking around watching, listening and sharing with true authenticity and interest, trust and interdependence build. People learn to open up, to share, to point out possible areas for improvement, and to realize that they are a critical part of the whole safety effort. A huge, positive shift in the safety culture occurs. The people close to the actual, physical work are often in the best position to see potential hazards that are not visible to the managers. The managers often need to push to meet production schedules so it is easy for them to miss these potential hazards. Therefore, having the active help of those closest to the work is an important piece of the total safety effort. This is one way we avoid disasters like the Deepwater Horizon explosion and fire.

Yet, many managers find that talking like this with the people in the organization is difficult. In the early days of my career, I also was reluctant to go into the workplace and talk with the people. This is a participative process and sometimes you can get tripped up. I found that I needed to get very clear about the safety messages and their importance so that I was able to be coherent and credible as I engaged with every one. Once I had the ideas about safety clear and cogent, I could easily talk with people. I learned that I did not have to have the answers to every question that was asked. When I didn’t know the answer, I’d say I did not know and would get back to them as quickly as I could. This actually made the encounters more effective since the people could see that I was listening and learning as well. People want to get to know their managers and see that they are truly interested in them and their safety.

So, I strongly suggest that the managers get clear and coherent on their safety messages, get out of their offices and into their workplaces, talking together, listening and learning so problems can be avoided and potential improvements identified. Then get going with the people to solve the problems and make the improvements. This takes time and effort, but over the long run, time is saved and leading gets easier as we avoid the dreadful mistakes and injuries.

This way of communicating with the people is highly effective and a key part of The Complexity Leadership Process. While much of my focus is related to workplace safety, this Complexity Leadership Process can apply to all aspects of organizational life since organizations are complex evolving systems.

Safety is very complex with all the interactions of people, technology and varying conditions; this tool enables the people to have the necessary conversations for them to come together in partnership and achieve excellence.

The fundamental basis for the Complexity Leadership Process we use in moving from compliance in safety performance to excellence is a powerful tool called the Process Enneagram©.

Characteristics of The Safest Organizations

The safest organizations are the ones that behave as if they are Living Systems.

creating a safety culture in the workplaceMost of us working in safety have been brought up to see organizations as if they are machine-like. This thinking goes all the way back to Descartes (1596-1650) and Newton (1642-1727). We use reductionist approaches to try to understand them. We seek cause/effect relationships. We use linear processes for training and the like, prescribing answers and doing things TO the people. We work on this part or that part trying to fix the whole thing.

It is a bit like a doctor who works on the stomach while another doctor works on the heart as if they are not connected in some way to the whole body, and have an impact on each other.

In this reductionist arena, we put a lot of effort and time into trying to reduce injury and illness rates to levels of excellence (<0.5) and sustain these levels. This is very hard, difficult and expensive.

Yet, over the last 50 or so years, scientists have been able (by using high-speed computers) to see the world and its patterns in wonderful new ways. We can see the whole of the organization – the connections of the various parts and the non-linear ways that they interact. We discover feedback loops and self-organization.

We are able to see the whole organization as if it is a living system.
All the people are vital parts to the success of the whole. We are able to share information freely, to learn together. Trust and interdependence build and the future can be co-created.

This is not just airy-fairy stuff! When I have used this approach to working with organizations to improve their safety and business performance, extraordinary results are achieved.

This is Operation Transformation for you and your organization, for Leaders and your people.

You each can begin to take steps in this direction by going into your organization, listening and talking with the people.

Find out what they think about the work they are doing and if they have some ideas about doing it in a better way. Help them to think through these ideas and, if they are good ideas, help them to bring them into reality. This simple process will begin to open things up to a better, safer, more productive future.

Safety Leadership Workforce Challenges

Edwin G. Foulke, Jr., Partner in Fisher & Phillips and former Assistant Secretary of Labor for Occupational Safety and Health, spoke at the American Society of Safety Engineers, Region 4 Professional Development Conference about the changing nature of our workforce.

Existing employees are getting older and many will be retiring before too long.

workplace safety workforceLots of critical knowledge, experience and skills will be lost. Younger people, who have grown up in an electronic world of texting and games, will replace these people. Many are out of shape and bordering on being over weight; some are developing diabetes. This will pose significant challenges to employers and the need to work safely and well.

These changes will pose even more challenges than those of the very high growth rates mentioned by Amir Farid in his Keynote address at the AIChE Conference mentioned above.

Seeing Safety as a Complex Adaptive System

This means we’ll have to learn to work together in new, safer ways.

This shift in our safety culture and the way we work is the core of our work and the subject of our Newsletters, Blogposts and Safety Flashes. When we make this shift, everything changes. The patterns and processes become clearer and our work with the people becomes much easier, resistance to change almost disappears, and new things can be implemented quickly and effectively.

What steps has your organization put in place to adapt to an aging workforce?

Changing Safety Culture

I am becoming more and more focused on changing the safety culture of organizations. There are lots of training programs and fine instructors teaching all aspects of safety technology. Yet our organizations still have to deal with a lot of people getting hurt.

Most people don’t come to work expecting to get hurt. Most organizations want people to work safely. I think a large part of our challenge to moving towards safety excellence is the way our organization’s culture influences how people decide to work together, or not.

safety excellence in business leadershipMost of the safety people I’ve come to know approach organizations as if they are mechanical things to manipulate. Organizations are structured in functions. Knowledge is structured in pieces. People are narrowly skilled. Motivation is based on external factors. Information is shared on a need to know basis. Change is a troubling problem. People work in prescribed roles seeing only their part of the work. If change is needed people are moved around like chairs. Training is provided in abundance. Safety programs are set up as step-by-step processes where things are arranged in a prescribed sequence.

There is a big emphasis on teaching people what to do and then expecting them to do only as they are told…as if they checked their brain at the locker.

In my experience, organizations are not mechanical things to be manipulated, but rather they behave more like a living system. Knowledge is seamless. Organizations are seen as a whole system. Work is flexible and without boundaries. People are multi-skilled and continuously learning. Motivation is based on links to the whole system. Information flows openly and freely. Change is happening all the time, and seen as an opportunity for improvement. People work beyond their roles. People see their work in relation to the whole, knowing and doing what needs to be done. People work safely because they want to go home safe at the end of the day. They understand the larger expectation of the business.

Organizations are complex adaptive systems. The tools to work in complex adaptive systems are different from those that work in organizations seen as machines. When the tools of complexity are used, things work much more effectively, people become engaged in working towards the success of the whole system and change can happen quickly.

To learn more about this topic, see my blogs posts on Safety Excellence.

LEADERSHIP of Complex System and the Growing Interest in The Process Enneagram©

This blog-post is NOT about Safety, but rather it is about the larger arena of Leadership.  For those that know me, Leadership and Complexity are important to what I teach, what I apply in my Workshops, and what I often write about.  The focus today is on the growing interest that is developing around the Leadership of Complex Systems…and The Process Enneagram©, which is a tool of complexity.  Please read on….to learn about how this increasing interest is showing up!

There is a growing awareness of the science of complexity and how to apply the insights gained from this work in organizations. This is showing up in various places like the Linkedin Group discussion boards. There is also a growing awareness of the Process Enneagram© and its usefulness in helping people to solve complex problems, build the social connections they need to get the work done and create the emotional energy and commitment to do the work quickly and well.

The Journal “Emergence: Complexity and Organization” asked me to Edit a Special Issue of their Journal devoted to the Process Enneagram. This Special Issue was published in March, 2013. (Emergence: Complexity and Organization, Vol. 15 #1, 2013).

In the call for papers for this Special Issue a total of nine papers were submitted. This was too much for the Special Issue so all nine papers were recently published in a book. The Special Issue and the book, “The Process Enneagram©, Essays on Theory and Practice” are both available at Emergent Publications.

Beverly G. McCarter and Brian E. White in “Leadership in Chaordic Organizations”, (2013, ISBN 978-1-4200-7417-8) write a large section on the Process Enneagram and say that it seems to be the missing link between complexity theory and practical application.

International Top 100 Magazine just listed my biography in their “Who’s Who in Consulting” in their August 2013 Issue.

There is a growing interest in my book, “The Leadership Dance, Pathways to Extraordinary Organizational Effectiveness”. Even though it is 11 years old and has sold about 1,500 copies, Claire, my wife and partner, was able to do a book launch on my 78th birthday on August 8th and it became a #1 Amazon Best Seller and remains a Best Seller 15 days later as this is being written. This book is now considered by many people as a classic in organizational transformation.

The Process Enneagram is being used by many people around the world, especially in New Zealand and Australia where I have done a lot of work over the last 15 years. It is also being used by Datuk Mary Yap Kain Ching in Malaysia to study the leadership of head teachers in their most successful schools. Ms. Ching was recently elected to Parliament in Malaysia and is now the Deputy Director of the Ministry of Education in her Country.

A series of videos is being prepared for The Center for Self-Organizing Leadership website to introduce more people to this way of leading and to determine interest levels for developing a webinar on the Process Enneagram and its use.

Interest in Accreditation is developing in New Zealand, Australia and the US so I am now working with a number of people who are interested in becoming Accredited in the use of the Process Enneagram©. (If anyone reading this Blog is interested in becoming Accredited, please contact me.)

The Center for Self-Organizing Leadership website is being up-graded and many articles that I’ve written will be available and new products are being created.

My work in the application of complexity theory and The Process Enneagram to helping organizations achieve excellence in their safety performance progresses. My understanding of these tools and their application continue to develop. A description of my new Complex Systems Leadership Process© can be found in my previous blog.

This Process has three simple rules:

  • Share all information.
  • Build trust and interdependence.
  • Help people to see how they fit into the organization and the importance of their work to the success of the whole.

There is also a simple 4-step process for the people to use together to achieve and sustain excellence in their safety performance.

Having pursued this vision of the Process Enneagram and its value and importance, it looks as if things are beginning to come together. I thank all of you reading this for your help in this long journey.

 

Richard N Knowles, Ph.D.

Complex Systems Safety Leadership Process©

Our work in helping to create injury-free work environments is complex.

There are three major areas of work that overlap to some extent. Depending on the work of the organization the emphasis may be different for the three areas of work.

Occupational Safety:  One area of our safety work relates to Occupational Safety. Here we experience acute incidents like slips, trips and falls. Some of these lead to deaths. This area of safety work has been around a long time and is well developed. The systems, process and equipment for this work are managed by those closest to the work itself. These are the operators and mechanics as well as the first-line supervisors and the safety people who are working with them. This work not only saves the people from injuries it saves the company about $40,000-50,000 per average OSHA Recordable injury. A powerful leading indicator I have found useful is the Safe Acts Audit which is a quick and simple way to asses the safety climate as it shifts around. This is not a punishment procedure.

Occupational Health:   A second area of our safety work relates to Occupational Health. Here we experience long-term, chronic problems. These can be related to low levels of exposures to toxic materials like asbestos, benzene and lead or repetitive motion problems like carpel tunnel syndrome and poor lifting positions. This area is newer than the Occupational Safety area and we are still learning a lot. As our workforce age, we will run into more Occupational Health problems. Often, by the time that we become aware of the problem, a large number of people have been impacted and the costs for remediation are very high, running into the millions of dollars. This work is best managed by those close to the work like operators, mechanics, clerical people, and health and safety experts. The leading indictors for this area of work are the discomforts experienced by the people doing the work, and also by researchers and experts who are studying large populations of people and can see trends and wider problems that are more subtle.

Process Safety:  A third area of our safety work relates to Process Safety. A lot of new work is developing in this area of safety. Here we have acute problems like spills, releases to the air and water, fires and explosions. There can also be chronic dimensions to this like very low levels of emissions to the environment that result in public health hazards. This area of safety work is best managed by the operators, mechanics, engineers, researchers and other scientists close to the work itself. When a Process Safety incident occurs the costs in terms of lives and money can be very, very big as British Petroleum can attest to. The leading indicators in this area of safety work are things like near misses and close calls. Leading indicators are also the adherence to standards like timelines to get things repaired, schedules, the reduction of backlogs on safety work orders, and timely inspections of relief valves and thickness measurements of vessels and pipelines.

leadership safety in the workplaceOverlap:  All three of these areas of safety are often lumped together as SHE, EHS or HSE. When we lump these all together we can miss things so I think it is useful to see these three overlapping, interacting areas of our safety and health work. There is some overlap between Occupational Safety and Occupational Health like the proper selection and use of respirators. There is some area of overlap between Occupational Health and Process Safety like preventing chronic exposures to toxic chemicals. There is some overlap between Process Safety and Occupational Safety like locating trailers and offices away from operating areas using large quantities of flammable and explosive materials.

There is also overlap among all three areas of our safety and health work. This is where the people issues and culture become important. Everything happens through people! We need to have strong, effective leadership in order to bring all the work together and do a solid job in this work. There are many safety consultants who are teaching leadership of safety using linear, top-down processes that do have a good impact. However, in my experience, these are hard to do, often cumbersome and very hard to sustain. This is because these people are trying to lead safety using linear processes that are suitable for complicated situations.

Interactivity:   All the interacting people and areas of safety and health are a complex system requiring different tools for successful leadership. Coming out of my studies of chaos and complexity science and my own experience in leading safety I have developed the complex Systems Safety Leadership Process©.

Complex systems often have a few simple rules that govern their behavior. The Three Simple Rules for The Complex

Systems Safety Leadership Process are;

  1. Share all information with everyone except private personal information.
  2. Build trust and interdependence among all the people.
  3. Help everyone see their part in and the importance of fulfilling the work of the organization successfully.

Building on these Three Simple Rules are the Four Steps to Safety Excellence which are:

  • Use the Process Enneagram© with the leaders of the organization to develop clarity, coherence and commitment to achieving safety excellence.
  • Together, walking around, openly talking and sharing information, listening, sharing and learning, fixing problems, improving the safety systems and processes and building on all the safety systems, processes and tools we already have to manage the safety work.
  • In doing this with integrity, we build trust and interdependence among all the people.
  • The result of this way of engaging with everyone results in having everyone pulling towards safety excellence and continuous safety performance improvement.

This may sound rather strange to many of you yet this is the process to lead all aspects of safety to achieve sustainable excellence in our performance. The work I did with the people at the DuPont Belle, WV and with New Zealand Steel mentioned in earlier blogs, show that this way of leading safety is proven, robust and sustainable.

 

Richard N Knowles, Ph.D., The Safety Sage

Update from the 9th Global Congress on Process Safety

I recently attended the American Institute of Chemical Engineers (AIChE) Spring Meeting and the 9th Global Congress on Process Safety in San Antonio, TX. About 2000 people attended this Conference. A lot of papers discussed the need to improve the safety cultures of our organizations. Others talked about the big safety challenges as the global demand for energy rises, as gas import terminals are converted to export terminals, the challenges of the complex technologies that are being developed and the difficulties of getting everyone, in big and small companies, up to speed and staying abreast of the exploding knowledge.

There were a number of papers on the Management of Change Processes and the more recently recognized Management of Organizational Change. These change process require skill, discipline and persistence to do all that is necessary. These Management of Change processes are a big challenge for the larger companies because of their complexity.

These are even more difficult challenges to smaller companies:

  • Many are privately owned
  • People function in multiple roles
  • There are not enough people to do everything
  • Money is limited
  • Information is often informally shared
  • Rapid decision making is common
  • They are unique and flexible.

All the papers I attended treated safety, its culture and the Management of Change as complicated problems; this is a big barrier. Complicated problems like an assembly line use linear processes; as each, in-specification part, arrives and is put into the assembly, a new product is successfully produced. Our training programs are linear in nature where each step is presented in sequence and the final result is a new skill that is to be used.

One author showed the Management of Change Process he was presenting as a sequence of 8 steps to be done one after the other with no feedback being shown. The presumption being that if each step is done correctly then things will be just fine. But usually things are not quite right, people forget, information gets misunderstood or lost, people don’t follow through as they are expected to do, so we have to train them again. This is all very hard and inefficient.

The linear tools of complicatedness are not the right ones to be using because the systems are complex systems.

Safety culture and the Management of Change are complex processes. The tools of complexity must be used. When we shift the way that we engage with each other, everything changes. The Self-Organizing Leadership© process is a tool of complexity. Information needs to be shared freely, trust and interdependence built and people need to see how they and their work are a part of the larger whole. These tools are vital to make the transition from complexity theory to practical application. The most important tool is the Process Enneagram©. It is the only known tool that helps people to solve complex problems, make the social connections they need to do the work and releases the emotional energy and commitment to do the work quickly and well. Beverly G. McCarter and Brian E. White write on p. 152 of their 2013 book, Leadership in Chaordic Organizations, ISBN 978-1-4200-7417-8, that “Richard Knowles’ Process Enneagram seems to be the missing link between complexity theory and practical application.”

When the tools of complexity are used all the processes of change become easier and move more quickly. People co-create their future. Resistance to change almost disappears. The changes are more focused, relevant and comprehensive. While the system is full of ambiguity and feedback making things richer and more comprehensive, the on-going dialogue serves to bring things together. As information is fully shared and trust and interdependence are built, the people come together co-creating their shared future and accomplishing their goals. The whole system becomes more coherent and effective.

Richard N Knowles, Ph.D., The Safety Sage

What the West Texas Disaster Can Teach Us

Wednesday evening, April 17, 2013, there was a terrible explosion in the West Fertilizer Company’s fertilizer plant in Texas. The latest reports indicate as many as 14 people were killed and over 160 injured.

The plant was located right in the middle of the town of 2,700 people and the explosion caused a huge amount of physical destruction in addition to the human devastation.

The plant handled ammonia and ammonium nitrate for fertilizer use.

These are well-known, hazardous materials that can be, and are, handled safely by most companies. There is extensive process safety technology regarding the handling and use of these materials. The technology applying to these materials as with many chemicals is strong and effective.

There are two major dimensions to using, making and handling hazardous materials. One is the process safety side, which is well known and effective, and the other side relates to the way the people choose to work with these materials, and choose to use the technology. The best process safety in the world is of no use if people don’t apply themselves and use the process.

In 2006, according to the Dallas Morning News, the Company was fined $2,300 for failure to have a risk assessment. In one EPA report they said that they handled anhydrous ammonia assuring them that no one would get hurt in the event of a release.

While we do not know specifically what happened, my many years of experience in managing chemical plants, would suggest to me that these are indications that the people side of their systems failed in some way. These are hazardous materials that need to be handled with professionalism, dedication and attention to procedures.

The lesson to be learned here is to rethink your situations in your own factories, plants and businesses where you handle and use hazardous materials. Think about questions like:

  • Do you talk together and share safety information?
  • Do managers get out of their offices and into the operating area to talk with the people on the floor?
  • Is the level of trust high enough that employees will freely report safety concerns and near misses?
  • Des everyone work together to solve safety problems?
  • Are your Material Safety Data Sheets and Safety manuals up to date and used?
  • Are employees properly trained and is the training schedule maintained?
  • Do you have high housekeeping standards and are your facilities properly maintained?
  • Do your employees have the resources they need to work safely?
  • Are you cutting corners to speed up the operation?
  • Do people have the proper personal protective equipment and do they use it?
  • Do you have a system of follow-up so that suggestions can be implemented quickly?
  • Are people able to shutdown a process on their own if it is unsafe?
  • Can people refuse to do a job if it can’t be done safely?

The questions can go on and on, this list barely hits the surface in what can be addressed when making a commitment to safety in the workplace and having a leadership team where safety is a priority. It takes discipline and hard work to stay on top of safety issues, but these are the kinds of responsibilities and burdens any organization working with and using hazardous materials must bear. If you use these materials, then you must accept the responsibility that comes along with the use. The people in your facility and those living around you depend on you to do your job well.

As a manager of plants handling and using hazardous materials, my mantra was “I don’t have a right to work at a place where it is okay for you to get hurt. Now let’s get the safety right and make money.

What is your safety mantra, your deep, authentic safety message for your people?

As we have seen from this indecent in Texas, the results can affect more than just your plant or business – entire towns can bear the brunt of accidents, explosions and the destruction that follows. My heart goes out to the town, the people, families and the plant workers. Situations like this are preventable…with Safety Leadership that comes from top down.

If you don’t have a safety mantra or message and follow the processes…I strongly recommend you get this in place and FOLLOW IT. Your business and the people that sustain it are depending on your leadership for their safety and the safety of many others.

Moving to a Safety Culture of Excellence

Most organizations seem to be comfortable with being at the level of safety compliance. This is a start, but is not good enough over the longer run. We have to meet the OSHA guidelines and train the people in how to work safely and use equipment properly. There are lots of people doing the safety training and the American Society for Safety Engineers (ASSE) has many, many resources for the safety professional. Most of the people in most organizations have some knowledge about how to do the work safely, know how to use the PPE and have some knowledge of the safety rules.

Reaching high levels of safety performance when working in organizations like these is very hard. Sustaining these levels of performance is even harder. Once the people have been trained, proven that they know and understand what they have learned and then actually doing the work as they have been trained often falls short. For a variety of reasons people don’t follow through; people take short-cuts, forget, are pre-occupied, feel pushed, don’t believe that management really cares, there are not enough people to do all the work, management does not listen, they hear the words about working safety but their supervisor ignores the words.

There is a powerful need for our organizations to shift to safety cultures of excellence. Way too many people are being killed (~4,600 in 2011). Most of these accidents are preventable. Our existing cultures need to shift from top-down driven processes to ones that are more self-organizing and sustainable. Yet many people resist change.

Being fearful of changing job assignments, bargaining unit challenges, abuse of the rules, not knowing what is going to happen to them and their jobs is one major reason for resistance to change. Another fear of change comes from the uncertainty of who the new people will be that they’ll need to work with if they are reorganized; they have a set of relationships in their current job and any change will upset these. Another fear of change can relate to their status as relationships and structure change. Another reason to fear change relates to the level of control that a person currently has in their job over their work and uncertainty about how that will change. Almost all of these fears come about because change is imposed with little input from the people who will experience the change.

However, change is with us all the time. It is not some unusual incident which is being shoved at us.

If the processes of Self-Organizing Leadership are used most people will not resist change. With Self-Organizing Leadership the people are co-creating the changes that need to be made. People do not resist changes that they create, but rather they push these changes. Most imposed change efforts fail; most co-created change efforts succeed.

The four-step, Safety Leadership Process we use enables the people in the organization to co-create their safety culture and transform it to one of excellence where injury and incident rates drop almost to zero. In this process the first step is to use the Process Enneagram© to work with a cross-section of the organization to co-create their Safety Strategic Plan. In using the Process Enneagram an important, compelling question is developed; one that the group feels is really important and one they want to resolve. Then the facilitator begins to move the group through the sequence of conversation relating to each point helping them to develop clarity and coherence relating to what they want to accomplish and how they will do it. Everyone makes inputs which are written down onto the Process Enneagram Map.

The space is created so that the environment is safe and open for honest conversation.

This part of the Safety Leadership Process usually requires about a day so that the issues, assumptions, Principles and Standards, and goals are understood and the energy required to accomplish their transformation is released.

In the next part of the Safety Leadership Process, the Process Enneagram Map they have created is taken out to those who were not involved to share the thinking and to seek improvements. In these conversations, trust and interdependence are built as people see what management wants to accomplish and are walking the talk.

The next part of the process is to talk with people about what they are doing, listen to them, discover ways to improve the work and help the people to make the needed changes. As we do this, people become more comfortable in talking together and opening up.

Another part of the Safety Leadership Process involves actually looking at what people are doing.

Systems problems show up as we make our observations. We often see very high levels of unsafe behaviors that are the result of people trying to work within the work environment and making mistakes. This is not an employee discipline process, but rather a process of discovery and learning. As the organization continues to make observations enough data is collected that the observations can become a predictor of a potential injury. Then we show the leaders how to react and avoid the injury.

Safety Excellence for Business

The Goal is Zero sets us up for failure.

None of us wants to have anyone get hurt in our organization. We are trying hard in various ways to keep people from getting hurt. Sometimes organizations can achieve very long periods of injury-free performance. One large plant I know of went 24 years without a lost workday case (LWC), and another one went for about 10 years. These sorts of strings of injury-free days are commendable. This can tempt us into believing that if we just work hard enough that we can achieve workplaces where there are no injuries.

We do indeed have to work hard, but I don’t think that we can ever achieve injury performance forever.  The things that people do or don’t do relating to safety are the cause of over 95% of all injuries. None of us is perfect. Our minds wander. We get into a hurry. We forget something. We get distracted. We are upset by a problem at home or at work. We develop bad habits.

I expect that all of us do something unsafely every day and don’t get hurt. But one day the conditions will be just right for things to come together in a new, different and unexpected way. Then we suffer the consequences.

When management sets the “Goal is Zero” we set ourselves up for failure. There is very strong pressure in most organizations for people to report what management wants to hear. If the “Goal is Zero” then the pressure builds to look for ways to avoid having to report an injury or near miss and the cover-ups begin. People will tend to just report things that are too big to hide. A major source of our safety information disappears. When we don’t report the small things then we can’t learn from them. Problems persist, bad situations are not addressed, and reporting can get a person on the wrong side of their management. Sometimes management creates a reporting system that is so difficult and exposes the person making the report to criticism, that the people just avoid reporting. Trust among the people in the organization is impossible to establish. When trust disappears, learning stops!

In order for trust to be built information needs to be openly available to everyone. The environment needs to be secure enough that we can talk and learn together. We need to help each other becoming our brothers and sisters keepers. Listening and respecting each other is critical.

When management creates a culture of openness, trust and interdependence, and an environment where everyone can see the big picture long periods of injury-free performance can be achieved.

John, a wise friend, told me once  “When the safety gets right, everything gets right!”

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