close call program” - northeast gas association · “close call program ... 480v power to the...
TRANSCRIPT
ON IT
Why a Close Calls Program?
• Identify and track “near miss” incidents
– Allows us to address potential facility, equipment,
or procedural issues before they can cause a
problem (for example: you find a faulty switch or a
missing step in a procedure)
– Company-wide trends tell us where we have
opportunities to work together
• Develop lessons learned for co-workers
– If you were almost injured, speak up – your words
could help one of your team avoid an actual injury
2
ON IT
How it works
• Anyone can enter a close call – go to EH&S
Connect and click on the “Close Call” button on
the left-hand side.
• Close calls can be anonymous – you don’t need
to identify who you are
• If you choose to identify yourself, an EH&S
professional may contact you for more
information to help fix the issue you identified
• Top close calls will be selected each month –
and teams will receive a tee-shirt and their story
will be posted online. Team members part of the
top close call will get a $10 Dunkin’ Donuts card
in addition to a tee-shirt, and their story will be
included in the monthly EH&S data dashboard
3
Click here to enter a
close call. Takes about 5
minutes.
ON IT
Close Call Example – Unsafe Condition
5
Look Up! Construction Services
Richard Langston, Robert Polese, Jimmie Walker, Prentice Williams
Rudolph Bennett, Kevin O'Connell, Haralambos Spyropoulos (Managers)
April 4, 2013
• While installing steel piping, this crew looked up and noticed the concrete
ceiling had begun to deteriorate
• Had a large piece fallen, it could have injured someone or worse
• This crew notified their supervisor and facilities secured the damaged area
with plywood to make the area safe until permanent repairs could be made
ON IT
Close Call Example – Faulty Equipment & Following Procedure
6
Testing Dead Van Nest Shops
Michael Barrios
Steven Bonardi (Manager)
July 31, 2013
• Crew began work on a crane – flipped the disconnect switch to turn off
480V power to the section
• Crew put on proper insulated gloves and tested to confirm dead
• Found the equipment still energized – and identified a faulty switch
ON IT
Human Performance & Safety
Fatality
Lost Workday
OSHA Recordable
First Aid
Near Miss
Unsafe Act /
Unsafe Condition
Reactive
Proactive
12
ON IT
Excellence in HPI started in the
Nuclear Power Industry to help
workers perform their activities more
reliably and to catch errors before they
can cause harm to people, or damage
to systems, equipment or other
property.
ON IT
The basic Human Performance principles are:
• People aren’t perfect, and even the best make mistakes.
• Error-likely situations are predictable, manageable, and
preventable.
• Individual behavior is influenced by organizational processes,
values, training and experiences.
• People achieve high levels of performance based largely on
the encouragement and reinforcement received from leaders,
peers, and subordinates.
• Errors can be avoided by understanding the reasons they
occur and applying the lessons learned from past events.
14
ON IT
15
What is Human Performance and what does it mean to me?
• Human performance looks at how a behavior or action can
result in a mistake or error, and also how a change in behavior
can reduce or limit mistakes.
• Effective use of Human Performance error avoidance tools will
help me to eliminate making mistakes in both my professional
and personal life.
ON IT
Incident
HPI Failure Analysis
Swiss Cheese Model
I
n
d
i
v
i
d
u
a
l
T
o
C
o
m
b
a
t
E
r
r
o
r
T
r
a
p
s
(
i
n
a
d
d
i
t
i
o
n
t
o
3
Q
T
)
•
S
e
l
f
C
h
e
c
k
i
n
g
…
.
S
T
A
R
…
.
•
P
e
e
r
C
h
e
c
k
i
n
g
•
K
n
o
w
l
e
d
g
e
/
T
r
a
i
n
i
n
g
•
P
r
o
c
e
d
u
r
e
U
s
e
a
n
d
A
d
h
e
r
e
n
c
e
D
A
V
-
A
E
P
O
h
i
o
O
v
e
r
v
i
e
w
o
f
H
u
m
a
n
P
e
r
f
o
r
m
a
n
c
e
f
o
r
a
J
u
s
t
&
Z
e
r
o
H
a
r
m
C
u
l
t
u
r
e
2
9
•
Q
u
e
s
t
i
o
n
i
n
g
A
t
t
i
t
u
d
e
•
P
l
a
c
e
-
K
e
e
p
i
n
g
•
F
l
a
g
g
i
n
g
(
i
.
e
.
,
m
a
r
k
i
n
g
c
o
r
r
e
c
t
i
t
e
m
t
o
a
s
s
u
r
e
f
o
c
u
s
,
o
r
m
a
s
k
i
n
g
)
•
E
f
f
e
c
t
i
v
e
C
o
m
m
u
n
i
c
a
t
i
o
n
w
i
t
h
R
e
p
e
a
t
B
a
c
k
s
(
a
l
s
o
k
n
o
w
n
i
n
m
o
s
t
r
i
g
o
r
o
u
s
a
p
p
l
.
a
s
3
-
W
a
y
C
o
m
m
u
n
i
c
a
t
i
o
n
s
)
•
T
a
s
k
P
r
e
v
i
e
w
,
P
r
e
-
J
o
b
B
r
i
e
f
i
n
g
,
P
o
s
t
-
j
o
b
R
e
v
i
e
w
o
r
C
r
i
t
i
q
u
e
o
r
A
f
t
e
r
A
c
t
i
o
n
R
e
v
i
e
w
•
T
u
r
n
o
v
e
r
s
w
i
t
h
“
S
A
F
E
R
”
J
o
b
B
r
i
e
f
i
n
g
s
16