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www.hsl.gov.uk www.hsl.gov.uk An Agency of the Health and Safety Executive Making Behaviour Change Happen in Health and Safety Dr Jennifer Lunt, Health and Safety Laboratory Occupational Health and Safety Management in the 21 st CenturyChamber of Commerce, Luxembourg, 24-25 April 2013

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Page 1: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

www.hsl.gov.uk An Agency of the Health and Safety Executive www.hsl.gov.uk

An Agency of the Health and Safety Executive

Making Behaviour Change Happen in Health and Safety

Dr Jennifer Lunt, Health and Safety Laboratory “Occupational Health and Safety Management in the 21st Century”

Chamber of Commerce, Luxembourg, 24-25 April 2013

Page 2: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Objectives • What does behaviour change mean? • Influences? • Solutions?

• Challenges?

Page 3: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Objectives • What it means? • Influences? • Solutions? • Challenges?

Page 4: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

What is behaviour change? Contributors Behaviour Consequences (Intervene) (Intervene)

• People change their behaviour based on changes around them or their understanding of themselves and the world which make a new behaviour seem:

• More advantageous • More ‘me’ • More prevalent • More do-able

• But, behaviour change takes time!

Page 5: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Objectives • What does it mean? • Influences? • Solutions? • Challenges

Page 6: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

HSL’s Make it Happen Model

Page 7: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

Can happen

Act of physical job environment…

•Review design •Review comfort

•Review equipment (accessibility, availability, suitability) •Task analysis

Act on physical organisational environment..

•Risk management harnessing worker involvement •Review structure

•Ensure resources (e.g. financial, staffing, competency) •Review policies and procedures (usability, worker involvement) •Mission, vision and SMART objectives

Act on social job environment…

•Recruit informal peer leaders •Assure supervisor competency/ role model

•Team values – gap analysis • Worker involvement

Act on social organisational environment…

•Business, morale and legal case • Values gap analysis •Observation & feedback for leadership

•Role model •Systematic consideration of h&s in planning and prioritisation – join up •Organisational learning

Consider external environment…

•Family & friends •Media •Networks/Reputation

•Insurance •Resources •Regulation/Legislation

Able to happen

Inform of… •Training •CPD etc

•Information/Education

Upskill on… •Training •Interpersonal skills (e.g. assertiveness) •Self-regulatory skills

Want to happen

Act on sub-conscious drivers (nudge)

•Nudges

• Being mindful

Think it through •Action planning •Debate

•Cue cards •Maintenance strategies

Page 8: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Objectives • What it means? • Influences? • Solutions?

• Challenges?

Page 9: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Traditional approach (bmod)….

Define ‘safe’ & ‘unsafe’ behaviours

Observing behaviour

Feedback / reinforcement of behaviours

B’Mod

Page 10: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Event Severity

Frequency / probability

Big, business risk accidents

..but behaviour mod programmes almost always aimed here

Caveat 1: ‘Fallacy of mono-causality’

Page 11: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

High Trust Time out for safety. Employees empowered. Issues addressed locally as first option

i.e. Assumption that procedure is wrong

Low Trust Observation by supervisor. Employees not trusted. Management decide solutions

i.e. Assumption is that rule is right, employee wrong

Caveat 2: Blaming Mechanism

Page 12: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

HSL’s Make it Happen Model

Page 13: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

1. Physical Context (Can Happen)

• Worker involvement in risk management • Provide an appropriate level of resource (PPE, staff). • Ensure control measures are available and accessible.

• Relevant useable procedures • Ensure equipment/controls are well maintained. • Utilise recording systems (e.g. for near misses and

feedback to staff).

Page 14: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

2. Social context (Can Happen)

• Leadership - demonstrating management commitment.

• Developing a safety culture in which occupational H&S is prioritised.

• Recruiting respected peers (e.g. team leader) to

champion and deliver interventions. • Encourage worker involvement.

• Use credible educators (as H&S professionals you

have a role!).

Page 15: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Health and safety climate tool

SAFETY CLIMATE TOOL

Organisationalcommitment

Health and safetyoriented

behaviours

Health and safetytrust

Usability ofprocedures

Engagement inhealth& safety

Peer groupattitude

Resources forhealth and safety

Accidents andnear missreporting

Page 16: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

3. Knowledge (Can Happen)

• Risk (What & why) • Consequences

• Controls

Page 18: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

5. Automatic/sub conscious (want to happen)

• Nudge • Mindfulness • Think aloud

Page 20: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Step 5: Maintenance (arrows)

• Repeat and refresh

• Rewards and incentives

• Monitor, review & learn

• Observation & feedback

• Evaluate

Page 21: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Objectives • What it means? • Influences? • Solutions?

• Challenges?

Page 22: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Make it Happen Model

Page 23: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Nudge

• Nudge (Richard Thaler & Cass Sunstein, 2008*):

Acts on the sub-conscious (‘automatic system’) as opposed to

volitional decision making (the ‘reflective system’).

Observes ‘libertarian paternalism’. Is a feature of the ‘choice architecture’

(range and structure of choices) that encourages them to choose options that makes them better off as ‘judged by themselves’.

Thaler, R and Sunstein, C. (2008): Nudge: Improving Decisions About Health, Wealth and Happiness, Boston, Yale University Press

Page 24: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Through… • Engineering and designing out

unsafe options • Raising situational awareness/vigilance • Risk education & communication • Incentivising and motivation

Page 25: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Defaults

• Making the safe and/or healthy way the only way.

Health and Safety Relevance?

• Dead mans switch • Safety Interlocks • Mandatory health screening,

pre-placement health checks • Hierarchy of control principles

Page 26: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Through… • Engineering and designing out unsafe

options • Raising situational awareness/vigilance • Risk education & communication • Incentivising and motivation

Page 27: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

• Use of reminders to raise situational awareness…

How?

• Signage

• On the spot ‘risk assessments’ (e.g STOP/SLAM)

• Using colour coding to prompt awareness

Cues/Prompts

Page 28: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Optimism/over confidence • Assuming risk immunity (e.g.I’ve got away with it so far…)

(fundamental attribution error)

How?

• Complacency (e.g. in older workers)

• Denial of risk (e.g. if

uncontrollable)

• Being ‘mindful’ about health and safety

Page 29: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Through… • Engineering and designing out unsafe

options • Raising situational awareness/vigilance • Risk education & communication • Incentivising and motivation

Page 30: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Framing • Framing messages either positively or negatively to modify

impact (positive or negative).

How?

• 1 in 5 staff have been involved in an accident versus 80% are accident free

• Behavioural safety programme

failed to achieve its zero tolerance target vs achieving a 95% reduction in accidents

Page 31: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Discounting

• Underestimating current risks that may harm in the future.

Health and Safety Relevance?

• Long latency occupational diseases

– Biomarkers – early warning

indicators – Real time feedback of exposure – Evocative risk communication

(e.g. impact on family)

Page 32: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Through… • Engineering and designing out unsafe

options • Raising situational awareness/vigilance • Risk education & communication • Incentivising and motivation

Page 33: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Social norms (‘Herd Mentality’)

• Behaving safely because everyone else does; or because it’s the right thing to do…

How?

• Leadership ‘walking the talk’ • Use trusted role models in

training • Recruit ‘informal’ peer leaders • Benchmarking • Making H&S ‘trendy’ • H&S Forums

Diageo

Page 34: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Commitment & Involvement

• Being committed by being involved in a cause (ie health and safety)

How?

• Pledges (e.g. Make a Promise. Come Home Safe)

• Build H&S into contracts • Worker involvement

Page 35: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Make it Happen Model

Page 36: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Further information

• HSE’s website at www.hse.gov.uk • HSL training courses • Safety Climate Tool: http://www.hsl.gov.uk/health-and-

safety-products/safety-climate-tool.aspx • Learning Legacy:

http://learninglegacy.london2012.com/index.php • LWI toolkit: www.hse.gov.uk/construction/lwit • http://www.hsl.gov.uk/health-and-safety-products/safety-

climate-tool.aspx • HSL’s own leadership and worker involvement toolkit –

coming soon.

Page 37: Making Behaviour Change Happen in Health and Safety Lunt.pdf · 2016-05-18 · An Agency of the Health and Safety Executive An Agency of the Health and Safety Executive Making Behaviour

An Agency of the Health and Safety Executive

Thank you for listening! [email protected]. gov.uk