Author - [The Practice of Learning Teams, Learning From Everyday Work, 4Ds For HOP and Learning Teams], Occupational RIsk Professional, HOP Mentor, New View Advocate, International Speaker, Podcast Host
This is timely that we should treat incidents as a positive learning experience and not an experience where corrective actions are directed at people because of what they did or didn’t do at the time. Rather than empowering workers to report, lets support a system and environment of auotomony, so workers feel they can make a Good Call when a risky situation arises and the organization makes a Good Catch by learning and improving to create BetterWork. Do Safety With People and By People not To People or For People. #HOP #4Ds #safetydifferently
At the Community of Human and Organizational Learning 30th Annual Conference, Brent Sutton and Jeffery Lyth are holding a pre-conference workshop on "Learning from why things go nearly wrong - Treating error as a consequence and not a cause for near miss, hits and incidents". For decades, we have been told of the link that incidents (near misses or near hits) are a precursor to more significant events. What we do know is that we have fewer accidents than incidents. And we have fewer incidents compared to the volume of everyday work. This workshop will explore the relationships of “weak signals” in everyday work, incidents, and accidents. It will show how “weak signals” present in everyday work are “amplified” in incidents and become “strong” signals in accidents. We will show you a practical way to “learn” from near misses, hits, and incident events by separating “human error” from the event and undertaking a “retrospective learning review” with the 4Ds and the launch of our latest tool, project “4X.” This is part of our event learning methodology called Good Call—Good Catch for these events. Good Call – means that the worker or workgroup has recognized the event and seeks a learning opportunity. Good Catch – means that the organization wants to learn and improve from the event. The Good Call-Good Catch approach comprises two parts that separate “The Error” from the “Event,” applying the principles of HOP, Learning Teams, and the 4Ds. The Good Call-Good Catch approach allows; • Identification of weak signals in normal work. • Efficacy (availability, ability to function, etc) of controls to prevent, respond, or recover from the release of energy. • Identify system error traps or “error likely” situations for STKYs (Stuff That can Kill You). • Insights on psychosocial risk factors of task-based influences • Learning at the worker, workgroup, and organizational levels. • Opportunities for improvements (safety and operations). • Sharing of the learnings and improvements. #4Ds #GoodCallGoodCatch #HOP #safetydifferently
Scenario-Based Safety Campaigns That Generate Emotional Engagement
6moAbsolutely agree! Turning incidents into learning opportunities rather than finger-pointing fosters a culture of growth and safety.