1 Knowledge Management : information sharing in risk culture creation, a matter of change management. Pitfalls to avoid, results to expect Jean Francois DAVID Consultant, Expert près la Cour d’Appel de Versailles

SRA Europe Ljubliana September Why such a project ? Context  An uncertain context were new critical stake appear and develop for meat packing industry: Food safety BSE and animal by-products collection and elimination  Results of an assessment of corporate liability in animal by-products Crisis are preceded by forerunners events Incidents (operation, management), gaps however small, from rules may have a key role in development of corporate crisis  A strong conviction : Need for information sharing La nécessité d’un partage d’informations Need for an elaborate knowledge management system

SRA Europe Ljubliana September Objective : Act upon a specific domain though a community of practitioners  Project content List an register incidents and minor gaps Analyse those events Set action plant aimed to prevention  Objectives : Avert mis functions and minor events which are fore runners of a major crisis (cf. next scheme)

SRA Europe Ljubliana September Objective : Prevention and weak signals management Petty gaps Numerous occurence Critical event Crisis Risk control is applied along the whole scale of gaps and mis fucntionning Suppression or shrinkage of crisis

SRA Europe Ljubliana September Scope and approach

SRA Europe Ljubliana September The steps Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September As-is situation  Ten plants scattered in France :  Wide span of methods in environmental management Une grande diversité dans les méthodes de recensement et de description  Wide span in ranking incidents and in complying with corporate values Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Method : gathering information – questionnaire based inquiry  An inquiry launched among plant managers disclosed : Practices :  Several opinions on sources of occupational casualties  Several ways and means of collecting information and deciding reactions Accidents reporting :  Different modes of ranking  An under estimations of risks associated to disregarding regulations  Corporate culture :  Estimation of direct & indirect costs and hindrance for corporate performance  Uneven ranking of incidents  Human & financial stakes Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September A common tool to collect and review  Common Template for event analysis  Scope of analysis : key words  Mode of analysis : linked with plant processes (common processes across the whole corporation)  Concatenation in a common document Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Analyse and compare : Prepare Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Analyze and compare : execute Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Behavioural challenge  Drop worst practices and adopt best ones  Draft a genuine hazards prevention program  Erase “will never happen to me”  Correction is neither criticism nor a penalty Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Results :  Behave compliantly with corporate rules and public regulations  Get watchful employees  Improve dialog about corporate performance : quality versus rough quantity  Initiate a rating approach concerning health and environmental hazards  Link with strategic goals  Identify common corporate objectives : shared through a common knowledge base Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Common convictions  Progress : Share solutions and bests practices :  Success factors : Measure & analyse Feed back  Hindrance to overcome Historic practices Human relations and tacit corporate criteria Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Hindrance appeared :  Look & feel of questionaire  Questions asked  Ways of treatment and concatenation Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September Gain from information sharing  Building a community of interest : a good partner is not a dumb partner  Those who have nothing to declare evolution of community opinion : From « all right » To « Have no progress in perspective » Understand As-is situation Analyze compare FixFeed back

SRA Europe Ljubliana September ANNEX - Method : Cause & effect diagram (Ishikawa Tree or fish bone diagram) 1  Step 1 : I note, I declare Record accidents (as usual) Record gaps, near misses, non compliances  Step 2 : I declare what I know  Who (employee, individual)  What : task La tâche  How : Organisation (team, shift)  When : shift, step in the process Front to each of those items, I write down identified cause or relations

SRA Europe Ljubliana September ANNEX - Method : Cause & effect diagram (Ishikawa Tree or fish bone diagram) 2  Step 3 : I organise information & data (events, situations) :  To draw up the logical chain of incident or accident pour reconstituer la logique de l’incident ou l’accident  To find out causes, not obvious at first glance