1. Dominion Virginia Power Near Miss Library ________________________________ A Briefing for National Electrical Workers Near Miss System Jake J. Mazulewicz, Human Performance Specialist, DVP February 2013 Washington, DC

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6. 6 1) Headers

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8. 8 1) Headers 2) Story 3) Categories

9. 9 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders)

10. 10 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders) 5) Sender Info

11. 11 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders) 5) Sender Info 6) Coder Info

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19. 19 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders)

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22. 22 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders) 5) Sender Info

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24. 24 1) Headers 2) Story 3) Categories 4) Causal Codes (added by coders) 5) Sender Info 6) Coder Info

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33. Why Share Near Misses? If we attack the bottom of the triangle, we will impact the middle and top… Death or catastrophic loss Minor injury or property damage Near Miss Different research studies produce slightly different numbers

34. Any employee enters a “Field Survey” via the on-line survey or via printable form. Completed survey does not get published yet. (holding tank). All four coders get an email flag that new survey is ready. The Coder on duty for that report (Jake=0-3, Bill=4-6, etc.) 1.ensures it’s legitimate 2.sterilizes it of any identifiable info 3.tags it with Causal Codes (in development) 4.If needed, sends it out as an “urgent” action” alert 5.gets one other Coder to peer check it 6.publishes it (ideally within 24 hours), and 7.destroys the original survey to ensure anonymity. If time is tight, coder can skip step 4 until convenient. Any employee can search for published reports by date, keyword, and several other factors. Causal Codes do not appear. About monthly, coders collect the best stories of that month and publish a 1-2pp newsletter highlighting “Near Misses of the Month.” (Modeled after ASRS’s “Callback” newsletter.) 1324 Dominion VA Power Near Miss Workflow

35. http://asrs.arc.nasa.gov/

36. http://www.firefighternearmiss.com/