1. Integrating Human Performance Improvement Concepts and Tools into Work Planning CH2M HILL Hanford Group, Inc. September 12-13, 2006

2. 2 Presentation Topics Balanced System Worker Involvement Developing Work Controls  Graded Approach  Critical tasks  Work Site Hazard Analysis  JHA Checklist  Safety Plans Lessons Learned

3. 3 Balanced System Balance, based on the risk and complexity of the task. Individual Process/Procedure Supervision Balance Each side of the triangle can impact job performance. All need to be evaluated during the job planning process. Procedure appropriate to the task and worker Knowledge, skill, and ability of the worker considered when developing the procedure controls

4. 4 Worker Involvement Workers are the key in identifying hazards and controls of tasks The workforce is being trained in use of error precursors and error likely situations Worker experience and training is considered in process and procedure development The worker knows when to stop and re-evaluate conditions and situations Greater worker involvement minimizes need for programmatic reviews in job planning and execution

5. 5 Critical Task Certain tasks are more critical than others  Some actions/tasks are irrecoverable; once the action is taken, the reverse action cannot recover Some steps have more chances for error Need to consider critical tasks as part of hazards analysis  Is changing the state of the facility, system, component, or the well-being of the individual dependent on the individual worker?  Is the outcome of the error intolerable from a personnel safety or facility perspective? Helps focus attention on potential consequences so appropriate defenses can be put in place

6. 6 HPI and Job Hazards Analysis Critical task Those tasks or group of tasks that need to be performed correctly or harm may come to the worker, environment or equipment Error precursors First time performance Simultaneous multiple task Time critical task

7. 7 Work Site Hazard Analysis 2 page site form: Standards set by ES&H and used by the Workers and Supervisors Used at the Beginning During the Planning And at the Jobsite

8. 8 Developing Work Controls Safety Plan Job Hazards Analysis Work Instruction Work Steps Precautions Warnings How we Identify Critical Tasks & Error Precursors How we Define defenses against Error Precursors & Critical Tasks How we Implement the defenses Walkdown with WSHA How we Identify General hazards and tasks

9. 9 Performing Work Perform the work Walkdown Work site Post Job Briefing Lessons Learned Feedback Verify conditions are as expected and that Instructions can be worked to as written Perform work to instructions or as Skill based Document the work Pre-job Briefing Communicate the scope, hazards, and controls

10. 10 Scope of Work/Walkdown Example Outside area for Decontamination

11. 11 Scope of Work/Walkdown Contamination covered by white Tarp

12. 12 Scope of Work/Walkdown Contamination inside the tent

13. 13 Scope of Work/Walkdown Air Line to be depressurized

14. 14 Safety Plan & Identified Tasks

15. 15 HPI and Job Hazards Analysis Critical task Those tasks or group of tasks that need to be performed correctly or harm may come to the worker, environment or equipment Error precursors First time performance

16. 16 Safety Plan & Critical Tasks with Error Precursors

17. 17 HPI Impacts in Hazard Analysis Before 4 Major tasks 26 Sub-tasks 41 Hazards (most slips trips falls) 152 Controls (most skill-of-craft) No error precursors Missed critical task After 4 Major tasks 26 sub-tasks 1 Hazard for Critical task 6 Controls Error precursors identified Controls focused on critical task

18. 18 HPI Impact on Work Instructions Before 17 Precautions 15 Prerequisites 8 Notes 4 Cautions 2 Hold Points 63 steps for skill-of-the-craft 47 steps for unidentified “critical task” buried in extraneous information After 5 Precautions 4 Prerequisites 0 Notes 2 Warnings (Hazard for critical task) 2 Hold Points 11 steps to augment skill-of-the-craft 42 steps for “critical task”

19. 19 HPI Impact on Work and JHA Processes Before 8 categories of work 3 pgs of a matrix to categorize work 89 pages in work control 11 attachments After 3 Categories of work 3 definitions 38 pages in work control procedure 4 attachments Work Control Procedure Job Hazard Analysis Procedure Before Procedure focus on administration Had to be on computer to use 19 pages in on administration No hazards discussed in procedure After Procedure focus on hazard mitigation 2 page form used in the field 6 pages on process General hazards covered in procedure Critical Tasks and Error Precursors

20. 20 Pre-Job Briefings Incorporated HPI concepts into Pre-job briefing Process Simplified the process Procedure went from 12 pages to 8 Pre-job Checklist modified to focus on topics identified in INPO HPI tools document Removed redundant requirements Shortened the checklist to make more user friendly

21. 21 EFCOG Assist Visit July 2006 Multi-site review coordinated by EFCOG Work Management Subgroup 1 st of its kind review Used work management CRADs Evaluated implementation of HPI in work management Conclusions  Critical task application viewed as a strength  Worksite hazards analysis viewed as strength  Continue mentoring and managing process

22. 22 Lessons Learned Use of HPI concepts resulted in improved work planning Error precursors and proactive event prevention concepts were successfully applied to work planning Improved focus on hazards with consequences Removed skill-of-the craft controls reduced level of package detail Critical hazard controls more clearly evident  From static to dynamic Hazards Analysis Worker attention focused on hazard controls