1. Managed by UT-Battelle for the Department of Energy Human Performance Improvement (HPI) Implementation at ORNL - “A Grass Roots Approach.” Sam McKenzie SNS Site Operations Manager August 19, 2009

2. 2Managed by UT-Battelle for the Department of Energy Presentation_name Human Performance Initiative at ORNL  ORNL began human performance initiative in November 2005 after 6 staff from each major directorate attended a Human Performance course by DOE (Shane Bush).  These “advocates” began preparing a Fundamentals Class with Training Department  Parallel Process began to introduce the DuPont Safety Observation for Supervisors Program (STOP)  Facilities and Operations Directorate (Bargaining Unit) decide to implement the STOP for supervisors as mandatory.

3. 3Managed by UT-Battelle for the Department of Energy HPI @ ORNL con’t  A modified STOP for Supervisors “Program” and HPI Fundamentals Training were presented to Leadership Team as options for Lab wide adherence.  Mandatory Management Observation Training (modified STOP) held for all Division Directors and Group Leaders with expectation of 2 surveillances per month.  HPI grass roots effort rolled out by offering optional 8 hour class to lab employees (mandatory for Investigators and Critique Facilitators).  Optional aspect rendered limited success with lab employees

4. 4Managed by UT-Battelle for the Department of Energy HPI @ SNS  2007 SNS acknowledges HPI as high priority  Research Accelerator Division (RAD) requires all Group Leaders, Lead Engineers and Physicists to attend mandatory 8 hours Fundamentals Class  Identified need for next level employees to be exposed to HPI Principles (4 hours)  Above levels of training were expanded to other SNS Divisions

5. 5Managed by UT-Battelle for the Department of Energy ORNL Focus Group  Mission to identify opportunities to incorporate HPI principles into operation and maintenance of the complex/site, to fully implement and integrate HPI into our space management, work processes, operations and work execution, and to develop tools to aid in our management of errors.  Several opportunities were identified to include:

6. 6Managed by UT-Battelle for the Department of Energy Radiological Events

7. 7Managed by UT-Battelle for the Department of Energy Postings

8. 8Managed by UT-Battelle for the Department of Energy Postings con’t

9. 9Managed by UT-Battelle for the Department of Energy Next Steps @ SNS  Re-Tool Training to allow more daily use applications “Paper vs Physical Plant”  Develop Error Management Tool “Tripod Delta” based on James Reason’s scheme  Conduct campaigns on processes within our Major Operating entities looking Latent Weaknesses.

10. 10Managed by UT-Battelle for the Department of Energy Next Steps @ORNL  Continue HPI evaluations as issues arise  Enhance the Steering Committee’s charter to assume more Safety role  Drill HPI principles down to greater cross section of employees  Continue HPI Spotlight with High Level Messages  Get the Culpability Flow Chart incorporated into Event Analysis Subject Area (SBMS)

11. 11Managed by UT-Battelle for the Department of Energy

12. 12Managed by UT-Battelle for the Department of Energy Signs and Postings