The Luck Factor - VPPPA, Inc. Luck Factor: Mistakes That (Sometimes) Get Us Hurt 3 Two types of...

The Luck Factor:Mistakes That (Sometimes) Get Us Hurt

2The Luck Factor: Mistakes That (Sometimes) Get Us Hurt

How many mistakes have you made?


Two types of mistakes(some are intentional and others unintentional)

• Not doing something that you should have

done


Don’t like to do?

• Take out trash

• Dentist

• Car to shop

• Doctor

• In-laws

• Gym


Inserting machine

• Initially no cover on opening wheel

The Machine Operator

also made a mistake…

not looking for,

or thinking about,

line-of-fire potential

as he was moving We obviously had an equipment issue

due to the unguarded rotating shaft

and opening wheel


• Manufacturer

designed a guard

for the machine

• An engineering

control to prevent

accidental contact

Inserting machine


One of the most common mistakes

people make on a regular basis

is not looking at what you’re doing

or where you’re going,

(or not thinking about it either)


What’s the #1 thing to take people’s

eyes off the task they’re doing?


• Not doing something that you should have

done

• Doing something you should not have

done

Two types of mistakes(some are intentional and others unintentional)


Sometimes mistakes cause…

• Performance problems


Recognizing a

performance

mistake at

18,000 feet… Columbus


Recognizing a

performance

mistake at

18,000 feet…

Cincinnati

Columbus


CMH

CVG

✓




• Embarrassment


Not All Errors Cause Injuries




• Embarrassment

• Quality or productivity issues




• Embarrassment


• Equipment damage




• Embarrassment



• Increased scrap and rejects




• Embarrassment



• Increased scrap and rejects

• Or even injuries


What if it were your job to cause errors by others?

1


Does Rushing at work cause mistakes?


1 2



What about Frustration at work?


1 2 3



What about Fatigue at work?


2011 FAA studyAir Traffic Controller Chronic Fatigue

• Nearly 20% of controllers committed “significant errors”

in the previous year

– Ex - Bringing planes too close together

– Over 50% of errors attributed to fatigue

• Over 60% of controllers said they had either fallen

asleep or experienced a lapse of attention driving to/from

midnight shifts

Source – Associated Press 8/10/15


2011 FAA studyAir Traffic Controller Chronic Fatigue

• Schedules worked by 76% of controllers led to chronic

fatigue, creating pressure to fall asleep

• “Even with 8 to 10 hours of recovery sleep, alertness

may not recover to the full rested baseline level…”

Source – Associated Press 8/10/15


What about Fatigue at your facility?


Could Complacency also play a role in our mistakes?


What about Complacency at work?


Errors (which cause)States (cause)

Hazards

Less Risk (to become)

Hazards with a

critical error

More Risk

to become

Is there a discernable pattern?

Copyright © 2017 by Electrolab Limited. All Rights Reserved.

SafeStart is a registered trademark of Electrolab Limited.


Will the “hierarchy of controls” approach eliminate all mistakes?

• Engineering Controls

– Guarding, separation by space, barriers, interlocks, and etc.

• Administrative Controls

– Policies, procedures, JSAs, and etc.

• PPE

– Safety glasses, slip resistant shoes, hearing protection, FR

clothing, and etc.


Development of Personal Safety Skills

• Self-Trigger on the State or Amount of

Hazardous Energy

• Analyze Close Calls

• Look at Others for the Patterns that Increase

the Risk of Injury

• Work on Habits

Copyright © 2017 by Electrolab Limited. All Rights Reserved.

SafeStart is a registered trademark of Electrolab Limited.


Could our job be a bit easier?

• Develop Personal Safety Skills

• Which in turn impact a wide range KPIs(Key Performance Indicators)

• Does “selling safety” becomes easier?

Thank you for attending!

Please remember to submit an evaluation on

the mobile app.

The Luck Factor - VPPPA, Inc. Luck Factor: Mistakes That (Sometimes) Get Us Hurt 3 Two types of...

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