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The “Blame Game” Stops Learning

March 19th, 2010

It’s true.  No one wants injuries or loss producing incidents to happen.  Not corporate executives, managers, contractors, hourly workers, their families and friends; none of them.  Whatsmore, it is rare that they take personal risks or put others at significant risk of injury on purpose, without precautions they feel are adequate.   At least that’s my experience.

However, when something goes wrong it’s common to hear, “I didn’t think a thing like that could happen.”, “Can you believer she did that?”, “How could he be so stupid”, or “I told her 100 times to look out for that.”

I was talking with a risk manager about “how stupid his people are!”  An employee slipped on a piece of apple that was on the floor and broke her wrist.  The risk manager was incredulous that this employee didn’t see the piece of apple and avoid it.  “How stupid!”

How many times have we talked with supervisors and managers about injury incidents and they react the same way?  There’s a natural tendency to be defensive and deflect blame to others.  Often times, blaming the injured person for their “carelessness.”  As SH&E professionals it’s our job to combat this thinking.

Back to the employee who slipped on the apple.  What happened that resulted in the piece of apple being on the floor in the first place?  When it was dropped why didn’t the person who dropped it pick it up?  Was it noticed by anyone else? Should they have cleaned it up?  Is this a walkway where people regularly carry food?  Should it be?  If so, have you discussed the potential for spills, the need to clean them up right away, the potential for slipping regardless, etc.?

Okay.  This isn’t about apple on the floor, or the “5 Whys” of root cause analysis.  It’s about accountability.  We’re all accountable, so let’s stop pointing fingers and consider our own responsibility. 

In most cases, managers set the rules and establish how things are to be done.   Then it’s up to everybody else to follow the rules and work within the norms of the operation.  However, here’s where reality comes into play.  The way things get done often are different than how management says they should be.   Ah, that culture thing!

Even with rules and norms, the culture of the organization drives safety.  In particular, safety rules seldom cover every situation or hazard, so it is important that everyone becomesaware and empowered to report situations like a spill on the floor.  More important is that they are empowered to take action to make sure no one slips and falls.  This responsibility should be shared by all.  Does the culture make this acceptable and is it encouraged?  More important, is the culture one that values learning from mistakes and shares that learning?

I’ve got an idea.  Let’s all drop our defenses and work together.  There’s no “I” in “Safety”!  It’s a “TEAM” game. I’ll bet that in the area where the employee slipped on the apple others have slipped before.  Maybe no one was injured, but it probably happened before and didn’t get noticed.  We need to share information, let others know, work together to prevent spills and clean them up when noticed, all without pointing a finger at someone else and playing the “Blame Game.”

The risk manager was upset because of the cost of the injury claim.  It was easy to lash out at the “stupid” employee.  I’ll bet the employee was upset having to go to the emergency room, enduring the pain of the broken bone, and being subjected to the inconvenience related to the subsequent recovery.   She may have even asked herself, “How could I have been so stupid!”

Step One:  Quit trying to find fault and place blame.  Admit the problem, find causes and cures, and involve everyone in the solution with sound education and empowerment.

Step Two:  Create and  foster a culture of  shared responsibility.  open communication and learning, and personal accountability.

Become “Team Safety” in the game of protecting eachother.

It’s Too Easy To Be Destructive

March 17th, 2010

I’m really getting fed up with the negativity and destructive commentary by our politicians, the media, bloggers and people everywhere.  It seems that our society really believes that “the more angry I seem and the louder I shout about my anger or the point I want to make, the more correct I am.”  

My mom and dad taught me that “if you don’t have anything good to say, then don’t say it at all.”  I don’t necessarily believe that fits all situations, but as a rule to live by its a pretty good one.

Earlier this week, there was a discussion posted on the ASSE Group site of LinkedIn, titled “Hit The Road, Jordan: OSHA’s New Head Brings Thuggishness to the Labor Department – Big Government.”  Thank goodness it’s since been taken down.  Maybe some of you saw it.  It called for Jordan Barab to resign as the interim head of OSHA (a bit dated wouldn’t you say) and proceeded with a long character assassination.  The young writer also spewed a great deal of misguided venum on what OSHA should do or should not, that indicated his lack of understanding of the Agency and its authority, et. al.  It is this person’s right to say or write what he wants, but I found the level of outrage and misrepresentation in the content of the article alarming. 

Regardless of your beliefs or political stance on the issues, this type of negativity leads nowhere.  Well okay, it leads to greater polarization.  I wondered if that’s what the ASSE Group member hoped would come from posting such and article.  Let’s hope not.  I responded with a comments like these:

It’s one thing to post a discussion that leads to thoughtful discord, and another to post a link to an article like this one. Not only is the writer significantly off with his timing, but his understanding of the authority of OSHA and the rule-making process leaves much to be desired. Respect his youthful passion, but smile at his naivete.

I read another commentary the other day in OHS Magazine written by Mike Hayslip, J.D., CSP, Executive Director of VPPAC. Mike talked about the various jobs he has held during his adulthood (including carpenter) and the perspective they provided. In discussing the political wrangling about OSHA that has been going on for most of his (and my) long career and will probably always be present, he reflected that (paraphrase) ”Any carpenter with a sledge hammer knows that demolition goes fast, but using your tools correctly to build a structure of quality that lasts takes a long time.”

It’s my experience that removing negativity and anger from our discussions allows for more open communication and debate on the issues.  Thus, allowing more creative and constructive solutions to evolve.  Passion and emotion are good to have, so let’s use them to move our lives and society forward.

Constructive criticism is healthy, but commentaries like this one referenced here are like that sledge hammer. It’s easy to angrily criticize, shout and tear down. Providing thoughtful ideas and offering solutions is harder work!  Maybe we need to take a step back and become more like carpenters, using our tools to build a positive future together.

The Value of Story-Telling

March 15th, 2010

The Power of Story-Telling and Sharing in Creating a Positive Safety Culture:

It’s important to develop an organizational desire to learn from its mistakes.  This desire to learn and improve drives success.  A learning organization will value stories and the lessons they hold, particularly those related to near-miss situations. 

That’s why we are hearing more and more about successful safety programs that encourage and reward near-miss reporting.  These companies want to become aware of and learn more about what hadn’t been reported, discussed, nor corrected.

Don’t get me wrong, discussing and celebrating our successes is important too.  Success stories are usually about how something that was wrong was corrected, and lessons abound if we look for them.  But, that’s not my point in this post today.

Most everyone has heard of Charlie Morecraft.  Charlie was severely burned in a refinery incident, and now speaks worldwide sharing the horrific story.  He tells the story with great passion and details the pain he endured.   His presentations are ususally in front of supervisors and workers, focusing on the hazards of risk-taking shortcuts and complacency.  Charlie not only holds the attention of the audience, but often has a real impact on the people he speaks with.

I’ll bet that if you ask your employees to begin to share near-misses, or to discuss those close calls from the past they will have some great stories to share.  One step further would be to have anyone who has actually been injured to share their story.  It’s a great idea to ask your workers to share their stories; explaining what happened, the circumstances, their part or role if any, and the lessons they learned.  This brings safety to real life, and puts a face and name to it.

Recently, in discussing the value of stories, a insurance risk control manager told me of a repeat incident where two employees were injured while preforming nearly identical job tasks.  The incidents occurred in a laminating operation during maintenance  to clean rollers.  Lockout procedures were ignored, resulting in the first mechanic being caught in the process rollers up to his shoulder.  It was very serious, but the mechanic eventually returned to work with a 30% disability.

The company redoubled its lockout efforts and retrained all the mechanics, but within a year the second, almost identical incident occurred.  Thankfully, this time the injury sustained was less severe.

So why do incidents of this type repeat themselves?  There are books written on the subject, so I won’t try to answer it here. Rather than focus on the system issues, quality of training and supervision, and of course the cultural issues, let’s talk about “learning.”  The type of learning that encourages sharing and caring, and makes it personal.

In discussing the situation of the laminating company, I learned that they didn’t have a very good safety program.  There was little structure and most employees were left to do their job without much coaching.  The supervisors tended to be dictatorial and weren’t interested in feedback.  Safety meetings were few and far between.  I guess you could say that the environment was nearly opposite that of a “Learning Organization.”  That might give us a clue as to why the incident repeated itself.  No one learned any lessons that were ingrained throughout the organization!  How does the phrase go?  “Those who do not learn from the past are destined to repeat it.”

I’ve learned that making the safety message “personal” is an important first step in fostering a willingness to learn and share.  Asking employees to think about what’s important to them is a good starting point.  Helping them focus on what they value (family, friends, faith, good health, safety, recreation, and a purpose in life) and getting them to talk about it will be a positive factor in their acceptance of responsibility for their own safety.

Ask your employees to share near-miss stories, as well as real loss producing incidents.  Discuss their feelings about the situation and how it has either changed them or made them more cautious.  Did they tell their family about it?  How did they react?

Now, ask the other workers in the group to think of a similar situation that they might have experienced.  It could be anything, like running a yellow light and nearly hitting another car,working off the top step of a step ladder and falling but not getting injured, etc.  Discuss the situations that are shared, focusing on what the thought process was that resulted in the risky behavior.  Ask what “we” all can do to check our plan of attack, before we do anything we will regret.

Finally, ask your employees if it is OK to discuss near-misses regularly.  Gaining their permission is important.  Assuming that they say it is OK, ask each of them to come to the next safety meeting with a near-miss situation, hazard they observed, or actual incident to discuss.  With this, you set in motion the process of sharing, reporting and discussing potential loss producing situation.  The next thing you’ll know your will have established a near-miss reporting system and have become a “Learning Organization!”

I’d love to hear other ideas on how to foster the willingness to learn in your organization.  Please share!  Thanks.

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