How to Go From Lesson to Learned: PSM From Engineering to Operations

  • Type:
    Conference Presentation
  • Conference Type:
    AIChE Spring Meeting and Global Congress on Process Safety
  • Presentation Date:
    April 3, 2012
  • Skill Level:
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How to go from Lesson to Learned: PSM from Engineering to Operations

Presented By: Dr. Chit Lutchman (CSP; CRSP, 1st Class Power Engineer)

PSM and other Human Factor considerations have improved reliability of many operating facilities across many different industries. Similarly, significant improvements in health and safety have also been made across most industries and are reflected in declining injury frequency trends and declining numbers of injuries and fatalities. Nevertheless, organizational learning and safety culture continue to evolve slowly. In this presentation, a model for creating a continuous learning safety culture from shared learning is presented. The model focuses an effective method for moving learnings quickly across organizations in an organized and consistent manner to foster learning to prevent repeat and similar incidents. 

Description: This presentation provides a model for shared learning in and builds upon the Kaizen Process for shared learning. The process is owner driven and is facilitate fast sharing of learning both internal and external to the organization. 

Application: Studies show ~90-95% of workplace incidents and avoidable and >80-85% are repeated. Shared learning provides opportunities for learning within and across organizations to prevent repeat incidents. 

Results and Conclusions: Key findings and conclusions of the proposal include the following:

1. Learning must be structured and presented to cater for both Generation X & Generation Y.  Both groups learn differently and their learning needs must be met for success.

2. Significant volumes of research and investigations are done yet learning seldom makes it to the frontline where safety incidents occur.

3. Shared learning in safety has the potential to significantly reduce the number of workplace incidents and associated costs.

Technical Contributions: Learning from events is an effective means for reducing repeat incidents and cost and improving operating reliability and performance. A model is proposed for shared learning.

1. Approaches to shared learning must be simple and organized for sustained improvements.

2. Both Generation X&Y who inherit the workplace today are differently experienced and they learn differently. Shared learning must cater for both groups.

3. Very few models exist for promoting shared learning today. Shared learning is in its early stages of development and is the last low hanging fruit for sustained improvement in reliability and health and safety in the workplace.




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