Showing posts with label Organisational Culture. Show all posts
Showing posts with label Organisational Culture. Show all posts

November 14, 2021

Cultivating a Safety Culture Amid Constant Change

Cultivating a Safety Culture Amid Constant Change: Developing a power plant safety culture takes time and constant effort, but the payoff is priceless, safety leaders at three major power companies said

November 6, 2021

November 2, 2021

Principles-Based Operations: A Military-Proven Method Part I

Principles-Based Operations: A Military-Proven Method Part I: Many organizations have begun applying operational principles used with great success in the millitary. The foundation for postive outcomes is integrity.

June 24, 2018

March 18, 2018

Ghosts of Bhopal?

In a CSB investigation report about a Nitrous oxide explosion in 2016 that killed an employee, the following causes were listed in the report. Many of the causes identified by the CSB are identical to the causes of the Bhopal gas disaster in 1984. Can you identify some of them?
 1.    XXXXXX did not evaluate inherently safer design options that could have eliminated the need for the pump;
 2.    XXXXXX never evaluated its process to identify and control process safety hazards;
3.    XXXXXX did not effectively apply the hierarchy of controls to the safeguards that the company used to prevent a possible nitrous oxide explosion;
4.    XXXXXX installed equipment that increased the likelihood of an explosion without performing a management of change safety review;
5.    XXXXXX did not apply an essential industry safety instrumentation standard, or key elements of a voluntary safe storage and handling standard, both of which are intended to prevent nitrous oxide explosions;
6.    XXXXXX safeguards that failed to prevent the explosion include an automatic shutdown safety control and an explosion prevention device;
 7.    The automatic shutdown safety control XXXXXX relied on required the XXXXXX worker to be physically present – and located immediately adjacent to the trailer truck – in order to bypass the shutdown at a time when an explosion was most likely to occur; and
8.    The XXXXXX explosion prevention device – a flame arrestor – was never tested or inspected to ensure it could protect workers from an explosion.
 9.    XXXXXX failed to apply lessons from previous nitrous oxide explosions; and
10. XXXXXX did not provide its Cantonment facility with an appropriate level of technical staffing support.

March 1, 2018

And then there is a fatality!

How many of you have experienced good safety records when suddenly a fatality occurs in a non process area? Well, you have? The management of Process Safety and Occupational Health and Safety in a chemical plant have a few common elements like incident investigation, work permits, training, emergency planning and response etc. However there is one most important underlying foundation for both- it is a good safety culture. Recently, a large chemical plant experienced two fatalities within a span of two months. Both the fatalities were not in a process area (covered process as defined in PSM) but were road accidents within the factory complex. One of them could have been prevented if the driver was wearing a seat belt. I had visited the plant a month before the fatal road accident (driver without seat belt) and had observed that in the township (where employees reside) of that plant, many of the staff were not wearing crash helmets when riding a two wheeler or were not buckling up when driving a car. This is the problem. You cannot throw away your rules just because you have come out of the factory and entered the township! Safety Culture should be developed assiduously by management both in and outside the plant. Breaking safety rules outside a plant will carry the same behavior inside the plant and other employees will start emulating this. After a fatality, there is always a lot of introspection, but don't forget the basics - Management staff must walk the talk both inside and outside the plant. Plain and simple.

January 9, 2018

Is your organization pulling people out of safety training or safety meetings?

In my long process safety consulting journey, I have seen really committed organizations who demonstrate their commitment to safety as well as those who don't really walk the talk. In one of the plants where I was implementing PSM, the Vice President of manufacturing came to the each of my training sessions 10 minutes before the sessions were starting even though he was not required to be part of that training session. He would stay for the first 15 minutes of every session and then leave. Initially, there were latecomers to the meeting, but when word went around that the Vice President himself is attending the start of each session, people started coming on time. In over 20 training sessions I had conducted, he never missed one. This was his way of demonstrating his commitment and operational discipline.
In a diametrically opposite example, I had started implementing PSM in a medium scale organization that was very hierarchical in nature and was run by the top boss ("Owner"). In the first session with top management, the top boss thought that it was not important for him to demonstrate his commitment because he had other "important" things to do, I tried explaining to him the importance of his commitment and involvement, but when things did not improve, I stopped the project.
In another organization, the bosses of the Vice President who was attending my sessions kept on sending messages to him to contact them to discuss some organizational issue, while the planned session was on, even though they knew he was in a process safety session. I tell such organizations.....get your act together or do not implement PSM at all. It will be a guaranteed failure!

January 5, 2018

Leadership and Process Safety Management

Every now and then we read about incidents of loss of containment even in reputed companies. Why do these incidents happen?
The incidents that I have investigated brings out two categories of leadership - one who think that once a PSM system is implemented, their role is over and the system should prevent incidents. The other is "We did not know this was happening or this risk was being taken at the plant".
Both are leadership issues that form the crux of why incidents continue to occur.
A PSM system is not like a light bulb....switch it on and no incidents occur! It requires top leadership on a daily basis to send the right signals to ensure the PSM system works as intended.
The leadership should also be competent in understanding the process safety risks and should spend quality time to seek and ensure that these risks are controlled on a day to day basis. PSM dashboards are good but can be more useful if leadership does a deep dive into the indicators. The dashboards can also lull you into a sense of complacency if the right indicators are not chosen.
Last, but not the least....Leaders should not review the PSM  system AFTER an incident occurs but must proactively understand whether process safety risks are controlled on a day to day basis.

September 25, 2017

Enforcement of rules in PSM

The human fears only when rules are enforced. In Singapore, I saw this sign on a pedestrian foot overbridge. Though I have used this overbridge more than 20 times, I never saw anyone breaking the law. Please observe that the sign says that the fine is 1000 Singapore dollars.

What does this have to do with process safety management? Many companies do have a carrot and stick policy towards PSM but I have also noticed that the stick is not used properly and effectively many times. Unless employees (from the top to the bottom) observe discipline in manufacturing, accidents in process industries will continue to occur!