Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning

Author:   Todd Conklin
Publisher:   Taylor & Francis Ltd
ISBN:  

9781472486127


Pages:   138
Publication Date:   28 June 2016
Format:   Electronic book text
Availability:   In Print   Availability explained
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Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning


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Overview

The Problem Is the Question Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning challenges safety and reliability professionals to get better answers by asking better questions. A provocative examination of human performance and safety management, the book delivers a thought-provoking discourse about how we work, and defines a new approach to operational learning. Don't Focus on Safety as an Outcome This is not a book about traditional safety. This is a book about creating real safety in your organization. In order to predict incidents before they happen, an organization should first understand how their processes can result in failure. Instead of managing the outcomes, they must learn to manage and understand the processes used to create them. Create Change in Your Organization Written by a top industry expert, the book provides a new definition of safety and utilizes knowledge from the field and the floor. Ideal for use in safety, human performance, psychology, cognitive and decision making, systems engineering, and risk assessment areas, this book equips the safety professional with the tools, steps, and models of success needed to create long-term value and change from safety programs. Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning serves safety managers, safety officers, safety specialists, risk managers loss control personnel, safety engineers, safety auditors, human factors and ergonomics engineers, industrial engineers, safety representatives, lecturers, and trainers.

Full Product Details

Author:   Todd Conklin
Publisher:   Taylor & Francis Ltd
Imprint:   CRC Press
ISBN:  

9781472486127


ISBN 10:   1472486129
Pages:   138
Publication Date:   28 June 2016
Audience:   College/higher education ,  Tertiary & Higher Education
Format:   Electronic book text
Publisher's Status:   Active
Availability:   In Print   Availability explained
This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us.

Table of Contents

Better Questions A new view for safety is appearing everywhere This book is not about traditional safety... This book is about wisdom I Hate, "You Can't Fix Stupid!" People do not just become stupid To Ask Better Questions, First Understand and Stop Blame Access Knowledge from the Field and the Floor The scene The problem Blaming the driver is not a long-term solution The learning Not Knowing Is PowerfulSafety is about learning Learning is a product of feedback Outcomes matter and learning matters Wise managers make better decisions See hazard identification as an outcome There Is Good News Why Learning Has Not Been Our First, Best Tool Let me make you breakfast: An illustrated discussion Not every event needs fixing A Learning Team Case Study Bob EdwardsFree Willie: A case study for learning teams Why We Do Not Learn?Workers must be involved in problem identification Learn and improve Workers are fundamental Quick fix versus fix quickly! By giving up control, you gain operational intelligence Micro-experimentation Confidence is important Access reality when learning Learning should be simple so that learning outcomes are not simplified Learning happens on a diffusion cycle Fork truck versus pedestrianDiscipline and learning Discipline is never an appropriate response to an accident The test for the proper use of discipline as a safety management tool Learning Teams What is a Learning Team? A Phased Approach to Learning Teams When to Learn?Phase one: Determine the need for a learning team Determine when to learn Questions to start your thinking about the learning process Do not start with problems that are too big or complex for the group Safety only? The team learns about the event, together Setting the stage for learning Who should learn for your organization? Does the team need a leader and/or coach? Does phase one matter? Summary of phase one Phase two: The first meeting-Discovery Stay in problem-solving mode Start a loose representation of the event or of the work in question So, what do we do if we cannot use a timeline? Identify conditions: Not choices List the conditions present in the event context Everyone has a perspective Phase two summary Let It Marinate: Build in Time to ThinkPhase three: Soak time! Phase three summary Phase four: The second learning team session Review, recap, and capture additional information Phase four summary Change Happens! Phase five: Define old and implement new defensesMicro-experiment your defenses, safeguards, and capacities Phase five summary Phase six: Track actions and criteria for closure Learning happens in many waysThe power of small experimentationSuccess has many facesTracking actionsPhase six summaryShout from the RooftopPhase seven: Communicate to other applicable areasConstantly search for "extent of conditions" Phase seven summary A Learning Team Case StudyBob EdwardsWho buried Bill? Conclusion: This Book Ends and Your Work BeginsLearning and improving The old is new again Why learning teams? How we ask questions changes how workers answer questions

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Author Information

Todd Conklin retired as a senior advisor at Los Alamos National Laboratory, New Mexico, one of the world's foremost research and development laboratories, in the human performance and safety integration program. Dr. Conklin had worked on the program at Los Alamos National Laboratory for the past dozen years of his 25-year career. Conklin holds a PhD in organizational behavior and communication from the University of New Mexico. He speaks all over the world to executives, groups, and work teams who are interested in better understanding the relationships between the workers in the field and the organization's systems, processes, and programs.

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