Saturday, 31 March 2012

Identifying the Problem to find the solution...



(Picture drawn by Eane Watson - Unsafe)
 (https://www.facebook.com/pages/Unsafe/305048677852)

Main Reason Workers Do Not Follow Safe Work Method Statements

Problem: What needs to be solved?
One of the issues that I see daily in my career is the problem of workers not following the Safe Work Method Statements (SWMS) that have been painstakingly thought out and scribed for them by well meaning Safety Professionals. Often these documents involve lengthy processes, and if you have ever tried to write one you would realise that it is no mean feat. SWMS, sometimes referred to as JSA (Job Safety Analyses), SOP (Safe Operating Process), SWP (Safe Work Procedure) and other such alias’s, are in essence a documented procedure/method of performing a task that takes into account all of the identified hazards and applies appropriate treatments to mitigate possible risks. In order to develop a SWMS all potential hazards must first be recognised by way of conducting risk assessments and task analyses and then applying the hierarchy of control that will best manage them to ensure that the residual risk rating is kept to the lowest means possible.
After all this hard work it is both disappointing and confusing to persistently observe workers not following the developed systems; this is most often revealed following an incident. So the problem is thus; why do workers not follow safe work method statements?


Context, Describe the problem space:  As this is a common dilemma in the Safety industry there are several schools of thought here from both those that develop the systems, and those that are required to use them. Some of the suggested issues are language and interpretation barriers; Australia consists of a large multi-cultural and diverse society and SWMS can often be difficult to interpret even by the average Australian educated worker.  I have observed safety procedures written in English only, with no visual clues, in workplaces where over 80% of the workforce have arrived from foreign countries, and English is not their first or even second language. Although this issue could be mitigated through training and instruction by an interpreter, it rarely is. Education and level of competency is another area that is rarely assessed. I have been guilty myself of asking someone to sign a form whilst assuming that they have the literacy skills or comprehension to understand what they were signing. Adult literacy in Australia is presumed and there are usually few circumstances where the average blue-collar worker is required to provided evidence that he/she has the capacity to comprehend a document; to ask is to risk insult, and as Australians this is an area few are confident to trespass. One of my colleagues had an interaction with a business Manager who had one of the best Safety Systems he had observed. The Manager was able to pull up the appropriate documentation at the touch of his keyboard and had an impressive array of colourful signage and SWMS available for his staff. What his workers did not know was that the he himself was completely illiterate and could not read a single letter! His wife had developed a colour coded system for him and purely through practice and memory he was able to run his business! Somehow he has kept this a secret from his staff for over 25 years! (Of course one has to question why that ingenuity and time had not been redirected into learning to read and write?!) One of the main excuses I hear from workers as to why they have chosen to complete a task a different way to the existing SWMS is that “they have always done it this way and never been hurt before” also “I have been a XYZ for 25 (etc) years and I KNOW how to do this safely! Who is he/she to come in and tell me I have been doing it wrong and now have to do it another way?!”

 Realities: Describe the practice space:  To continue to look at this problem lets think about safety behaviours and when/where we are likely to carry them out. As an example we will use the often referred to task of lawn mowing. If a worker is employed by a large mowing contractor you would expect several safety issues to be covered. He [sic] would be wearing enclosed shoes (usually steel toe enforced) a wide brimmed hat, and long trousers and shirt for protection against heat, UV, plant allergies, flying debris and insect or snake/rodent bites. Sunscreen is generally applied, a water bottle is provided and safety glasses are worn where required. Why then would we observe the same worker on a Sunday afternoon at home, manicuring his own lawns in a singlet, stubbies and thongs with only a beer for refreshment? This is a basic but perfect example of how differently someone can behave in their public and private practice space. It is also further testament that workers have not ‘bought into’ the safety principles outlined in the SWMS. Another example of when this can be applied is where a worker is required to manually lift an object. At work we are taught to keep our backs straight, knees bent etc; who can honestly say they do this at home? (It is one of the reasons this type of 'manual task training' has been shown to be the least effective in managed high risk manual tasks)

The reason it is important to identify the varying habits of public and private practice is in the behaviours that are formed and the principles about why a worker believes, or refuses to believe, that a SWMS is designed to provide a safer way of doing things. As Safety Professionals we often dictate that workers MUST adhere to the SWMS without the appropriate consideration given as to why it was implemented or the process behind its development. By enforcing a process without worker ‘buy in’ there is little chance that the documentation developed will be more than a token effort in due diligence. Workers at any level feel they have obtained the right to their positions through competence and the mere lack of any noticeable incident or injury assures them that the way they have been doing things until now is just fine! In many ways they are often right, and the perceived arrogance of safety professionals instigating new systems that interfere with the way things have always been done is understandable.

Actors: The actors in this scenario are the workers, the safety personal who have created the SWMS and the supervisor/managers who have been tasked with ensuring their implementation. It can be supposed that Safe Work procedures protect not only the workers but the people who would be affected if they failed, such as family, friends and community. Other parties involved in the success or failure of SWMS could be doctors, lawyers, rehabilitation personal, unions, government inspectors and workers compensation managers. Safety documentation is often perceived as having two functions; to alleviate risk and to mitigate prosecution following incident. Sadly in my experience one often outweighs the other.

Tensions: After the time and effort that is invested into developing a SWMS which is then generally (although not always) followed up by training and induction, Management often presumes that workers are happily following the procedures; after all, “we showed them what/how we want it done and they signed off on it!” This is often where the most important step is overlooked; Managers and Supervisors fail to instigate the checks and balances necessary to ensure the system is being applied as required. Without monitoring and supervising the system, workers can quickly fall into the habit of ignoring the newly implemented documentation. This can happen for several reasons; they may not have completely understood them as they are often written in either legislative or Safety linguistics which makes them difficult to interpret or comprehend, or they may have chosen to disregard them because they feel the SWMS were implemented outside of their control and they have little confidence in their validity.

Problem Definition: In an ideal world once a safe work procedure is developed the workers will be able to follow its application step by step, treating all risks and consequently performing the task safely. SWMS would be easy to understand, interpret and apply; a win-win for Safety Personal, Management and the workers they are written for.

Concepts: Now that we have defined the problem it is possible to see that there are several potential solutions to address the issue of workers not following Safe Work Method Statements. I recently followed a similar debate on a safety forum and the following improvements were suggested. First and foremost the advice to Safety Personal or anyone else responsible for writing SWMS is to stop going it alone! Take a step back and start by talking to the workers! Yes, that’s right, talk to the people who actually DO the job. ASK them what they perceive the risks to be and what suggestions they have to manage them. It is called CONSULTATION! One of my other colleagues gives a really simple example of how easily this can work. She tells of a business that found that despite the SWMS directing workers to wear safety glasses in the workshop, there was persistent non-compliance. The risk analysis had proved unequivocally that the need for protective eyewear was necessary, so there was no room for manoeuvre on the subject. The company engaged a safety product salesperson to address the workers and provide them with samples of a variety of glasses, after which employees were invited to choose the style that they felt they were most suitable and comfortable with, within a very generous budget. The outcome was that not only did workers now wear their PPE, they also took personal ownership and care of them.

The second step relies on education. I can’t count how many times I have asked workers to explain how they work within the SWMS only to be told they don’t understand it, even though they admit they have ‘signed off’ on them. To compliment the time taken to write a SWMS, extra time should be taken to ensure that the workers they apply to are inducted and trained into the procedure, and actually understand not only what is written in it, but also how individual aspects are applied. One way to ensure this has occurred is through assessment, feedback and observation.

The final test of whether a SWMS has been successful is through monitoring and review; a step often missed in the risk management process. This can be done through adequate supervision, behavioural observations and even simpler, by regularly consulting with workers to discover any issues that have arisen from the application of the procedure, or any areas that might have previously gone unnoticed. Many times a SWP is not reviewed until an incident has occurred or a review period has arisen. An easier method is to take the SWMS out to the workers and observe the task it has been created for; if any idiosyncrasies are noted then return to steps 1 through to 3.

There is no dispute SWMS are often necessary, particularly in high risk operations, however the only true measure of their success is the elimination of injury through their consistant application. Workers are not trying to be difficult by refusing to follow a Safe Work Method Statement, therefore consulting and working in conjunction with employees to develop the SWMS will ensure they are able to appreciate and understand what the process is trying to achieve, and that the adoption is painless. 

After all, the most important reason for making your workplace safe is not at work at all.



Wednesday, 14 March 2012

The hampster wheel of insanity....








According to Einstein the definition of Insanity is doing the same thing over and over again and expecting different results... Now where can I apply this? Ha! By this definition I am thinking it is time to break out the white jacket, pad the walls and call the white truck!

From this week’s learning about the reflective investigator, I have concluded that perhaps eating that third piece of cheesecake has the enduring effect of preventing my jeans from fitting? Of course the same could be said of the endless monthly gym membership fees being withdrawn from my account without actually attending.. Who knew?!

I have learnt that my taste in the opposite sex inevitably leads me to be attracted to ‘bad boys’ whilst repeatedly forgetting the word ‘bad’ means 'not good'...

I know that I continuously regret sending emails/texts when I am tired and/or feeling moody and that when I read over them later I think DOH!.... then promising myself I will assert better self control in future.. (a work in progress).... This too brings to mind a phrase friends may have observed me use once or twice... “I am never drinking again!”

Someone mentioned in today’s lecture that producing children was an example of not learning by virtue of repeatedly recreating the same circumstances; in this area I excelled! I delivered one, two, three, four, male prodigy! On the balance of percentages, by number three I had less than a 5% chance of producing a female heir; unfortunately I am not easily swayed by mere statistics! (I also read the other day that you had 1000x more chance of being hit by a car whilst crossing the street to buy a lotto ticket, than actually winning the lotto!  Pffft!)

So the conclusion today is thus, I can either completely reset the internal process that allows me to repeat my mistakes and get off the hamster wheel of inevitability.... or cross my arms, buckle up and get comfortable.

I wonder if it is a coincidence that white really is my colour?




Tuesday, 13 March 2012

Building Synapses...


In laymans terms our course this Semester has been described as "Thinking about thinking".. Considering I am rarely able to "Speak before thinking" "Act before thinking" and worst of all "REACT before thinking" the concept has presented somewhat of a challenge!

How long do we go through life convinced that our beliefs, judgements and views are correct? After all, they are based on experience... we KNOW we know! We have seen, heard, experienced, learnt and aquired the 'truth!' Now suddenly we are being asked to confront those beliefs? Question those perceptions? and review everything we thought we knew about... well everything really!

I have found myself debating ideas and arguing perceptions that ironically determine the same conclusion as my fellow constituents. It seems remarkably possible that there is indeed more than one way to skin a cat.... or for like of a better term, investigate the causation of an incident; it is even remotely probable that there is more than one conclusion!

I am generally content to question everyone and everything around me in my persistant thirst for knowledge, it is however a new concept to question myself. It feels like I am systematically demolishing the very comfortable, if somewhat uneven, neural pathways in my mind, and replacing them with synapes leading to original and unique destinations. Whether these new roads will inevitably lead to the 'ANSWER' remains to be seen.

What I do know, is there are more than a few potholes lined with bad ideas and mountainous hills of pre-concieved self righteousness to navigate during construction.. so I may need a bigger shovel!

This might also explain the headaches.....





Saturday, 10 March 2012

Alice through the looking glass..





I have noticed a trend between myself and the other students in this course in regards to our first Blog for Accident Forensics; it seems that whilst we have entered this domain to discover the intricate complexities of the world outside, for many of us our primary focus appears to be looking inwards and questioning our own perceptions, conceptualisations and self-beliefs.

I wonder if this fits with the analogy that in order to love, one must first be loved and therefore in order to look outwards one must first look inwards. To gain a clearer insight into the outside it appears first important to understand our own contextual vision and how our personal prescriptive lens has affected the view.

I also often wonder just whether rabbits really do wear watches?

Friday, 9 March 2012

Life Death and the Universe... does it really equal 42?

Many of us have recently stepped into the world of Accident Forensics ultimately searching for answers to Why? How? What? and When? incidents have occured. It is human nature to seek out answers to the unknown and for some of us it is a never ending search; the type of questioning and internal reasoning that keeps us lying awake at night pondering possibilities that sometimes feel just out of reach. We tell ourselves if only we keep learning, keep studying, keep exploring, keep asking, then eventually we will find the 'ANSWER'. The problem is do we really know the question? For any of you who have read the Hitch Hikers guide to the Galaxy you will relate to my topic title :)

My personal dilemma lies in looking for multiple answers to multiple complex situations simultaneously, and I am rarely able to clear my mind and focus on the task at hand. I don't think I have watched a DVD at home for the past four or five years without my laptop on, the paper by my side and an unopened pile of mail to review! And just who invented multiple tab openings! Whilst writing this (or any other assessment) I keep my email open so that I am instantly aware of incoming messages; of course I also have my email linked to my phone so that I won't miss that important message informing me I have just won 2000 000 in the African lottery, if I should need to step away from my computer! I also regularly click on my open Facebook tab to ensure that nothing has happened in the lives of my friends in the past five minutes that I wasn't immediately aware of.. I actually logged into my Facebook this morning with the absolute intent of deactivating my account only to find like an addicted junkie I just need to keep it open a bit longer... The same can be said of my LinkedIn account.. the budget spreadsheet tab I keep open in case I have a last minute epiphany of a forgotten expense (not a saving, never a saving..) and Skype, always Skype.

It isn't as though I have all the time in the world either! I am a single mother of four awesome young lads between the ages of 14 and 20, hold down a full time job as a Senior Inspector with WHSQ, do some casual shifts for CQNursing, partly because any income that will feed the brood is a bonus, and partly because I love community nursing care. I am also painstakingly holding onto my 6.2 GPA and coveting each and any course outside of Uni that I can reasonably access!

So the question people often ask me is HOW do I do it all? The question I am currently asking myself is WHY?? If the answer really is 42 then I figure I have about 3.5yrs to get there, when suddenly all the lights will come on and the solution will be right there in front of me. 

The only thing I need to do now is find the question.