What's Inside?

  • 1

    Welcome

    • Welcome Message and How to Maximize Impact

    • BEFORE Survey

  • 2

    Chapter 1 - Performance Variability

    • Meet Kate

    • Learning From Incidents is Important but Limiting

    • Learning From Normal Work

    • Work Failure Rate

    • Things go Wrong for the Very Same Reasons that Things go Right

    • Kate Arrived at the Customer's Site

    • Chapter 1: Quick re-cap

    • Chapter 1: Apply it in Practice
  • 3

    Chapter 2 - Why People Don't Follow the Rules and Use Workarounds

    • Operational Constraints

    • Management's Constraints

    • Kate's Constraints

    • Why People Don't Follow Procedures

    • Kate's story - Entrance Gate Blocked by Equipment N

    • Workarounds

    • Kate's Workarounds

    • Chapter 2: Quick re-cap

    • Chapter 2: Apply it in practice
  • 4

    Chapter 3 - The Gap Between Plans and Reality and How Teams Depend on Each Other

    • Work-as-Imagined and Work-as-Done (WAI / WAD)

    • WAI / WAD - Car Journey Example

    • WAI / WAD - Industrial Examples

    • Kate's WAI / WAD

    • Dependencies - It's Never Just One Person

    • Dependencies - Turbine Assembly Example

    • Kate's Dependendencies

    • Chapter 3: Quick re-cap

    • Chapter 3: Apply it in Practice

    • Chapters 1-3: Summary
  • 5

    Chapter 4 - Your Beliefs Determine What You See

    • What-You-Look-For-Is-What-You-Find (WYLFIWYF)

    • Kate's WYLFIWYF

    • Fundamental Attribution Error - Part 1

    • Fundamental Attribution Error - Part 2

    • Attribution Bias in Kate's Story

    • Chapter 4: Quick re-cap

    • Chapter 4: Apply it in Practice
  • 6

    Chapter 5 - Does Holding People Accountable Lead to More Incidents?

    • Side Effects of Punishment

    • Side Effects of Punishment in Kate's Story

    • Psychological Safety

    • Test Psychological Safety Level in Your Team

    • Psychological Safety in Kate's Story

    • The Meaning of Accountability

    • What do you Want After an Accident?

    • Comparison of Accountability Frameworks

    • Types of Harm

    • Restorative Justice - Evidence of Effectiveness

    • Just Culture Frameworks

    • Site Manager Reflects on Usefulness of Accountability

    • Chapter 5: Quick Re-Cap

    • Chapter 5: Apply it in Practice

    • Chapters 4-5: Summary
  • 7

    Chapter 6 - Do Your Questions Shut People Down?

    • Avoid the "WHY?" Question

    • Open Questions

    • TEDS Questions

    • How to Talk so Employees Open-Up

    • TEDS Questions in Kate's Story

    • Chapter 6: Quick Re-Cap

    • Chapter 6: Apply it in Practice
  • 8

    Chapter 7 - Walk-Through / Talk-Through (WTTT)

    • Leadership Engagement for Learning

    • Where to Start

    • Walk-Through / Talk-Through (WTTT)

    • How is WTTT Different From a Safety Conversation

    • WTTT Process and Form

    • To Use or Not to Use the Form

    • WTTT with Kate - Part 1

    • WTTT with Kate Filled Form - Part 1

    • WTTT Example

    • WTTT with Kate Part 2

    • WTTT with Kate Filled Form Part 2

    • WTTT Common Mistakes

    • Chapter 7: Quick Re-Cap

    • Chapter 7: Apply it in Practice
  • 9

    Chapter 8 - Learning Teams

    • Introduction to Learning Teams Process

    • Learning Teams Phase 1

    • Learning Teams Phase 2 Session 1

    • Learning Teams Phase 2 Session 2

    • Learning Teams Phase 3

    • Learning Team Example 1

    • Learning Team Example 2
  • 10

    Chapter 9 - Integration and Scaling-Up

    • Implementation Examples

    • Implementation Roadmap

    • Chapter 9: Apply it in Practice

    • Closing Remarks

Instructor

Dr Marcin Nazaruk

Dr Marcin Nazaruk is the world's leader in safety transformation through human factors, human performance and safety 2. Marcin has an applied Ph.D. in human factors and a broad range of advanced qualifications in management (MBA), industrial psychology, systems thinking, culture change, or behavioural science. The multi-disciplinary approach led to innovative but highly practical solutions that attracted multiple industry awards. He is the author of multiple industry guides published by the IOGP, SPE or Energy Institute.