SlideShare a Scribd company logo
Aligning Behaviors for Incident Free Operations
AFPM Process Safety Group
March 23, 2015
Objectives
• Address the challenge of complexity
• Describe how complexity impacts safety and risk management
• Identify a new approach to aligning behaviors
Wilson Perumal & Company, Inc. 2
• Identify a new approach to aligning behaviors
Complexity is stretching the capabilities of most
organizations
TECHNOLOGY IS MORE COMPLEX
PRODUCTS & SERVICES MORE COMPLEX
XXXX
Wilson Perumal & Company, Inc. 3
PROCESSES MORE COMPLEX ORGANIZATIONS MORE COMPLEX
REGULATIONS MORE COMPLEX
MARKETS MORE COMPLEX
XXXX
XXXX
XXXX
XXXX
Companies are passing a complexity threshold
VALUE
COST & RISK
(exponential growth)
$
#Items #links
1 0
2 1
3 3
Operational risk grows exponentially with complexity
Many companies
An increasing number
of companies are here
Wilson Perumal & Company, Inc. 4
VALUE
(diminishing
returns)
4 6
5 10
…
10 45
Complexity
Few companies
are still here
Many companies
are here
Response to incidents adds complexity
Complexity
increases
Poor
execution
More people
& processes
Wilson Perumal & Company, Inc. 5
execution
Loss of
process
control
Poor business
results
& processes
Vicious
Complexity Cycle
Complexity is a major contributor to human error
Leaders must dig deeper to
systemic cause of incidents
• Too many programs
• Too much change
Wilson Perumal & Company, Inc. 6
• Too much change
• Unclear expectations
• Misaligned behaviors
• Overload creates “personal
management systems”
• Physical fatigue
• Mental exhaustion
Highly-regarded organizations struggle to manage
complexity and risk
Examples:
2015 – BNSF Crude Train Derailment, IL
2015 – ExxonMobil Torrance Fire
2012 – Chevron Richmond Fire
2010 – BP Deepwater Horizon oil spill
2010 – Tesoro Anacortes Explosion
2005 – Texas City Explosion
Wilson Perumal & Company, Inc.
Complexity
Risk
7
These organizations all had well-developed risk management programs
and management systems
BehaviorsBehaviors SystemsSystems ExecutionExecution
A fresh look at operational discipline and behaviors
Aligned
behaviors are
the foundation
for excellence
8Wilson Perumal & Company, Inc.
The right behaviors and culture are essential
What We DoHow We Do It
Operational
Excellence
Procedures
Standards
Work Processes
Values
Behaviors –
“Doing the
Premier Refinery
9
Work Processes
Systems
“Doing the
Right Thing, the
Right Way,
Every Time”
Processes and procedures, without a culture that embraces
values and behaviors, will not result in Operational Excellence
Wilson Perumal & Company, Inc.
The Nuclear Navy’s culture and system stand out
“The nuclear navy emphasizes training and education in a
way that would be thoroughly astonishing if you were not
already familiar with it. And I urge you, in the strongest
possible terms, to take a look at that program.”
President’s Commission on Three-Mile Island
Dr. John Deutsch, Director of Energy Research &
Acting Secretary of Energy Technology, U.S. DOE
10
Acting Secretary of Energy Technology, U.S. DOE
“One of the best examples of the creation of an
HRO culture is the US nuclear navy.”
—Andrew Hopkins, Failure to Learn
BP Texas City Refinery Disaster
Wilson Perumal & Company, Inc.
Behaviors must be simple, aligned, alive and
assimilated
CONTINUITY OF POWER
REACTOR SAFETY
The “Pillars of the Program”
Wilson Perumal & Company, Inc. 11
• Level of Knowledge
• Formality
• Questioning Attitude
• Forceful Watch Team Backup
• Integrity
LEVELOFKNOWLEDGE
FORMALITY
QUESTIONINGATTITUDE
FORCEFULBACKUP
INTEGRITY
The “Pillars of the Program”
Four step approach to align behaviors and reduce
incidents
LeadershipLeadership
• Refinery Manager
design, ownership and
support
• Leadership Team
adoption and
ownership
AwarenessAwareness
• Kick-off sessions
• Roles Sheet
development and
ownership
ActionAction
• One-on-one meeting
with employees to
SustainmentSustainment
• Leadership involvement
12
ownership
• Set expectations for
support of and reward
for behaviors
• Behaviors become the
“way we work” not a
program or slogan
• Involve union
leadership as an owner
ownership
• Development of
Improvement Action
Plans
• Communicate
behaviors as an aligned
way of thinking and
acting NOT a program
• Common critical
thinking skills are put in
place to enable
behavior application
(Why Analytics)
with employees to
discuss expectations
and create
Improvement Action
Plan
• Coaching to move from
awareness to
implementation
• Use Five Pillar
Behaviors and Why
Analytics for problem
solving (Could, Is, Did)
• Leadership involvement
• Hiring for Five Pillar
Behaviors
• Onboarding process
• Performance review
process
• Talent management
• Integrate into
Supervisor training
• Communication of
successes
Wilson Perumal & Company, Inc.
A powerful tool to drive
change and improvement
• Questioning Attitude
• Integrity and Courage
• Engagement
• Increasing Knowledge
Structured Approach
Five Pillar Behaviors: Role Sheets And Improvement
Action Plan Worksheet
13
• Structured Approach
Role Sheets developed for
all positions in the company
Improvement Action Plan
Worksheets define areas for
personal improvement
The improvement process
works best when managers
and supervisors interact
with individuals, drive and
lead the process
Wilson Perumal & Company, Inc.
Why Analytics: an effective way to apply the Pillars
Develop skills in all
segments of the refinery
(Operations,
Maintenance,
Engineering, SHE,
Accounting, Executives)
Integrates with the
14
Integrates with the
Pillars, shows how to
apply the Pillars
Builds common language
of critical thinking skills
Simple to apply
Our experience is that
participant feedback
very positive – ability to
improve problem solving
has been demonstrated
Wilson Perumal & Company, Inc.
Build a people advantage
Roles
Mission, Vision and Values Simple
Intuitive, fundamental behaviors, can
be easily described at any
organizational level
Aligned
Behaviors apply to everyone without
exception
15
Behaviors
Expectations
Tasks
exception
Alive
Driven by leadership, not a slogan or
poster, what we expect from all
Assimilated
Part of goals, performance review,
pay, hiring, promotion, development,
strategic HR commitment, investment
and technology strategies
Wilson Perumal & Company, Inc.
Summary
• Complexity must be systematically addressed
• Take a fresh look at the alignment of behaviors within your
company
Wilson Perumal & Company, Inc. 16
• The human impacts of complexity and misaligned behaviors are
the next focus area to reduce incidents and improve
performance consistency
Brian Flis
bflis@wilsonperumal.com
Contact Info:
North America Europe
Two Galleria Tower
13355 Noel Road, Suite 1100
Dallas, TX 75240
972-716-3930
Longcroft House
2/8 Victoria Avenue
London, EC2M 4NS
+44 (0)203 206 1496
bflis@wilsonperumal.com
719-332-6227
www.wilsonperumal.com

More Related Content

PDF
3 Lessons from High Reliability Organizations
PDF
High-Reliability Organizations: Managing Risk In Complex Operating Environments
PPTX
Tier 4 Events - Operational Discipline - Do you know how are you performing i...
PPTX
Safety Culture Power Point
PDF
Behavior based safety how thinking safe leads to acting safe
PPTX
Promoting a positive health and safety culture
PPT
Safety Culture (Unknown Source)
PDF
Bauer Supply Chain Center Spring 2015 Symposium Keynote
3 Lessons from High Reliability Organizations
High-Reliability Organizations: Managing Risk In Complex Operating Environments
Tier 4 Events - Operational Discipline - Do you know how are you performing i...
Safety Culture Power Point
Behavior based safety how thinking safe leads to acting safe
Promoting a positive health and safety culture
Safety Culture (Unknown Source)
Bauer Supply Chain Center Spring 2015 Symposium Keynote

What's hot (20)

PDF
Edward Deming
PPT
Changing your Tires: Repurposing your suggestion system by David Veech
PDF
Exploring and Measuring "Safety Culture" in an Organization
PPTX
William Edwards Deming
PPTX
How to Develop a Positive Safety Culture
PPTX
A Culture and Leadership Upholding Health and Safety at Work
PPTX
Building a Safety Culture
PPTX
Behavioural base safety
PDF
The Practice of Safety Leadership
PDF
Creating safety cultures
PPT
Deming
PPT
Behavior Based Safety
PPT
Creating a Behavioral Safety Process
PDF
Behaviour-based safety (BBS) is the “application of science of behaviour chan...
PPT
2003 Deming Institute PowerPoint Slides
PDF
Help Your New Workers Stay Safe
PPT
BBS Overview
PPTX
Human factors - what role should they play in Responsible Care
PPTX
The Keys to Unlocking Safety Culture
PDF
Behavior-Based Safety PPT Slide Template
Edward Deming
Changing your Tires: Repurposing your suggestion system by David Veech
Exploring and Measuring "Safety Culture" in an Organization
William Edwards Deming
How to Develop a Positive Safety Culture
A Culture and Leadership Upholding Health and Safety at Work
Building a Safety Culture
Behavioural base safety
The Practice of Safety Leadership
Creating safety cultures
Deming
Behavior Based Safety
Creating a Behavioral Safety Process
Behaviour-based safety (BBS) is the “application of science of behaviour chan...
2003 Deming Institute PowerPoint Slides
Help Your New Workers Stay Safe
BBS Overview
Human factors - what role should they play in Responsible Care
The Keys to Unlocking Safety Culture
Behavior-Based Safety PPT Slide Template
Ad

Similar to Aligning Behaviors for Incident Free Operations (20)

PPTX
Operational Discipline - Deepwater Horizon Case Study
PPTX
Achieving Operational Excellence - A better approach for a complex world
PDF
Operational Excellence: Getting the most out of your Lean and Six Sigma programs
PPTX
Wilson Perumal & Company Complexity Workshop
PPTX
150213 apics houston waging war on complexity in supply chains vf
PDF
Leading lean
PPTX
PEX Week 2016 - Operating Model Imperative for Operational Excellence
PPTX
160118 pex wpc operating model imperative for oe
PPTX
How to Digitally Transform Your Internal Operations
PPTX
A New Perspective on Operational Excellence
PDF
LEI_Overview
PPT
Plant Managers Workshop.ppt
PDF
How Frontline Leadership Can Solve Business Challenges
PDF
Work-Out: An approach to streamline processes and eliminate unnecessary work.
PDF
Producing Change - Getting Beyond Execution
PPTX
Improving Performance in Operations
PPTX
Discovery and Analysis for Case Management
PPTX
Wilson perumal operating model design
PDF
Dit yvol6iss32
PDF
Operational Excellence
Operational Discipline - Deepwater Horizon Case Study
Achieving Operational Excellence - A better approach for a complex world
Operational Excellence: Getting the most out of your Lean and Six Sigma programs
Wilson Perumal & Company Complexity Workshop
150213 apics houston waging war on complexity in supply chains vf
Leading lean
PEX Week 2016 - Operating Model Imperative for Operational Excellence
160118 pex wpc operating model imperative for oe
How to Digitally Transform Your Internal Operations
A New Perspective on Operational Excellence
LEI_Overview
Plant Managers Workshop.ppt
How Frontline Leadership Can Solve Business Challenges
Work-Out: An approach to streamline processes and eliminate unnecessary work.
Producing Change - Getting Beyond Execution
Improving Performance in Operations
Discovery and Analysis for Case Management
Wilson perumal operating model design
Dit yvol6iss32
Operational Excellence
Ad

Recently uploaded (20)

PDF
IFRS Notes in your pocket for study all the time
PDF
NISM Series V-A MFD Workbook v December 2024.khhhjtgvwevoypdnew one must use ...
PPTX
Probability Distribution, binomial distribution, poisson distribution
PPTX
Board-Reporting-Package-by-Umbrex-5-23-23.pptx
PDF
How to Get Business Funding for Small Business Fast
PPTX
Sales & Distribution Management , LOGISTICS, Distribution, Sales Managers
PDF
Charisse Litchman: A Maverick Making Neurological Care More Accessible
PDF
Module 3 - Functions of the Supervisor - Part 1 - Student Resource (1).pdf
PDF
SIMNET Inc – 2023’s Most Trusted IT Services & Solution Provider
PDF
Laughter Yoga Basic Learning Workshop Manual
PDF
SBI Securities Weekly Wrap 08-08-2025_250808_205045.pdf
PDF
Outsourced Audit & Assurance in USA Why Globus Finanza is Your Trusted Choice
PDF
Deliverable file - Regulatory guideline analysis.pdf
PPTX
DMT - Profile Brief About Business .pptx
PDF
Module 2 - Modern Supervison Challenges - Student Resource.pdf
PPT
340036916-American-Literature-Literary-Period-Overview.ppt
PDF
Power and position in leadershipDOC-20250808-WA0011..pdf
PPTX
Business Ethics - An introduction and its overview.pptx
PDF
NewBase 12 August 2025 Energy News issue - 1812 by Khaled Al Awadi_compresse...
PDF
Daniels 2024 Inclusive, Sustainable Development
IFRS Notes in your pocket for study all the time
NISM Series V-A MFD Workbook v December 2024.khhhjtgvwevoypdnew one must use ...
Probability Distribution, binomial distribution, poisson distribution
Board-Reporting-Package-by-Umbrex-5-23-23.pptx
How to Get Business Funding for Small Business Fast
Sales & Distribution Management , LOGISTICS, Distribution, Sales Managers
Charisse Litchman: A Maverick Making Neurological Care More Accessible
Module 3 - Functions of the Supervisor - Part 1 - Student Resource (1).pdf
SIMNET Inc – 2023’s Most Trusted IT Services & Solution Provider
Laughter Yoga Basic Learning Workshop Manual
SBI Securities Weekly Wrap 08-08-2025_250808_205045.pdf
Outsourced Audit & Assurance in USA Why Globus Finanza is Your Trusted Choice
Deliverable file - Regulatory guideline analysis.pdf
DMT - Profile Brief About Business .pptx
Module 2 - Modern Supervison Challenges - Student Resource.pdf
340036916-American-Literature-Literary-Period-Overview.ppt
Power and position in leadershipDOC-20250808-WA0011..pdf
Business Ethics - An introduction and its overview.pptx
NewBase 12 August 2025 Energy News issue - 1812 by Khaled Al Awadi_compresse...
Daniels 2024 Inclusive, Sustainable Development

Aligning Behaviors for Incident Free Operations

  • 1. Aligning Behaviors for Incident Free Operations AFPM Process Safety Group March 23, 2015
  • 2. Objectives • Address the challenge of complexity • Describe how complexity impacts safety and risk management • Identify a new approach to aligning behaviors Wilson Perumal & Company, Inc. 2 • Identify a new approach to aligning behaviors
  • 3. Complexity is stretching the capabilities of most organizations TECHNOLOGY IS MORE COMPLEX PRODUCTS & SERVICES MORE COMPLEX XXXX Wilson Perumal & Company, Inc. 3 PROCESSES MORE COMPLEX ORGANIZATIONS MORE COMPLEX REGULATIONS MORE COMPLEX MARKETS MORE COMPLEX XXXX XXXX XXXX XXXX
  • 4. Companies are passing a complexity threshold VALUE COST & RISK (exponential growth) $ #Items #links 1 0 2 1 3 3 Operational risk grows exponentially with complexity Many companies An increasing number of companies are here Wilson Perumal & Company, Inc. 4 VALUE (diminishing returns) 4 6 5 10 … 10 45 Complexity Few companies are still here Many companies are here
  • 5. Response to incidents adds complexity Complexity increases Poor execution More people & processes Wilson Perumal & Company, Inc. 5 execution Loss of process control Poor business results & processes Vicious Complexity Cycle
  • 6. Complexity is a major contributor to human error Leaders must dig deeper to systemic cause of incidents • Too many programs • Too much change Wilson Perumal & Company, Inc. 6 • Too much change • Unclear expectations • Misaligned behaviors • Overload creates “personal management systems” • Physical fatigue • Mental exhaustion
  • 7. Highly-regarded organizations struggle to manage complexity and risk Examples: 2015 – BNSF Crude Train Derailment, IL 2015 – ExxonMobil Torrance Fire 2012 – Chevron Richmond Fire 2010 – BP Deepwater Horizon oil spill 2010 – Tesoro Anacortes Explosion 2005 – Texas City Explosion Wilson Perumal & Company, Inc. Complexity Risk 7 These organizations all had well-developed risk management programs and management systems
  • 8. BehaviorsBehaviors SystemsSystems ExecutionExecution A fresh look at operational discipline and behaviors Aligned behaviors are the foundation for excellence 8Wilson Perumal & Company, Inc.
  • 9. The right behaviors and culture are essential What We DoHow We Do It Operational Excellence Procedures Standards Work Processes Values Behaviors – “Doing the Premier Refinery 9 Work Processes Systems “Doing the Right Thing, the Right Way, Every Time” Processes and procedures, without a culture that embraces values and behaviors, will not result in Operational Excellence Wilson Perumal & Company, Inc.
  • 10. The Nuclear Navy’s culture and system stand out “The nuclear navy emphasizes training and education in a way that would be thoroughly astonishing if you were not already familiar with it. And I urge you, in the strongest possible terms, to take a look at that program.” President’s Commission on Three-Mile Island Dr. John Deutsch, Director of Energy Research & Acting Secretary of Energy Technology, U.S. DOE 10 Acting Secretary of Energy Technology, U.S. DOE “One of the best examples of the creation of an HRO culture is the US nuclear navy.” —Andrew Hopkins, Failure to Learn BP Texas City Refinery Disaster Wilson Perumal & Company, Inc.
  • 11. Behaviors must be simple, aligned, alive and assimilated CONTINUITY OF POWER REACTOR SAFETY The “Pillars of the Program” Wilson Perumal & Company, Inc. 11 • Level of Knowledge • Formality • Questioning Attitude • Forceful Watch Team Backup • Integrity LEVELOFKNOWLEDGE FORMALITY QUESTIONINGATTITUDE FORCEFULBACKUP INTEGRITY The “Pillars of the Program”
  • 12. Four step approach to align behaviors and reduce incidents LeadershipLeadership • Refinery Manager design, ownership and support • Leadership Team adoption and ownership AwarenessAwareness • Kick-off sessions • Roles Sheet development and ownership ActionAction • One-on-one meeting with employees to SustainmentSustainment • Leadership involvement 12 ownership • Set expectations for support of and reward for behaviors • Behaviors become the “way we work” not a program or slogan • Involve union leadership as an owner ownership • Development of Improvement Action Plans • Communicate behaviors as an aligned way of thinking and acting NOT a program • Common critical thinking skills are put in place to enable behavior application (Why Analytics) with employees to discuss expectations and create Improvement Action Plan • Coaching to move from awareness to implementation • Use Five Pillar Behaviors and Why Analytics for problem solving (Could, Is, Did) • Leadership involvement • Hiring for Five Pillar Behaviors • Onboarding process • Performance review process • Talent management • Integrate into Supervisor training • Communication of successes Wilson Perumal & Company, Inc.
  • 13. A powerful tool to drive change and improvement • Questioning Attitude • Integrity and Courage • Engagement • Increasing Knowledge Structured Approach Five Pillar Behaviors: Role Sheets And Improvement Action Plan Worksheet 13 • Structured Approach Role Sheets developed for all positions in the company Improvement Action Plan Worksheets define areas for personal improvement The improvement process works best when managers and supervisors interact with individuals, drive and lead the process Wilson Perumal & Company, Inc.
  • 14. Why Analytics: an effective way to apply the Pillars Develop skills in all segments of the refinery (Operations, Maintenance, Engineering, SHE, Accounting, Executives) Integrates with the 14 Integrates with the Pillars, shows how to apply the Pillars Builds common language of critical thinking skills Simple to apply Our experience is that participant feedback very positive – ability to improve problem solving has been demonstrated Wilson Perumal & Company, Inc.
  • 15. Build a people advantage Roles Mission, Vision and Values Simple Intuitive, fundamental behaviors, can be easily described at any organizational level Aligned Behaviors apply to everyone without exception 15 Behaviors Expectations Tasks exception Alive Driven by leadership, not a slogan or poster, what we expect from all Assimilated Part of goals, performance review, pay, hiring, promotion, development, strategic HR commitment, investment and technology strategies Wilson Perumal & Company, Inc.
  • 16. Summary • Complexity must be systematically addressed • Take a fresh look at the alignment of behaviors within your company Wilson Perumal & Company, Inc. 16 • The human impacts of complexity and misaligned behaviors are the next focus area to reduce incidents and improve performance consistency
  • 17. Brian Flis bflis@wilsonperumal.com Contact Info: North America Europe Two Galleria Tower 13355 Noel Road, Suite 1100 Dallas, TX 75240 972-716-3930 Longcroft House 2/8 Victoria Avenue London, EC2M 4NS +44 (0)203 206 1496 bflis@wilsonperumal.com 719-332-6227 www.wilsonperumal.com