01

Complacency Monitoring

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Complacency Monitoring

Card 01
Features
  • Purpose: Track signs and indicators of complacency across locations and over time
  • Core practices: Review safety communications to assess overuse of injury statistics as reassurance; balance success with weaknesses
  • Triggers: Monthly reviews; highlighting changes over time
  • Roles: Review conducted by specialists not involved in creating the communications
  • Monitoring: % of times injury statistics used for reassurance; ratio of communications on low-probability vs. frequent events
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02

Fatigue and Work Overload

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Fatigue and Work Overload

Card 02
Features
  • Purpose: Minimise the potential for fatigue and work overload
  • Core practices: Monitor staffing levels including unfilled vacancies, overtime, and long working hours
  • Triggers: New projects, cost reduction initiatives, increased staff turnover
  • Roles: Supervisors report overtime and staff vacancies
  • Monitoring: Overtime; fatigue self-reports
  • Safeguards: Require approval for overtime
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03

Outside In Learning Program

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Outside In Learning Program

Card 03
Features
  • Purpose: Avoid "we're uniquely better" thinking
  • Core practices: Cross-industry learning scans, external SME reviews, "pre-mortem" and "it could happen here" workshops
  • Triggers: After major external incidents; annually for high-hazard tasks
  • Roles: Learning team curates; Execs sponsor adoption; Ops pilots and scales
  • Monitoring: Number of adoptions, time from insight to practice, outcome improvements
  • Safeguards: Focus on threats identified
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04

Systems Focused Incident Reviews

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Systems Focused Incident Reviews

Card 04
Features
  • Core practices: Independent team reviews investigations using human factors lens, barrier failure mapping, quality criteria for actions
  • Triggers: High potential near misses; repeat deviations; actual harm
  • Roles: Cross-functional team; unions/contractors included as needed
  • Safeguards: Validate that incidents are reviewed as system rather than person failures
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