1. Learning from Incidents Engagement Pack
The reason for this work stoppage is to highlight the fact that PDO and its contractors continue to suffer from a high number of preventable incidents, the majority of which could be avoided!
November 2017

2. Are we learning from incidents?
Ask the people that you are presenting this work stoppage to give you their personal opinions…………..Are we learning from incidents?
If they say yes or no, ask them to justify their answers as to why they believe their answer to the right one.
Have a 5 – 10 minute engagement before moving onto the next slide.
Ask the following questions:
What were the last 3 incidents in your work area or Directorate? (The person delivering should know what they are.)
How do you think they could have been prevented?
What learnings do they remember from the 3 incidents discussed?

3. It’s been 12 months since the work stoppage on repeat incidents
What has changed?
Ask the question.
What do you think has changed over the last year?
Do you know why “we are not learning from incidents”? (Because we’re still having them AND we keep repeating the same mistakes)

4. 40 LTI’s (Lost Time Incidents) 16 NAD’s (None Accidental Deaths)
Incidents Year to date
40 LTI’s (Lost Time Incidents)
16 NAD’s (None Accidental Deaths)
19 HiPo’s (High Potential Incidents)
4 Hidden (Hidden/Late reported)
Ask the attendees:
Why they think these things happen……………there is no right or wrong answers, it is more about engagement
We are at the beginning of November and we have already had 75 incidents compared with 59 in the same period last year! (The 4 hidden incidents are included in the 75). AND there is still 2 months to go!
Here are 2016 stats for the full 12 month period:
43 LTI’s
13 NAD’s
6 HiPo’s
1 Hidden
TOTAL = 62
DON’T BE THE NEXT VICTIM!
Instead of repeating the mistakes, try doing the right thing and this will become your habit.

5. Directorate breakdown
statistics
Directorate breakdown
This slide shows our 2017 statistics YTD giving a breakdown of contractor and PDO related incidents
This gives transparency showing that PDO is also failing to learn from its incidents
Please note that we treat all hidden or late reported incidents with the same level of severity regardless whether it is a contractor or PDO.

6. Common findings from the 75 incidents YTD are:
learnings
Common findings from the 75 incidents YTD are:
Leadership
Tool Box Talks (TBT)
Risk Normalisation
Risk Assessment
Despite last Novembers work stoppage around repeat incidents our numbers continue to rise
Here are the 4 main findings that come up time and time again “repeating themselves”
The next 4 slides gives you a breakdown of what those findings are.

7. Inadequate correction
leadership
Findings
Production
Over safety
Inadequate correction
Of unsafe
bahaviour
Lack of
monitoring
Leadership
Not ensuring
Procedures
Are followed
The most delicate subject of all………………….Leadership!!
Ask the following questions and ask people to be honest and open (there must be no consequence for people giving their opinions):
Which do you think is the most important? Production or Safety? Why do they think this?
What do you think your supervisors think is most important? Why?
What do you think the Coastal Management teams think is most important? Why?
Does your supervisor intervene when they see you do something wrong or take a shortcut? Why?
Do you understand why they are doing this? Ask why to check their understanding?

8. Tool Box Talks Findings
Select random people from the attendees and ask the following question:
What do you think is wrong with our TBT’s?
What do you think can be done to improve them?
Do you ever challenge or raise issues at a TBT that you attend?
Do the supervisors and managers explain the importance of what they are explaining to you?
Them click to reveal our common findings!
Check to see if everyone understands.

9. Risk normalisation Findings Poor awareness It’s always been like that
Repetitive
It won’t happen to me!
Select different people from the attendees and ask the following question:
What do we mean by RISK NORMALISATION? If the same people see the same hazards day after day then it no longer becomes a hazard, it becomes the norm.
What do you think can be done to improve this issue?
Does your supervisor go through the learnings and alerts from incidents?
Do the supervisors and managers allow you to interact and add your feedback?
Click to reveal our common findings!
Check to see if everyone understands.

10. Risk assessment Findings
Select different people from the attendees and ask the following question:
What do they know about risk assessment? Do they understand that they can identify the hazards and suggest controls to be put in place?
What do you think can be done to improve this issue?
Does your supervisor go through and explain the hazards to you before you start the task?
Do you ever contribute to the TRIC meetings if a hazard is missing? If not, why?
Them click to reveal our common findings!
Check to see if everyone understands.

11. Time vs hse
Two of the biggest excuses we hear REPEATED time and time again is:
We don’t have time
HSE is slowing the operation down
Move to next slide

12. Time vs hse Sound familiar?!
“All this safety stuff takes time!” 
“I’m too busy!”
“I can’t possibly do all this!”
“The boss wants the job done NOW!”
“Your always talking about safety but nothing really changes!”
We all know that safety and production clash, but they shouldn’t. They go together hand in hand.
If you do the job correctly and as per the training or procedure then you shouldn’t get hurt and when an incident does occur, if you ensure the learnings are shared and understood by the attendees then we should be able to prevent a reoccurrence………STOP the REPEAT incidents
Sound familiar?!

13. Learning from incidents
What did YOU learn today about LEARNING FROM INCIDENTS?  
What are YOU going to do differently to stop REPEATING these incidents?
This is the closing interactions section.
Ask the first question and ensure engagement from the attendees. Ensure you check for understanding by randomly asking individuals (especially if they are too quiet or people who appear to be uninterested) to explain what you have told them about in today’s work stoppage
Then ask the second question
Get them All to commit to working safely.
Check understanding again.

14. Learning from incidents We shouldn’t need to keep seeing these images!
LEARN and PREVENT!
Enough!!!
Closing statement!!!
We should not have to see these incidents.
Rig fatality – Line of fire
Roll over
Dropped objects
Pinch point - fingers
Entangled - fingers