NRC Internal Safety Culture Pu

December 4, 2008

Safety Culture

Tracy DillingerSafety Culture ManaOffice of Safety and NASA, HQ
Agenda

• Introduction • Philosophy • Lessons Learned• History • Current Status • Possibilities • Question and Answers
Introduction

• USAF Detailee• Arrived May 20th 2008

• Here for you • 2 Years
INTRODUCTION: Culture and Climate Defined

• Culture: The set of shared attitudes, value

practices that characterizes an institution “a corporate culture focused on the botto(Merriam-Webster dictionary) 

• Climate: The prevailing influences or envi

conditions characterizing a group or perio

- “a climate of fear” (Merriam-Webster dic

• Climate is to Culture as Mood is to Pe
Safety Culture Lessons Learn

• Fundamentals

– 6 Pillars of USAF– 5 Factors from NextGen– 5 Lessons from CAIB and “Beyond the Wid

• Assessments

– Several types available– Commonly used throughout 

• Government• Industry• Military• Academia• Health Care

• Bottom Line – Safety focus makes a d
Lessons LearnedUSAF Organizational Safety Assessmen

– Assess top to bottom, per leadership requ– Survey– Interview– Gather historical data– 6 Pillars 

• Unity• Communication• Justice • Flexibility• Support• Learning

– Recommendations– 1 Yr follow - up


USAF Inter-Organizational Pillar Com

Green = Yellow = Red = 1.

Organization W

12345

Orga

12

Organization Y

12345

Orga

12
Lessons Learned: OSAs

• Organizations 1 year before vs 1 year after an 

consistent reduction in mishaps

• 74% reduction in Class A’s• 38% reduction in Class B’s• 15% reduction in Class C’s• 33% reduction in Class E’s• LESSON LEARNED – These are an effective m

tool and help preserve resources
Lessons LearnedCAIB Vol 1

1. Inadequate concern over deviations from expected norms / 

– Any foam a violation from original design requirements– Over time moved from “out of family” to “in family – “Normalization of Deviance” Diane Vaughn

2. A silent safety culture

– 4200 criticality 1 write ups – 3200 waivered– 36% not reviewed in 10 years

3. Bureaucratic accountability

– Required involvement – Diffuse accountability – Decision by power point

4. Schedule pressure

– Node 2 screen saver to US portion of ISS – Cutting corners to decrease “flow” (pre/post mx) time

5. A “can-do” attitude

– Original shuttle plan – every 10 days– “Operational”– 98.2 % Success
Lessons LearnedBeyond the Widget: Lessons Affirm

1. Stick to basics2. Communicate, communicate, communicate3. Be thorough and inquisitive – don’t accept statu4. Keep safety in front – always5. Go beyond the widget6. Do your organizational self assessment

– Initially, periodically, and continually

*Duane Deal, BG USAF (ret)
Lessons Learned*NextGen’s 5 Safety Culture Factor

• Reporting Culture• Just Culture• Flexible Culture• Learning Culture• Informed Culture *JPDO Paper 08-010, May 27, 2008
Possibilities - short and long term 

• Short-term in addition to your ongoing local efforts• Your own 5 factor safety culture “scorecard”• Reporting

– What’s your quality and accuracy of mishap reporting

• Just

– Blame vs understanding– How are your award programs? Local recognition pro– How many people were submitted – “should have” be– What are you doing to encourage submissions?

• Informed

– How are you covering safety events at All hands? Sta

meetings? 

– How well are you covering events OUTSIDE your cen

• Learning

– How’s the messaging of events within your center? – Do all you people know as well? 

• Flexible

– What’s the rate and extent of change within your orga
History – Summary of recent 

– CAIB – BST– PEP– “Diaz” report– Futron Safety Climate Pilot – Human Capital 2007 Culture Survey– ASAP
NASA 5 culture efforts for MA

• Some changes since CAIB, and continuing efforts• From June 25 2008 report of 2007 results• 5 “solutions for management”• To foster

1) Management credibility2) Upward communication3) Organizational support
5 Solutions for Management

1. Management By Walking Around (MBW2. Give Frequent and Sincere Appreciation3. Involve Employees in Prioritizing Soluti4. Develop Effective Communication Skills5. Discover Entirely New solutions
Challenges

• Uncertainty• Change• Talent• Research and Development• Organizational structure• Limited resources • Lack of continuity / closure from previous • Overlapping efforts• Survey fatigue• Concerns about the safety as a priority
Goals 2009

• Safety Culture Roundtable• Survey development• Trend analysis• Education seminars• Site assessments• Individual consultation• Quarterly Safety C & C telecon• Annual Safety C & C Symposium
Questions?

• Lt Col Tracy Dillinger, PsyD• WP (202) 358-1680• Tracy.Dillinger@NASA.Gov