Contents
List of Figures
List of Tables
List of Experiences
Special Thanks
Introduction
What This Book Is About
Hu and H&OP
Principles – Core Beliefs Espoused in this Book
Why Read This Book
Who This Book Is Written For
As You Read the Book
Chapter 1 A Nuclear Professional
Chapter 2 A Strategic Approach
Work and the Workplace
The Hu Risk
Hu Risk Management Model
The Building Blocks of H&OP
Things You Can Do Tomorrow
Chapter 3 Fundamentals of Human and Organizational Performance
The Notion of Human Error
The Basics About Behavior, Error, and Violations
The Basics About Work Context – Local Factors
The Basics About Organization and Management
Defenses – Controls, Barriers, and Safeguards
The Severity Pyramid – Misunderstood
Resilience – Adaptive Capacity of Front-Line Workers
Things You Can Do Tomorrow
Chapter 4 Risk-Based Thinking and Chronic Uneasiness
Nothing Is Always as it Seems
Risk-Based Thinking – Four Cornerstone Habits of Thought
Chronic Uneasiness
The Front-Line Worker – Hazard or Hero?
Technical Expertise – The Bedrock of Risk-Based Thinking
Conservative Decision-Making
Safety Is a Core Value
Things You Can Do Tomorrow
Chapter 5 Critical Steps
A Risk-Based, Yet Efficient Approach
Recognizing a Critical Step
Origins of the Critical Step Concept
Risk-Important Actions (RIAs)
Managing Critical Steps
Is 99 Percent Good Enough?
Things You Can Do Tomorrow
Chapter 6 Systems Thinking for H&OP
System Basics
Systems Thinking – Blunt End and Sharp End
The Work Execution Process
Systems Thinking – The Flow of Influence
Things You Can Do Tomorrow
Chapter 7 Systems Learning
What is Systems Learning?
Drift and Accumulation
Learning Methods
Event Analysis
Corrective Action / Preventive Action Process
Learn from Success as Well as Failure
Things You Can Do Tomorrow
Chapter 8 Managing Human Performance
The Basic Management Cycle
Plan – Form Expectations
Do – Communicate and Train
Check – Observe and Inspect
Adjust – Give and Receive Feedback
Human Performance Tools
Accountability and Just Culture
You Can Engineer Performance
Things You Can Do Tomorrow
Chapter 9 Integrating and Executing H&OP and Risk-Based Thinking
Remember the Seven Principles of Managing H&OP
Build a Business Case
A Playbook
Integration – Enabling Risk-Based Thinking
Execution – Deploying H&OP
Promoting Risk-Based Thinking and Chronic Uneasiness
Things You Can Do Tomorrow
Epilogue: Live Long and Prosper
Appendix 1: Glossary of Terms
Appendix 2: Generic Local Factors
Appendix 3: Common Error Traps
Appendix 4: Fundamental Human Performance Tools
Appendix 5: Candidate Indicators for H&OP
Appendix 6: The Building Blocks of H&OP – Self-Assessment Criteria
Appendix 7: Suggested Reading
Index