Risk-Based Thinking - Muschara, Tony

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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