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HPI Process (Issues with current process (Investigation (Identification of…
HPI Process
Issues with current process
People see the process as a chore
Takes too long
Insufficient Resources applied up front
Poeple not seeing it as a priority
Business doesn't support putting the work in (by the right people)
"Let's hope its not a HPI
We don't learn enough
Actions are too local
Change happens directly after the incident, not enough early engagement by the right people - - missing the boat
HPI Review Meeting
Not a good representation of our values
Adds to lack of willingness to engage with the process from the onset
Actual consequence treated far more seriously than potential
Initial reporting
Confronting Risk
Welcome bad news
Recognising value of HPI Process
Differentiate HPI from Recordable Injuries
Conflicting Priorities
Resources
Time
We show care for people well
Escalation
Call to BP
BP makes the call of it being a HPI?
Disengages Operational Leaders from owning the Process
Delays cause people to devalue the process and urgency
Call to RM
Call to Support Functions
Thrown to the function to investigation
Line Management don't necessarily feel the pain
Investigation
Identification of appropriate actions
People are focused on their own region only
Cross-unit sharing
KPI's
Preserving the scene
Identifying necessary elements of investigation (PEEPO)
How we get data
Form / Process does not support good investigation
Local team investigations sometime lacking from insufficient involvement by specialists, functions
Sometimes the link between safety and customer is lost
Local teams sometimes grab a hold of the investigation mostly to control the incident investigation (Get it out of tech way)
Actual consequence treated far more seriously than potential
Knowledge Share
Actions being too local
We don't point out the important stuff
Investigation are focused too much on correlation
If something was missing, we assume it was a cause
Real learnings
Alerts get sent out too frequently
Written word doesn't engage
Future State
Manage the Incident
Initial Report / Notification
Possible HPI
Escalation BM > RM, BP , FS
Escalation RM > EGM
Knowledge Share / Learning
Any support materials are clear, relevant, important
Best Medium
Video as a preference
Video should paint a picture
Any video of person should be for connection
Could be audio
Different mediums for different learning styles
Different mediums for different levels of 2-way engagement
True Engagement
Leaders will need to learn, gain insights
Soak time
An expected format / return
Ensure relevance prior to sending
Ask curious questions
Possible Inclusion in KPIs