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RISK-BASED THINKING

 

A Systems Approach to
Human and Organizational Performance

Managing the Risk of
Human Error in Operations

Purpose: To help line managers and leaders of high-hazard operations protect people, product, and property from the human element by providing them with risk-based error management principles and applications, developed from leading-edge research and hands-on experience, while honoring God and others through Wisdom, Integrity, and Love.

 
 
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The Human Element In operations

Human performance—the human element—introduces uncertainty into work. The control of risk related to human error depends on understanding the interactions of three essential factors intrinsic in all work.

Assets + Hazards + Human Beings → Risk

The first ‘+’ sign represents the establishment of a pathway for either the transfer of energy, the movement of mass, or a transmission of information between an intrinsic hazard and an asset, where only one action (or failure) is needed to initiate value creation (under control) or harm (out of control). The second ‘+’ sign represents a human touchpoint—a human interaction with an object that changes the state of that object—WORK. Because of human fallibility, touchpoints create uncertainty regarding the work performed.

 
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The actions taken to manage the risk of human error in operations must be consistent with the following principles:

  1. People are fallible, an intrinsic feature (hazard) of the human condition.

  2. People want to do a good job. Error is not a choice.

  3. Error is predictable and manageable.

  4. Risk lurks everywhere, is dynamic, and emerges from the way an operation is designed, constructed, operated, maintained, and managed.

  5. Organizations are perfectly tuned to get the results they are getting.

  6. The causes of tomorrow’s events exist today.

 
 

MUSCHARA HELPS YOU IN THREE KEY WAYS...

 
 

CONTROL OF CRITICAL STEPS IN OPERATIONS

Workers must be able to anticipate, monitor, and respond to Critical Steps. A critical step is a human action that will trigger immediate, irreversible, and intolerable harm to an asset, if that action or a preceding action is performed improperly. What is intended to happen is what happens, and that is all that happens at Critical Steps.

SYSTEM LEARNING

To optimize the organization’s resilience to human error, managers and their organizations must be able to:

  1. Detect vulnerabilities in the system that expose assets to harm from intrinsic operational hazards.
  2. Know the extent and causes of system vulnerabilities.
  3. Manage (eliminate) them.

 

RISK-BASED THINKING

Anticipate - Monitor - Respond - Learn

These four habits of thought form the core of risk-based thinking. Through chronic easiness, workers adjust their performance to protect assets from harm when workplace conditions do not match procedures or expectations. Chronic uneasiness is an ongoing mindfulness of transfers of energy, movements of mass, or transmissions of information that could cause harm to assets.

 
 

What We Can Do For You

My mission is to help managers and leaders of high hazard operations protect people, product, and property from the human element by providing them with risk-based error management principles and applications, developed from leading-edge research and hands-on experience, while honoring God and others through Wisdom, Integrity, and Love. To accomplish this, I offer several avenues of service, which are described in the Information Packet.

 
 
HUMAN PERFORMANCE CONSULTING

HUMAN PERFORMANCE CONSULTING

CRITICAL STEP MAPPING

CRITICAL STEP MAPPING

HUMAN PERFORMANCE TRAINING

HUMAN PERFORMANCE TRAINING

INDEPENDENT ASSESSMENTS

INDEPENDENT
ASSESSMENTS

 
 
HUMAN PERFORMANCE TOOLS (NON-TECHNICAL SKILLS)

HUMAN PERFORMANCE TOOLS
(NON-TECHNICAL
SKILLS)

MENTORING, OBSERVATION AND COACHING

MENTORING, OBSERVATION AND
COACHING

ANALYSIS OF HUMAN PERFORMANCE INCIDENTS

ANALYSIS OF HUMAN PERFORMANCE INCIDENTS

 
 
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About Tony Muschara, CPT

Over 35 years of experience in consulting, training, and management positions in commercial and military nuclear power operations...

Our Clients

 
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Get Started With Tony Today.

I invite you to educate yourself about human and organizational performance. Explore the options available to optimize your organization’s ability to sustain not only high levels of safety but also quality, productivity, and economic performance. Wherever there are human beings, there will be human error, regardless of what people are doing. Contact me, and I’ll get in touch with you as soon as possible.