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Human Performance

Fundamentals

Algonquin College Presentation 2025

Human Performance truths that can improve our Safety Culture

Human Performance 2023 APRIL 22

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What is Human Performance

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Safety as a Priority – Framework For What We Do

What we Prescribe – What we want to happen. (What we say we do).

The “R-Results in the HP=W(R+B)

  • PPE&C
  • Safety Equipment – The Tools of our trade
  • Procedures – In-Hand, Reference Use, Information Use
  • Forms/Checklists – JHA’s, OTO, HEC (LOTO), PJB’s ect.
  • Regulations – CNSC, Site Licensing Agreements
  • Training and Presentations

 

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Healthy Safety Cultures – Our Values, Beliefs

Our Values our Beliefs our Decisions decide What We Do. The “B and the W-Why and Behaviors” in the HP=W(R+B)

  • Safety is our number one core value, and we project it in everything we do.
  • As a learning organization, to learn about what we do, we must have a place to report error without fear of retribution
  • H.S.C. put people’s safety over production and timelines
  • Effective Open Communication
  • Trust, respect, empathy, a community,
  • HU-Principles (Blame Free Environments, Deliberate Learning in between events, People make mistakes, Trust and Respect permeate our workplace.

 

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Prioritizing Safety-vs-Having Safety as our #1 Core Value

Safety – Prioritizing our prescription for safety. (What we say we do)

Safety Culture – Valuing safety and projecting it in everything we do.

(Predicts what we will do “Behavior” and defines our “Why” we do it)

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Value Driven Safety Cultures

Safety will always be our number one priority and number one core value. Practice Value Driven Safety Through:

  • Consistency: Safety practices and principles are consistently applied, regardless of external pressures or priority changes.
  • Empowerment: Employees at all levels feel empowered to take action on safety concerns, knowing their voices will be heard and valued. STOP/PAUSE culture
  • Integration and Engagement: Safety is integrated into all aspects of the organization’s operations, from planning and design to execution and review.
  • Leadership Commitment: Leaders model safety behaviors and make clear that safety is non-negotiable, reinforcing its status as a core value.

Value Driven Safety reflects an organization’s commitment to the well-being of its people.

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FROM SAFETY TO SAFETY CULTURE

FROM WHAT WE SAY WE DO TO WHAT WE DO

Our Prescription, instructions and guidelines must be Clear and Concise: Ensure that everyone in the organization understands their roles and responsibilities. I will cover this in more depth in a few slides.

Performance Monitoring: Implement systems to track and evaluate how work is progressing. Measure and address the Human Factors that affect the organization, the people and the workplace.

Technology: Use technology to make it easy to do the right thing.

Process Improvement: Continuously assess and refine work processes to make them more efficient and aligned with the intended goals. The procedures and process must be updated to reflect changes in work environments and conditions.

Reinforce the Rules: Report and thank those who report deficiencies. Drift?

Value Driven Safety: Safety is our number one Core Value and it is woven into our language and process! We create a safe place to learn about failure and to grow as humans!

TRUST: Establish heathy respectful trusting relationships. Without trust there is no Healthy Just Culture.

TRUST

Clear and Concise

Performance Monitoring and Measuring PIF's

Tech and Tools

Process Improvement

Reinforce

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  • Benevolence (perceived degree of care shown): When we perceive a leader as benevolent, we feel that they have our interests at heart and genuinely care about our welfare and the welfare of others. This creates an environment for individuals to feel comfortable to share ideas collaboratively and openly.
  • Ability (perceived competence): A leader’s competence is typically based on their knowledge, skills and expertise and the ability to effectively perform their role. A positive perception of competence will impact team dynamics, productivity and performance.
  • Integrity (perceived honesty and openness): The integrity factor is reflected in how a leader’s team perceives her/his honesty, uprightness and consistency (Lloyd, 2020, p. 12). Leader’s “walk the talk” and they follow through on commitments. Autonomy!

If I ask or want you to do something, if you don’t trust me will you do it?

TRUST is your path to empowerment!

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Follow through on promises

Become a mentor

Be honest

Get to know your team

Admit to your mistakes

See the value in each team member

Participate in office activities

Be Inclusive, if someone is struggling help them

Foster and grow autonomy and purpose

BE KIND, VALIDATE PERCEPTIONS

TRUST is your path to empowerment!

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Different Perceptions – Validate Perceptions! – Effective Communication.

-Rephrase the question from your perspective?

-Ask them to quantify and clarify

-Always thank people for there perspective.

What one perceives can be substantially different from what another person perceives, and both can be very different than the actual objective reality. In fact, behaviour is based on one’s perception of what reality is, not reality itself (Catenacci, 2017).

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Circle of Safety Creates the Space for WHY

Inside:

  • Trust
  • Respect
  • Kindness
  • Clarity of expectations
  • Validation

Outside:

  • Inauthenticity
  • False promises
  • Ambiguity
  • One-way communication

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Threat Circles

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Cueva de las Manos – Cave of the Hands (Argentina) Discovered in 1941

  • Created between 7,300 BC and 700 AD, during the Archaic period.

  • Small group (tribe) of South American hunter-gathers.

  • The artwork decorates the interior of the cave, and the surrounding cliff faces.. It can be divided by subject into three basic categories: people, the animals they ate, and the human hand.

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Principles of Human Performance

When the Principles of Human Performance are woven into every aspect of our work. Our understanding of human’s, our understanding of error, they plant the seed for learning and growing!

HOW YOU RESPOND TO FAILURE MATTERS - How leaders act and respond counts.

PEOPLE MAKE MISTAKES - Error is normal. Even the best people make mistakes. (error is universal, error is part of success)

BLAME FIXES NOTHING - You either blame or learn and grow, you can never do both.

LEARNING AND IMPROVING IS VITAL - Learning is deliberate (defenses are placed in systems, tested in systems and strengthened in systems by learning how successful work is done) Every event is an opportunity to learn about the gaps in our systems and the factors that set us all up to fail.

SAFE SYSTEMS DRIVE SAFE BEHAVIORS - Systems drive outcomes. (the environment in which work occurs mainly determines workers behavior and actions) “We make it easy to do the right thing”

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PRINCIPLE #1

HOW YOU RESPOND TO FAILURE MATTERS - How leaders act and respond counts.

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HOW YOU RESPOND TO FAILURE MATTERS

  • Leaders shape how the organization learns by their reaction to failure.
  • Individuals achieve high levels of performance because of the encouragement and reinforcement received from leaders, peers and subordinates (COG-17-9021)
  • You have two choices: You create an environment for learning and reporting error, or you don’t!
  • You create the feedback system you have.
  • Every aspect of improvement is contingent upon a deliberate decision to get better.

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PRINCIPLE #2

PEOPLE MAKE MISTAKES Errors are not choices, they only become a choice in retrospect.

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People Make Mistakes – COUNT ON IT, PLAN FOR IT!

  • Human error is not the cause of failure. Human error is the effect, or symptoms of deeper trouble.

  • Human error is not random. It is systematically connected to features of people’s tools, tasks and operating environment.

  • Human error is not the conclusion of an investigation. It is the starting point.

Sidney Dekker (2006, The Field Guide to Understanding Human Error)

The New View of Human Error

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PRINCIPLE 2: PEOPLE MAKE MISTAKES – Were We Good or Lucky?

  • Knowing errors will happen is a good thing
  • Humans are fallible “ALL” humans
  • Without error some great inventions, discoveries and revelations, may not have happened. (penicillin – Alexander Flemming, microwave oven – Percy Spencer, X-ray’s – Wilhelm Roentgen, Velcro – George de Mastral
  • Errors are not choices they only become a choice in retrospect.
  • You can’t remove error, so you must defend against the inevitability of error.
  • Good Systems build in error tolerance.
  • Error without significant consequence is the closest thing to “leading indicator” data.

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PEOPLE MAKE MISTAKES – THE SUBSTITUTION TEST

  • The best people can make the worst mistakes: No one is immune!
  • If you take one person out and substitute another person into the exact same situation, is it possible, they would have had the same outcome?

James Reason

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BLAME: FIXES

NOTHING !

PRINCIPLE #3

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Blame Fixes Nothing

Blame or learn and improve, the choice is up to you?

  • Blame makes error a choice in retrospect.
  • Blame takes up emotional space with little added value.
  • Blame misdirects resources and strategies.
  • Blame is the opposite of encouragement.
  • Deterrence by Blaming is not effective and destroys proactive learning.
  • Individual behavior is influenced by processes, values and human factors within the organization and culture (COG-17-9021)
  • Events can be avoided through an understanding of the reasons mistakes occur, building sufficient defense in depth and applying lessons learned from either past events or errors (COG-17-9021)

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Dennis Quaid and Heparin

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“The elephant in the room” If we don’t blame people how do we hold them accountable and responsible for their actions?

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Learning and Improving Is Vital and Deliberate!

PRINCIPLE #4

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  • We have two choices here when responding to failure: we learn and improve or we punish and blame.
  • Learning is a deliberate improvement strategy
  • Workers are the experts, the profound users of the process
  • Workers always complete the process design.
  • Defences placed in systems are tested and strengthened in systems by learning how successful work is done.
  • Error-likely situations are predictable, manageable and preventable (COG-17-9021)
  • Events can be avoided through an understanding of the reasons mistakes occur, building sufficient defense in depth and applying lessons learned from either past events or errors (COG-17-1921)

PRINCIPLE 4: Learning and Improving Is Vital

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Learning and Improving Is Vital and Deliberate!

(defenses are placed in systems and strengthened

in systems by learning how successful work is done)

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8 Million Dollars for a 20$ Fan?

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LEARNING

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Proactive Learning is Deliberate

(It doesn’t happen by accident)

The Sharp End of the Stick:

  • Workers are the key to proactive learning – they have vital knowledge about the system that can help predict and stop the next event from happening
  • Managers have influence over the system, but don’t actually use it, or live it! Workers use it every day – they are “profound users” of the system!
  • Know where your position in the organization puts you on “the stick” – and understand how you uniquely contribute to proactive learning.

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PRINCIPLE #5

Safe Systems Drive Safe Behaviors

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-Workers do what they do for a reason and that reason makes sense given the context.

-The environment in which work occurs mainly determines workers behavior and actions.

-Individual behavior is influenced by processes, values and human factors within the organization and culture (COG-17-9021)

PRINCIPLE 5: Safe Systems Drive Safe Behaviors - Systems Drive Outcomes

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My Way Or The Highway?

Our organization is perfectly designed to get the results we’re getting. This is true for all organizations. The results we get, both good and bad, are consequences of our system design. If we’re not getting the results we want, we need to change the design.

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Build blame free environments. Have your friends back when they have a bad day. Stick together and support one another!

Remind yourself of the five principles. Practice the principles at work and at home!

Celebrate your good events – The ones you have anticipated and were mitigated with the proper barriers.

Thanks for participating!

  1. HOW YOU RESPOND TO FAILURE MATTERS - How leaders act and respond counts. (you have two choices getting better or getting even)

  • PEOPLE MAKE MISTAKES - Error is normal. Even the best people make mistakes. (error is universal, error is part of success)
  • BLAME FIXES NOTHING - You either blame or learn and grow you can never do both.
  • LEARNING AND IMPROVING IS VITAL - Learning is deliberate (defenses are placed in systems, tested in systems and strengthened in systems by learning how successful work is done)
  • SAFE SYSTEMS DRIVE SAFE BEHAVIORS - Systems drive outcomes. (the environment in which work occurs mainly determines workers behavior and actions)

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Performance

Mode

Description

Error

Rate

HU Tool

To Apply

New

Error

Rate

 

  

Skill Based

Performance

Mode

Out of habit, little or no conscious thought

7 to 15 steps

  

 

1:1000

STAR

Stop-Think-

Act-Review

Procedure use and adherence

 

  

1:10000

Rule Based

Performance

Mode

A rule applies

You don’t need to know the rule, just where to find it!

 

1:100

Procedure use and adherence

 

1:1000

 Knowledge Based

Performance

Mode

You don’t know what you don’t know

You cannot think your way out !

 

1:10

or

1:2

Stop & Seek out Help

 

 

1:100

Error-likely situations are predictable, manageable and preventable (COG-17-9021) The GEMS ERROR MODELING SYSTEM

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Error Traps

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the

normalization

of deviance

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Vague or Poor Work Guidance

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Stress…

How big is your pressure bucket?

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Time Pressure…

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Overconfidence!

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Distractions

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High Workload and Multitasking

Multitasking

vs

task segmenting

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HOW YOU RESPOND TO FAILURE MATTERS - How you react and respond counts.

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Mission

  • We will restore and protect Canada’s environment

by reducing and effectively managing nuclear liabilities. 

  • We will provide the world with sustainable energy

solutions including the extension of reactor operating

lifetimes, hydrogen energy technologies, and fuel

development for the reactor designs of tomorrow.

  • Together, with partners, we will demonstrate the commercial viability of advanced reactor designs including Small Modular Reactor (SMR).
  • We will work collaboratively with medical/educational institutions and pharmaceutical companies to pioneer new alpha therapies for cancer treatments that save countless lives. 
  • We will leverage all of our capabilities for commercial success in Canadian and international markets.

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Performance Influencing Factors

Fix what is setting us up to fail!

  • Leadership in human performance and human facors matters is demonstrated at all levels of the organization. (COG-17-9021)
  • Human performance and human factors elements of the management system are integrated (COG-17-9021)

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