In this session, we will discuss in detail the definition of Normalization of Deviance and how it has contributed to major accidents, including both Space Shuttle disasters. Examples will be provided of Normalization of Deviance in operating and maintaining process plants, as well as in our daily lives.
Participants will:
Gain an understanding of how to stop Normalization of Deviance
Learn how to identify and correct this behavior
Take this concept home to apply with their families
After more than 50 years of root cause analysis (RCA), you might expect problem solving to be a clear and straightforward process. It’s not. You can find yourself caught in unproductive debates. “Is that a contributing factor, or a causal factor?” “That’s a primary cause, but it’s not the main cause.” The result is frustration, inefficiency, and solutions that allow a repeat of the same problems.
A better approach to RCA is one built on evidence-based cause-and-effect relationships. The steps are simple: define the problem, explain why it happened, and identify solutions to reduce risk. Its focus is on having more reliable work processes, learning, and improving, which helps engage the frontline and minimize blame.
This session will explain the pitfalls of drifting from scientific problem solving and features a case study demonstrating how first-principles RCA leads to tangible improvements in reliability and human performance.
Participants will learn:
Four common errors that arise when explaining why an incident occurred
The biggest misconception about RCA
Why effective RCA does not require any proprietary techniques, terminology, or software
How RCA can be scaled for low-risk incidents and expanded as needed for higher-impact events.
How to reduce “human error” by involving those who perform the work
Moderator:
Bill Clark, Phillips 66
Speakers:
Bill Clark, Phillips 66
Mark Galley, ThinkReliability
This panel is intended to attract Turnaround and Operational leaders who would like to gain insight on good practices that industry peers are using to prepare and execute SD/ Decommissioning and SU/Commissioning of units for maintenance events. This discussion will also include safe work practices insights for lock out tag out, energy control, blinding or walk the line/job practices that help improve safe outcomes of an event. The panel will also share their perspectives on future opportunities related to transformative technologies and practices for turnaround operations.
Moderator:
Andrew Jakubowski, Flint Hills Resources, LLC
Speakers:
Kevin Honaker, Phillips 66
Lou Hooks, Chevron Phillips Chemical Company LP
Andy Munsen, Flint Hills Resources, LLC
Learn how Flint Hills Resources implemented KEWAZO’s lifting robot, LIFTBOT, to improve safety and efficiency by replacing cranes and manual handling. Hear firsthand the motivation for doing something new, overcoming challenges, and ultimately deploying robots in the field.
Moderator:
Andrew Jakubowski, Flint Hills Resources, LLC