Data Analysis. Report to the Gas Delivery SLT March 20, 2009

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Willis Beasley
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1 Gas Delivery MSD Data Analysis Report to the Gas Delivery SLT March 20, 2009

2 Gas Delivery MSD DA Team Mission: Review the musculoskeletal disorder injuries in Gas Delivery and develop actions to reduce such injuries in Team: Dave Beym, Mike Langham, Tom Curry (Lead), Neal Davis, Christer Edman Paul Metaxas (Facilitator), Nicole Swan (Facilitator) Measure of Success: OSHA Count Data Analysis Action plans Target 20% reduction in MSD OSHA Injuries over next 24 months Presenter Tom Curry

3 Data Analysis Process Overview Institutionalize Solution or Try Alternative Collect Information & Identify Causes Find Underlying Issues Evaluate Improvement Generate Potential to Issues Implement Select and Plan

4 Systemic Causes Worksheet #2 Check off all that apply Enter P for primary issue or cause AIMS number: OR FA Tag FI NM Systemic Issues Policies, Procedures, Practices, And Other Established Methods P1 Do Not Exist For This Situation P2 Exist But Inappropriate For This Situation P3 Employees) Not Trained On P4 Employee Not Trained on or Recently Reminded Of P5 Outdated Schematics, Diagrams, Sketches, etc P6 - Preventative maintenance Procedures Do Not Exist / Inadequate P7 Inspection procedures inadequate or do not exist Systemic Issues Tools & Equipment Including Structure Or Building Design T1 Proper Tools Or Equipment Not Available T2 Tools Or Equipment Defective T3 Design / Engineering Inappropriate For Job T6 PPE Not Available T8 Employee Not Trained On Proper Use Of Systemic Issues Exposure To Environmental Factors E1 Extreme Noise, Temp, Ventilation, Illumination E2 Poor Housekeeping E3 Inadequate Physical Layout E5 Extreme Weather Conditions Or Other Acts Of Nature E6 Factors beyond PS control (Lightening, Falling Tree Limb) Human Factors Issues H1 Existing Inspection Policies Not Followed H2 Existing Preventative Maintenance Policies Not Followed H3 PPE Available But Not Used H4 Existing Industrial Hygiene Precautions & Procedures Not Followed H5- Available Tools and Equipment Not Used H6 Health & Wellness Issues H7 Ergonomics H8 Conscious Decision To Depart From Policy /Procedure H9 Communication Issues - Other H9a Communication Issues PJB, Other H9b Communication Issues - Imprecise Communications H9c Communication Issues - Vague Or Incorrect Guidance H10 Skill-Based Errors H11 Decision Errors H12 Perceptual Errors H13 - Routine Violations of Practices and Procedures H14 Exceptional Violations of Practices and Procedures H15 Inattention Eyes on Path H16 Inattention Eyes on Task H17 Substandard Practices Crew Resource Management H18 Substandard Practices Tolerance of Unsafe Acts

5 What the Team Did Information reviewed: Strain/Sprain, MSD, soft tissue OSHA injuries only 58 AIMS Records RCA reports Initially Team was to review 2008 OSHA MSD injuries only Finally, Team reviewed MSD OSHA cases

6 Strengths of the Gas Delivery Safety Program Pro-Activity ii initiatives iii i Exercise Reimbursement Program Location Exercise Facilities Kneeling pads Communication of RCAs via morning huddles, LOB Council, All Hands Meetings, safety bulletin boards Sharing of near misses, stop the jobs, injuries, MVAs, and other H&S items in weekly Teleconference & Gas Gazette Gas H&S Councils JSOs and Peer-to-Peers Appliance Service bundled training Use of Sharepoint for safety communication (includes RCAs) Presenter Mike Langham

7 Trends Presenter Neal Davis

8 Total GD OSHA Cases VS. MSD Reviewed for Data Analysis 36 Total OSHA Cases Reviewed MSD Cases Percentage of OSHA Cases that were MSD Injuries % 41% 45%

9 Trends Lost Time Days Total Days Away Days Away (Reviewed Cases) Percentage of Lost Time Days that were MSD Injuries % 56% 67%

10 Trends - Lost Time Cases Total Lost Time Cases Reviewed Lost Time Cases

11 Trends - Restricted Duty Cases Total Restricted Duty Cases Reviewed Restricted Duty Cases

12 Years of Service - Years in Position The Data Analysis Team reviewed the information available on Years of Service and Years in Position and did not find any clear trends.

13 Data Analysis Process Overview Collect Information & Institutionalize Find Identify Causes Solution or Try Underlying Alternative Issues Evaluate Improvement Generate Potential to Issues Implement Select and Plan Presenter: Chris Edman

14 Collecting Information and Identifying Issues Reviewed 58 OSHA MSD Cases and available RCAs Identified single primary cause Used Pareto graphs to focus in on few causes

15 The Following did Not Primarily Cause Policies, practices, procedures PPE Training on use of tools or equipment Extremes of noise, weather First Time Evolutions

16 Coun PARETO CHART GAS DELIVERY SPRAINS & STRAINS -with O1 98.2% 94.6% % 1% 100% 87.5% 100.0% 96.4% 75.0% 80.4%83.9% 90% % 85.7% 89.3% 80% % 60.7% 70% 10 t60% 51.8% Count Cumulative Percentage % 50% % O1 H15 E3 H19 H7 H23 H11 H22 H18 H13 H20 H6 O2 O3 T3 E2 H21 Checklist Codes 40% 30% 20% 10% 0%

17 Primary Causes Identified PARETO CHART GAS DELIVERY SPRAINS & STRAINS Primary Causes Frequency Chart Count 8% 90.2%92.7%95.1% 85.4% 87.8% 78.0% 80.5%82.9% 73.2% 65.9% 97.6% 100.0% 9 100% % 34.1% 46.3% 56.1% Count Cumulative Percentage 90% 80% 70% 60% 50% 40% 30% 20% H15 E3 H19 H7 H23 H11 H22 H18 H13 H20 H6 O2 O3 T3 E2 H21 Primary Causes 10% 0%

18 Identified Primary Causes H15 Eyes on Path E3 Physical Layout H19 Inadvertent Act H7 Ergonomics H23 Aggravated Pre-Existing Conditions H11 Decision Errors These accounted for 73% of the MSD OSHA injuries Note: O1 - Not enough Info in AIMS RCA: was not a cause of fmsdi injuries, i however, it is a significant ifi barrier to Health & Safety Improvement.

19 Data Analysis Process Overview Institutionalize Solution or Try Alternative Collect Information & Identify Causes Find Underlying Issues Evaluate Improvement Generate Potential to Issues Implement Select and Plan

20 Uncovering the Underlying Issues Primary Causes Underlying Issues Eyes on Path (H15) Distractions Physical Layout (E3) Hazard Identification Job Layout Not Optimal Inadvertent Act (H19) for Physical Area Ergonomics (H7) Use / Access to Ergo Aggravated Pre-Existing Tools and Ergo Training Conditions (H23) Years of Improper Decision Errors (H11) Technique Defective Equipment

21 Data Analysis Process Overview Institutionalize Solution o or Try Alternative Collect Information & Identify Causes Find Underlying Issues Evaluate Improvement Generate Potential to Issues Implement Select and Plan Presenter: Neal Davis

22 Generate and Select Potential 20% reduction in MSD OSHA injuries over 24 months

23 Recommendations Raise awareness of the importance of staying focused on the job and surroundings Improve hazard awareness, assessment, and control Increase emphasis on Ergonomics, Tools, and Equipment Obtain and record Accurate, Useful information on MSD injuries Reconvene e e the Gas Delivery e MSD Data Analysis s Team to review implementation and evaluate effectiveness of recommended actions Presenter Dave Beym

24 Action Plan Prior ity. Communicate this report, review implementation, Top 5 Actions Driver and evaluate effectiveness of recommended actions. 1 Establish a centralized purchasing program for ergonomic-friendly tools to make the tools accessible throughout Gas Delivery. >Ergonomic friendly tools are to be purchases centrally and distributed to the Gas Delivery locations. >Purchase decisions for the tools would be made centrally through Gas Systems & Technical Services. 2 Request the Ergonomics Team to develop an Ergonomics Awareness Program that will be presented to all Gas Delivery associates. > Program to be presented to the Gas Delivery LOB H&S Council > LOB Council and Ergo Team to decide how the program will be presented to associates > Program presented to all Gas Delivery associates 3 Place added emphasis during the months of May and June on staying focused (keeping Eyes on Path and Eyes on Task ) : > Hold meetings with JSO observers to instruct them to place emphasis on staying focused > Hold meetings with Peer to Peer observers to instruct them to place emphasis on staying focused > Place emphasis on staying focused during Job Safety Observations in Central Division during May and June including discussing staying focused with personnel during observations > Place emphasis on staying focused during Peer-to-Peer Observations during May and June including discussing staying focused with personnel during observations > Track and communicate related safe and at-risk trends from Job Safety and Peer-to-Peer Observations Oversees Implement ation J. Cardenas J. Cardenas T. Curry Due Date August 1 Program established Aug 12 Apr 30 Hold meetings with observers Implementation Status Metrics Percent of districts with 2 magnetic manhole lifts Presentation made to LOB Council by due date Percent of observers instructed to place emphasis on staying focused

25 Action Plan Raise awareness of the importance of staying focused on the job and surroundings Prior ity Top 5 Actions Driver Oversees Implement ation Due Date Implementation Status Metrics 4 Prepare and present a Tailboard training program for all street supervisors & street leaders that includes: > Effective interpersonal communication techniques > Use of a pre-job hazard assessment checklist > Discussion of the hazard assessment during Pre-Job Briefs and Tailboards. 5 > Include Working Inspector forms with identified hazards in work orders for all AS install jobs > Develop and distribute a hazard assessment checklist pocket card to all AS personnel Validate there are no hazards. P. Pirro June 1 Start Training by N. Davis May 29 Pocket cards and WI form ready for distribution Percent of street leaders and supervisors trained by Aug 31 % of Work Orders with attached WI forms % of AS personnel with pocket cards Presenter Tom Curry

26 Data Analysis Process Overview Institutionalize Solution or Try Alternative Collect Information & Identify Causes Find Underlying Issues Evaluate Improvement Generate Potential to Issues Implement Select and Plan Presenter: Dave Beym

27 What We Need From You Visible agreement and support for the action plan outlined Drive Implementation of the Action Plan Communicate the Action Plans to all direct reports Communicate the Data Analysis findings to all personnel Reconvene the Data Analysis Team in September and again in 2010 to evaluate progress

28 Thank you for listening! Thank you for your support!

Hazard Recognition and Assessment

Hazard Recognition and Assessment WHAT ARE HAZARDS? A hazard is a practice, behavior, condition or situation, or a combination of these, that can cause injury or illness in people, or damage to property.