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Rethinking Traditional Safety, Part 6

Risk pattern and the concept of self-triggering

By Larry Wilson
Risk pattern and the concept of self-triggering
May 5, 2020

This article is really about putting all of the concepts in the previous articles together to come up with what will hopefully be the most significant change in thinking so far.

As you may recall, in the first article we discussed hazards vs. hazardous energy, which includes kinetic energy and the importance of human error — specifically two critical errors: eyes not on task and mind not on task. Then in the next article we looked at our own personal risk pyramids and the three main sources of unexpected events.

 

personal risk pyramids

 

For almost everyone, the self area was over 95 percent. Then we looked at the counter-intuitive nature of risk assessment and why the worst injuries typically don’t come from the most dangerous things. But rather, the worst injuries happen when eyes and mind are both not on task. And we’ve talked about the four states: rushing, frustration, fatigue and complacency in general but not specifically in terms of how each state individually or by itself can cause critical errors. And we haven’t really discussed how the combination of states, like fatigue and complacency can be deadly (people falling asleep at the wheel). We have discussed, at least briefly, how developing or improving our safety-related habits can help compensate for complacency leading to mind not on task, but we really haven’t talked about the other three states (rushing, frustration, fatigue) and what to do about them.

Unexpected events

So let’s go back to the three sources of unexpected events, and what would cause something to be unexpected in the self area, like a mistake, a miscalculation, a misjudgement, etc. Since we are never trying to make mistakes like losing our balance or not seeing a red light, it’s always unexpected.

Whereas with decisions like marrying someone or investing in the stock market, we know that we might be making a mistake — so if things don’t work out it’s not totally unexpected. It’s not like losing your balance and falling. This is not to say that you can’t make a miscalculation about your speed on a curve or how long it will take to brake on the newly wet pavement. However, the percentages of those miscalculations are relatively small compared to the ones where you didn’t even think about the wet pavement being slippery or a problem in the first place.

The very nature of mistakes and errors makes them unexpected events, even though (somewhat ironically) we all know we make mistakes. And although some mistakes do turn out for the best, they are not the majority.

4 critical errors

As mentioned in previous articles, there are four critical errors: eyes not on task; mind not on task; moving into or being in the line of fire; or somehow losing your balance, traction or grip. Can you think of a time you’ve been hurt, in the self area, when you were looking at what you were doing, thinking about what you were doing, you were aware of the line-of-fire or what could be coming at you, and you were at least conscious or thinking about what could cause you to lose your balance, traction or grip?

If you’re like most people, you can’t think of an exception — unless it’s sports related. And even then, the exceptions are rare. But that’s it. Only four critical errors that are involved in over 95 percent of all accidental injuries — whether they’re at work, at home or on the road.

Human factors

As we have discussed, we are never trying to make any mistakes, whether they cause wasted time, wasted money or cause injuries. So, we have to look at what causes people to make mistakes or what causes people to make the most mistakes. Thinking back to the self area, can you think of a time you’ve been hurt when you weren’t rushing, frustrated, overly tired or fatigued, and you hadn’t become so complacent that you just weren’t thinking about the hazards or amount of hazardous energy at that moment?

Chances are you don’t have an example or an exception for this one, unless it was extreme joy or sorrow. Extreme sorrow, thankfully, is not something that we have to contend with every day. And extreme joy is not a problem at most workplaces. But rushing, frustration, fatigue and complacency are states that we do have to deal with on a regular basis — almost daily. And while you might be able to say, “Don’t rush,” it’s difficult to say, “And don’t ever be tired again either.” So eliminating these states or human factors from life or from work is not going to be possible.

 

hazards or amount of hazardous energy

 

Error reduction

But there is some good news. Basically, there are only four states, and even though we can’t eliminate those four states, we can recognize the first three. We can tell when we are rushing because we have to make a conscious effort to go faster then what’s normal. We can easily recognize frustration and we can recognize fatigue, which means we can use those states as a trigger to remind ourselves to keep our eyes and mind on task and to look for things that would cause us to lose our balance, traction or grip. Or to put it another way, as soon as you realize you’re rushing, frustrated or fatigued you need to (quickly) self-trigger.

Self-triggering is the first critical error reduction technique. Basically it’s a two-step process: as soon as you self-trigger and come back to the moment, your first impulse should be to calm down or take a break. But since that is not always possible in the real world, you need to make sure that you keep your eyes and mind on task, think about line of fire, and what could cause you to lose your balance, traction or grip. That is the second part of self-triggering. And as mentioned above, the key is to do it at least quickly enough to prevent the error.

Conclusion

Although it takes some time, if you learn this skill, it’s incredibly efficient. It works really well to prevent serious injuries and it doesn’t cost any money. But it’s not as simple as it seems. Or, as Kevin Cobb, one of the first SafeStart Consultants, said, “Knowing that rushing is a risk isn’t much of a trick. But knowing that rushing is a risk — when you’re in a rus h— that’s a heck of a trick.” And this leads us into the question: How do we train our subconscious mind so that we will be able to self-trigger quickly enough? (More on that in the next issue.)

The change in perspective, as mentioned at the beginning of this article, is really just the summation or cumulative result of putting all the previous concepts together to come up with the technique of learning how to self-trigger on rushing, frustration and fatigue so you don’t make a critical error.

Next issue: The neuroscience behind all four critical error reduction techniques.

See more from Larry Wilson

KEYWORDS: human error safety management

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Larry Wilson is a pioneer in the area of human factors in safety. He has been a behavior-based safety consultant for over 25 years and has worked on-site with hundreds of companies worldwide. He is also the author of SafeStart, used in more than 3,000 companies, 66 countries, with more than 3.5 million people trained.

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