Workplaces and Organisations are easier to manage than the minds of individual workers. You cannot change the human condition, but you can change the conditions under which people work

Dr James Reason

Human Error Prevention Defined

The Human Error Prevention (HEP) process is about understanding that Human Error is never a true root cause for an issue. The basic assumption is that people do not want to make mistakes. Thinking systematically, HEP allows you to peel back more layers of the problem, uncover the true root cause and implement permanent fixes.

Human Error Categories

Benefits of HEP

Develop a culture of Human Error Prevention
Minimise Risk of Human Error
- Near Misses and Accidents reduced
- Quality Defects reduced
Improve Job Satisfaction
Reduce Cost of Poor Quality

HEP Process

CODE

Competence errors occur when a person did not have the knowledge or skill to perform the task correctly

Omission Errors occur when a person missed a step or did not perform an action

Decision Errors occur when a person makes a decision which inadvertently leads to an error

Execution Errors occur when a task is performed incorrectly, although the person was competent to carry it out

The CLS Human Error Prevention Program

Step 1: Define the Strategy

Define purpose of the HEP program
Plan to influence change
Communication Plan
Select Pilot Program

Step 2: Training on HEP

Identify HEP training requirements
Leadership Training
Human Error Problem solving training
Human Error Tools Training

Step 3: Develop HERO Score

Identify Baseline Human Error Risk
Overview HERO score

Step 4: Manage the change

Create an Action Plan
Establish a Recognition Process
Monitor the Change

Support Provided

To enable this productivity improvement, CLS offers a unique, personable, action-based approach, focused on “Simplifying Complexity” supporting the transition to a Lean Project Delivery System. Areas we can provide support include;

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Training

Human Error Prevention for Leadership
Human Error Problem solving Process
Human Error Risk Overview Score (HERO)
Toolbox for Human Error Prevention
Visual SOP Training

Consultancy

Strategy Development
Program Mentoring
HERO Workshop
Human Error Root Cause Analysis Facilitation

Download HEP Leaflet

For Information on our Human Error Prevention Training Contact Us Today +353 (0)87 6226 899

APPROVALS & FUNDING

Crystal Lean Solutions are one of the first consultants to receive the Mark of Commendation from LCI and are approved Enterprise Ireland and IDA Consultants.

To find out more about our flexible training program and funding available to you, contact us today.

On Time Delivery Improvement Project

Key Business Challenges and Project Objectives:

Our Engineering Services client has a functional structure and found it challenging to ship on time, consistently. From an analysis, a number of issues were identified preventing shipments on time. One area identified was a lack of communication across the functions, resulting in shipments not meeting delivery requirements. CLS were invited to mentor the team on Visual Management as a possible improvement to managing shipments. The key objectives of this project were:

Design and implement a Visual Management System to support On Time shipments to customer
Improve On Time Delivery from 60% to 75%

CLS Approach and Changes Implemented:

CLS worked with the Project Team, starting with identification of the customers of the Shipment process and understanding their requirements, using a SIPOC. A list of 65 requirements were identified initially. The 65 items were prioritised and reduced to 8 critical requirements. Next the key information required to meet customer requirements were identified and who can provide this data. The team communicated these requirements to the relevant people and confirmed how frequently the information was required and in what format. On completion on the SIPOC, the following actions were implemented over a two-month timeframe with minimal investment:

Designed a Shipment Board with the key elements of information identified on the Board
Identified colour coding to identify what elements were on target for shipment (green) and what elements were not on target (red)
Designed a process to implement actions for Red items
Completed training and Piloted the process
Updated board design from Pilot

Results / Outcomes:

Designed and Implemented a Visual Management System to manage shipments.
Engaged the functions to work effectively together and reducing stress associated with shipments for people involved.
Improved On Time Delivery from 60% to 80%.