Rail Resource Management Rail Resource Management (RRM) (RRM) Post Post ‐ Post Post ‐ ‐ implementation review ‐ implementation review implementation review & future directions implementation review & future directions & future directions & future directions rd International rd International 3 rd 3 rd International International Rail Human Rail Human Factors Conference Factors Conference f London London RRM RRM March 2013 March 2013 Post Post Implementation Implementation Jennifer Alcock Re ie Re ie Review and Review and and and Elizabeth Grey Future Future Dr Barbara Klampfer Directions Directions Louise Raggett Adrian Rowland
Overview Overview Overview Overview • RRM in Australia: the story so far y • Post implementation review • Post implementation review RRM RRM • The need for a new approach • The need for a new approach Post Post Implementation Implementation • Project overview • Project overview Review and Review and Re ie Re ie and and Future Future Directions Directions • Next steps • Next steps
The The story so far… The story so far… The story so far… story so far… 2005 Project launch Sponsorship by TSV & ITSR Dédale appointed Dédale appointed National endorsement Industry steering committee Best practice review 2006 2007 Launch of RRM Guidelines & Materials RRM industry working group RRM industry working group 2008-9 2008 9 V/Line business case RRM RRM V/Line pilot Post Post Implementation Implementation Industry briefing 2010 Re ie Re ie Review and Review and and and RRM facilitator training Future Future 2011 Directions Directions QR Coal implementation QR Coal implementation 2012 Post implementation Review 2013 Future directions?
Setting a high Setting a high Setting a high Setting a high standard standard standard standard standard standard standard standard • Unique product for rail Unique product for rail Expert developers • • Extensive consultation • Extensive consultation • Holistic approach RRM RRM • Guidance on how to G id h t Post Post – develop Implementation Implementation – Implement – Implement Review and Review and Re ie Re ie and and Future Future – evaluate & maintain Directions Directions • Comprehensive & • Comprehensive & generic • Customisable • Customisable
Uptake of RRM Uptake of RRM Uptake of RRM Uptake of RRM Positive indications • Positive evaluation of pilot • Implementation by division of leading freight operator of leading freight operator • Anecdotal evidence of early RRM RRM scoping work – Passenger operators Post Post Implementation Implementation Review and Re ie Re ie Review and and and Post implementation Post implementation Future Future review to ascertain: Directions Directions • • Awareness of RRM Awareness of RRM • Use of materials • Beliefs about human error as source of risk in rail
The The The status The status status of status of of RRM 2012 of RRM 2012 RRM 2012 RRM 2012 On-line survey August 2012 58 Respondents • Freight (8) • Passenger(10) RRM RRM • Infrastructure managers (20), • Infrastructure managers (20) Post Post • Infrastructure maintainers (21) Implementation Implementation Re ie Re ie Review and Review and and and • Tourist & heritage (16) Future Future Directions Directions
Survey results Survey results Survey results Survey results • 57% heard about RRM • 10 have used materials 10 h d i l • 4 running RRM in some form • 1 preparing RRM RRM • 3 individuals keen but no 3 individuals keen but no organisational support Post Post Implementation Implementation • 25% attributed human error as • 25% attributed human error as Re ie Re ie Review and Review and and and factor in less than 20% incidents Future Future Directions Directions
Rated effectiveness of strategies Rated effectiveness of strategies Rated effectiveness of strategies Rated effectiveness of strategies to reduce human error to reduce human error t to reduce human error t t t to reduce human error d d d d h h h h Least effective Least effective Most effective Most effective • Supervision & • Human error support t management t RRM / NTS training • Toolbox- RRM RRM talks/pre-work talks/pre-work • Human Factors • Human Factors Post Post briefings awareness training Implementation Implementation • Procedures • Advanced Re ie Re ie Review and Review and and and appropriate & technology Future Future relevant Directions Directions • Counseling & • Training disciplinary action • Incident • Equipment/system analysis analysis design design
Possible barriers? Possible barriers? Possible barriers? Possible barriers? • Industry HF readiness/capability • Accessibility of RRM product y p • Expertise & resources to RRM RRM customise tools Post Post • Ability to take workers off-line Implementation Implementation • Perceived cost/benefit • Perceived cost/benefit Re ie Re ie Review and Review and and and Future Future • Acceptance by management Directions Directions
Future Future directions Future directions Future directions directions Options considered : • Bridging program? – Increase understanding of human performance /error human performance /error management RRM RRM • RRM promotion/support? • RRM promotion/support? Post Post • Change management Implementation Implementation approach? approach? Re ie Review and Review and Re ie and and Future Future • Target specific human Directions Directions performance issue using RRM performance issue using RRM tools?
Human performance issue: Human performance issue: Human performance issue: Human performance issue: Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications Safety critical communications • Identified regulator priority Identified regulator priority • Known issue for operators Known issue for operators • 1 April 2010- Strathfield- near 1 April 2010 Strathfield near strike track workers RRM RRM • 5th May- 2010- Newbridge- collision between XPT & track- Post Post mounted excavator Implementation Implementation Re ie Review and Review and Re ie and and • • 13th April 2010 13th April 2010- Kogarah- track Kogarah track Future Future worker fatality Directions Directions • 3 March 2011- Narrandera – run 3 March 2011 Narrandera run away wagon set derailing onto public road
Communication failures Communication failures Communication failures Communication failures • UK data: communication a factor in 33% of irregular working events (Network Rail, RSSB June 2012 T869 Bondsall-Clark K.) • Local data: V/line analysis RRM RRM Post Post Implementation Implementation Re ie Re ie Review and Review and and and Future Future Directions Directions Courtesy of Dr Todd Bentley V Line 2010 Source – Business Case for RRM Courtesy of Dr Todd Bentley V Line 2010
Potential benefits Potential benefits • Market to known need • Reduce adoption barriers R d d ti b i • Provide measurable proof of concept RRM RRM • Improved SCC behaviours • Reduced SCC incidents Post Post Implementation Implementation • Improved awareness of HF and • Improved awareness of HF and Re ie Re ie Review and Review and and and potential of RRM to address HF Future Future Directions Directions issues
Project overview Project overview Project overview Project overview Phase 1 – Rail operator trial • Identify SCC errors • Measure current performance • Customise RRM Materials for SCC • Design and Implement trial D i d I l t t i l • Evaluate RRM RRM Phase 2 – Industry roll out Post Post • Develop promotional materials Implementation Implementation Re ie Review and Re ie Review and and and • Roll out product to wider industry R ll t d t t id i d t Future Future • Extend behavioural monitoring Directions Directions • Evaluate Evaluate Phase 3 • Future applications for human • Future applications for human performance improvement
Project overview Project overview Project overview Project overview Phase 1 • Conduct • Conduct surveillance • Establish a baseline • Establish a baseline Voice Voice recordings measurement for current SCC Accident reports performance RRM RRM • Identify scenarios for RRM training Post Post Implementation Implementation Review and Review and Re ie Re ie and and Future Future Behaviour Behaviour marker Yes/no Directions Directions 15
Project overview Project overview Project overview Project overview Design intervention • Customise RRM and deliver training • Use surveillance scenarios to customise RRM RRM case studies t di Post Post • Create distributed team Implementation Implementation exercises to practice new exercises to practice new Re ie Re ie Review and Review and and and Future Future skills in a safe Directions Directions environment environment 16
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