Managers: Expanding Their Leadership Role in Safety
Rosa-Antonia Simon Carrillo
Published 6/98 Professional Safety Magazine
Most managers do care about the safety of their organizations, but some of them are at a loss about what to do to show that concern and manage safety effectively. For example, a group of high ranking managers from a Fortune 500 company gathered to hear the results of an employee survey and extensive audit of their internal safety management practices. They were surprised by employee perceptions that management was invisible, did not walk the talk in safety, was unresponsive to safety concerns, and had unclear goals and expectations for safety performance. Upon hearing this feedback, they looked at each other and said, Weve done everything we can think of to show our concern and demonstrate that safety is important. We dont know what to do anymore. Managers facing this dilemma can find new direction by examining and changing their own beliefs about what works in safety and taking a leadership position in creating a new safety culture. Safety Management Approaches that Dont Work American management is discovering that traditional approaches to safety performance no longer suffice. We will examine five of them in this section, beginning with the three most frequently used--focusing on operator error, spending large sums on technical solutions, or using injury-related statistics as the only way to measure performance. Accident investigations that focus on operator error are viewed as blame- fixing by employees and often fail to take into account systemic root causes. Technical solutions only take the organization so far. Installing new guards or equipment helps reduce some injuries, but cannot prevent some of the most common accidents. What guard or procedure will make people pick up a 2 x 4 in the middle a walkway or hold a handrail going down stairs? Finally, the single minded use of safety numbers as a performance indicator has created a backlash among 1997 Rosa-Antonia Carrillo Managers: Expanding Their Leadership Role in Safety employees who believe that Management doesnt care about us. They only care about the numbers. There are no simple solutions to this quandary. Let us look at two more common approaches to improving safety where results are less than satisfactory. One is mandated compliance and the other is the use of incentives. Mandated compliance, if it is going to work, must be backed by tight policies, procedures and discipline. Without consistent enforcement this approach is doomed to failure in most worksites because production deadlines are stronger influences on behavior than policy and procedure. A successful example of mandated compliance exists in the US nuclear industry. There have been no new incidents since Three Mile Island. Control has been achieved at a high cost, however; in order to comply with regulations. The ratio of administrators to operators is about 100 to 4 and plants found in violation have been shut down, at a cost of millions of dollars. Outside of the nuclear industry, businesses cannot remain competitive with that kind of overhead, but that is what it takes to rule effectively by bureaucracy. Another frequent remedy is installing rewards and incentives to modify safety behavior. There are no known correlations between typical awards such as gift certificates, t-shirts and jackets and safety performance. 1 Some companies have installed profit sharing and substantial bonuses related to incident rates which do lower statistics, but the jury is still out on whether or not it actually improves safety, since people may not be reporting injuries. Peter Drucker also observed, Economic incentives are becoming rights rather than rewards. Merit raises are always introduced as rewards for exceptional performance. In no time at all they become a right. The increasing demand for material rewards is rapidly destroying their usefulness as incentives and managerial tools. 2 At best award and incentive
1 Simon, Rosa Antonia, An Open Systems Approach to Managing Safety Performance, Unpublished Thesis, Pepperdine University, 1993. 2 Drucker, Peter, Management Tasks, Responsibilities, Practices, Harper and Row, p. 239. 1997 Rosa Antonia Carrillo 2 Managers: Expanding Their Leadership Role in Safety programs give temporary boosts to safety programs. Experience has shown they are not sustainable. It is very difficult to get beyond these traditional approaches. Most managers were raised to believe that the way to manage for excellence was to tell people exactly what to do and then follow up. Re-engineering came about and we thought we could engineer people into perfect performance. Behaviorists arrived and they told us we could modify employee behaviors. But you can not direct or modify people into perfection; you can only engage them and influence them to want to do perfect work. That is why the answer to achieving safety excellence lies in leadership and employee empowerment.
Empowerment: A Positive Experience There are plants that have achieved OSHA Star status under the Voluntary Protection Program with near perfect safety records for years at a time. They achieve those results initially because leadership guides and provides resources during a three-to-five year process that empower workers to take responsibility for safety, making it a personal mission. There are regulations, policies and procedures, but those elements are not different from those found at poorly performing plants. Good performance comes from the hundreds of workers who understand their role in safety, the whys of safety and that safety is up to them. Achieving this level of excellence takes a lot of work. Tom Moeller, an oil refinery manager, talked about his experience in bringing a refinery into the STAR program. When I came to Beaumont this plant was in serious trouble. We had lost 90 million dollars. Our expenses were in the fourth quartile on the Solomon survey which basically said we were at the bottom of the heap of all the refineries in the United States. We are today, 1996, in the first quartile of the Solomon Index. We have the lowest cost structure of all the refineries in the world. We have one of the best safety records of all the Mobil refineries in the world. At the same time we downsized 1997 Rosa Antonia Carrillo 3 Managers: Expanding Their Leadership Role in Safety 400 people. Our culture is far better today than it was in 1992. When I came down here I only knew one program to do and that was the Voluntary Protection Program (VPP). If you improve safety the whole organization improves, but if you leave out the safety part, the rest of the organization wont stay improved. We did it by setting up a lot of teams among our employees. There is a team there that worries about sling inspections, inspections of our cranes, making sure that we meet all the OSHA standards, making sure that the repairs are made when they should be made, and that preventative maintenance is done. There is a team in the weld shop and there is a team pretty much everywhere that says to the hourly folks and supervisors, This is the OSHA standard. We also give them the freedom to spend the money to do what you have to do and to set people aside to get the job done. We spent a fair amount of money. The other side of the coin is our heavy equipment reliability is way up. There are big pieces of equipment that might cost a million or half a million dollars so you dont want them out of service much of the time or you have to replace them by renting a piece of equipment. There arent any injures. While we spend a lot of money to train people, the workers now have responsibility for it. They spend money for the appropriate repairs. I think we probably made it back several times over. Im not trying to make it sound easy. We spent a lot of time establishing a relationship with the workmans committee. We took away some of things that really bothered people a lot. When I came down here we had hundreds of grievances, some 15 years old. So we set up a couple of junior employees and a couple of management employees (front line employees) in a room and said, you all develop recommendations to resolve these grievances. We paid people sometimes for a grievance that was ten years old. It might have been $200 or $300, but we paid them and just got rid of it. We set out to build 1997 Rosa Antonia Carrillo 4 Managers: Expanding Their Leadership Role in Safety trust. It doesnt mean we didnt have hard negotiations. We had very hard negotiations and at one point I thought we were going to have a strike. We fired the president of the union along the way. So its not like it was peaches and cream, it wasnt.
In these plants each time an unscripted event comes up--a leak, a storm, a customer demanding faster service--it is up to the individual to make the right choice. The examples of these plants confirm that ultimately, we cannot rely on procedure manuals. We can rely on peoples intelligence and their commitment to doing the right thing, but people have to know what right means. They have to know what safe really means. This can only be achieved through education, training and dialogue. Establishing Common Values, Goals and Standards A culture where people can be relied on to make the right choice is one where each person in the organization holds the same high standard for safe work habits, orderliness and accountability. Once these standards are internalized, they direct behavior, creating a culture that is self enforcing and supports safety excellence. Creating such an organization begins with two steps: First, is the involvement of the total employee population. The second is exploring the current beliefs and assumptions guiding peoples behavior, and the organizational systems that perpetuate those beliefs. This is necessary because eradicating accidents from the workplace represents a fundamentally different way of thinking about work. For centuries accidents have been an accepted cost of doing business. Changing that assumption requires upsetting the status quo and success does not come easily. There is great personal risk of failure. We know that most plant managers or corporate executives would not sacrifice the health of their employees in exchange for production. They would never say, Do the job unsafely to meet this deadline. Yet, often accident investigations reveal that employees work off the assumption that it is more acceptable in their organization to take a safety shortcut than it is to miss a deadline. Employees often 1997 Rosa Antonia Carrillo 5 Managers: Expanding Their Leadership Role in Safety state that they feel implied pressures to meet deadlines while logistic planners and supervisors scratch their head wondering how a casual comment that it would be good to get something done by a certain time got translated into a rush job. Their surprise shows a lack of cultural awareness. They do not understand the power of their position and the long-standing expectations that unconsciously drive peoples behavior. If we are going to commit to eliminating job injuries as a normal part of work, we are going to have to change peoples basic assumptions about what it means to do the job right. We will have to add the word safe to the current expectation of on time and meeting specs. To do this we have to turn to the people who do the work. We have to engage them in setting up new standards that challenge the status quo. We have to create a new safety culture.
The Dynamics that Shape Culture In guiding a culture change effort, managers have to understand the importance of leadership in creating, changing and shaping culture. In Organizational Culture and Leadership, Edgar Schein goes so far as to say that, Without leadership, groups would not be able to adapt to changing environmental conditions. 3 When leaders understand culture, they can use it or surmount it. If leaders do not understand culture, it will manage them. The most powerful cultural forces are invisible: They are the norms, beliefs and assumptions that influence safety behavior much more than guards, policies and procedures. We will begin by defining norms and then move on to the deeper, more complex assumptions that rule culture. Research on the importance of norms (defined as any uniformity of attitude, opinion, feeling, or action shared by two or more people) in determining attitudes towards production is well documented. The same phenomena, convergence and
3 Schein, Edgar. Organizational Culture and Leadership, Jossey Bass: San Francisco, 1991. p. 317. 1997 Rosa Antonia Carrillo 6 Managers: Expanding Their Leadership Role in Safety cohesion, which shape attitudes and/or norms towards productivity, also apply to safety. Briefly, convergence is the tendency of human beings to adopt the point of view of people whom they perceive as part of their group. Studies show that even if a group member initially disagrees with the group, given enough time he or she will adopt the groups point of view (or leave the group). The second force, cohesion, is our tendency to form groups with people we like and who hold opinions, attitudes, and ideas similar to our own. This research on norms has deep implications for understanding how safety attitudes form and what one has to do to change them. Currently, supervisors and managers rely on training and rewards to change people. However, change does not take hold when the newly trained individual returns to a group with unchanged norms. He or she will revert to the former behavior. An example would be someone attending a clinic to stop smoking, then returning to a home and work place where everyone smokes. There is a high probability that that individual would resume smoking. Thus, to change organizational behavior supervisors and managers must learn to shape group norms as well as offer individual training. If it is difficult to change an assumption where medical evidence is abundantly available, as is the case with smoking, imagine the difficulty in changing to an assumption that is counter intuitive. One such example is changing the belief that safety is the safety coordinators responsibility. Because safety professionals are the experts, they are commonly viewed as the most likely people to enforce safety and correct hazards. In reality, line management holds the authority and resources to enforce safety and line workers are the most likely to spot hazards, but the old belief is held in place by years of experience and tradition. An organizations safety culture, then, is mostly made up of what people believe is importantthe norms, assumptions and beliefs that effect that peoples choices and actions. Should we rush to meet this deadline, or is it okay to stop and take safety precautions? Is it okay to remind someone to wear their hard-hat or will I be told to mind my own business? The answers are influenced by the safety culture of the organization. 1997 Rosa Antonia Carrillo 7 Managers: Expanding Their Leadership Role in Safety The following section presents certain principles and dynamics confirmed through experience, research and observation of effective culture change leadership.
Leadership Roles A change leader uses both his person and position to create change. It is not possible to change an organizational culture without first changing yourself. Culture change requires letting go of some of your deepest beliefs about how the world should and does operate. Willingness to enter into unknown areas and lead others requires a personal commitment to examining and correcting assumptions or beliefs. Leaders need the ability to raise and question beliefs that everyone else takes for granted. We need to look ahead and assess when these beliefs are wrong and will hurt their organization. Then we need to articulate new assumptions and sell them. An example of leaderships failure to do this is the US car manufacturing industry. Leaders failed to see customer needs for gasoline economy and higher quality. They did not change their long-held assumption that US cars would continue to dominate the market. Only when US auto makers acknowledged the need for change and began to close the gap in quality and cost-effectiveness, did they begin to regain market share. Once you have changed your own assumptions, if you choose to influence others to change, you are assuming a leadership position. The confusion that usually follows the surrender of old assumptions is a form of energy that can be channeled to take the organization to the next stage. People are looking for a new path, making it possible for leaders to influence their direct reports via their clear vision and emotional certainty. The transition is completed when leaderships vision is translated to reality by the rest of the organization. Leaders in formal positions of authority are responsible for organizing the activities around the change process. Grassroots leaders influence the level and speed of acceptance of change. Senior managers characteristically assume sponsorship roles and typically are the ones who sanction as well as provide financial and moral support for change efforts. 1997 Rosa Antonia Carrillo 8 Managers: Expanding Their Leadership Role in Safety Top management support is not enough to drive a culture change. One division manager was appalled to get feedback that the universal belief among his technicians was that deadlines took precedence over safety concerns. As division manager he personally attended safety committee meetings and made safety an important issue at his staff meetings. What was wrong? While he personally acted in accordance with his beliefs, he had no structures that held his direct reports or those under them accountable for communicating or enforcing a common set of safety standards. Part of the answer is revealed in a nine-year study tracking change implementation efforts. Production units within the same facility experienced wide variances in the successful implementation of change efforts supported by top management. The study showed clearly that first-line supervisors and mid-level managers were essential to making the changes work. Successful units had frequent dialogue forums to discuss the change and more efforts to learn from the units experiences with the changed approaches.. 4
Change cannot be implemented without first-line and mid-level management buy-in. They are the ones who cope with the changes initiated higher up. Their skills as change managers often make the difference between successful and unsuccessful change. Traditionally, their job is to guide, harness and control the chaos and distress brought about by change, but there is a better way to manage change: gain employee buy-in for the change through the use of grassroots leadership. Developing grassroots leaders through participation and empowerment smoothes out and speeds up the culture change. As illustrated in Moellers experience described earlier in this article, employees need a lot of training and education to be successfully empowered in safety. By utilizing grassroots leaders, a managers role can change from controlling chaos and distress to guiding and supporting the knowledge, creativity and efforts of the people doing the work to
4 Tenkasi, Mohrman, S.A. & Mohrman,A.M. Jr. Accelerated Learning During Transition. In Mohrman, S.A., Galbraith, J.R., Lawler, E.E. III & Associates. Tomorrows 1997 Rosa Antonia Carrillo 9 Managers: Expanding Their Leadership Role in Safety meet organizational goals. Access to the grassroots culture makes the difference between success and failure in adapting to a quickly changing environment. To manage a grassroots culture change effort, managers must be able to question, listen, experiment, tolerate ambiguity and convince people to examine options that might require painful choices without a guaranteed solution. Getting others to enter into unknown areas requires a personal commitment on your part to engage in examining and correcting your own assumptions. A change leader assumes the responsibility to influence, guide and support others to see the world differently. There is no way to do that unless you have adapted to the change yourself. The leadership assumptions in the next section will assist you in clarifying your own position on the culture change path.
Six Steps Towards Change in the Management Culture For those leaders who have not addressed the fundamental assumptions that affect safety in their organization, we offer the following six-step action plan to be implemented through a series of dialogues. A summary of the process is shown in Figure 1 followed by a rationale for each phase. 1. Articulate the assumptions that managers/supervisors work under when making decisions about safety. Leadership must be aware of changing conditions and determine whether or not assumptions continue to be valid. When an assumption ceases to be valid, leadership must search for new answers and embed new assumptions into the culture. This principle applies to both the business and interpersonal arenas. In business the global economy is driving many paradigm shifts that require major changes in how people and work are managed. Figure 2 lists past assumptions and the future assumptions that are driving business leaders today. Our safety management assumptions must adapt to these same forces to maintain alignment
Organization: Crafting Organizations for a Dynamic World. San Francisco: Jossey-Bass. In Press. 1997 1997 Rosa Antonia Carrillo 10 Managers: Expanding Their Leadership Role in Safety with business practices. Figure 3 lists some of the past safety assumptions and what they need to become to support new business directions. Figure 1 Leadership Assumption Dialogues
Step Activity Purpose 1. Articulate the assumptions that managers/supervisors work under when making decisions about safety . Some of these beliefs are never articulated but carried in the culture as implied . (i.e., They never say put production ahead of safety, but if you dont meet a deadline you never hear the end of it.) Bring out covert beliefs that drive individuals to take unnecessary risks. 2. Prioritize the invalid assumptions according to their negative impact on the safety culture. Leverage your resources 3. Analyze each invalid assumption to determine causes: 1. How did the old assumption become part of the culture? 2. Is it still valid? 3. What would leadership have to do differently to embed the new safety assumptions? Acknowledge those assumptions that use to be valid and managements contribution to keeping them in place. 4. Articulate the new assumption and the driver or motivation for change. Identify new direction and business case for making the change. 5. Group agreement on meaning and intended consequence of new assumption Establish foundation for new culture 6. Action planning and implementation Going from idea to application
Figure 2 Past and Future Business Assumptions 1997 Rosa Antonia Carrillo 11 Managers: Expanding Their Leadership Role in Safety Past Business Assumptions Future Business Assumptions Hierarchical organization Flat Organization Profit Margin Profit and Customer Satisfaction Power = Capital Power = Knowledge National Scope Global Marketplace Focus on Individual-Based Skills Focus on Team-Based Skills
Figure 3
Safety Leadership Assumptions Must be Aligned with Changes in Organizations Past Safety Assumptions New Safety Assumptions Safety manager as doer Safety professional is a facilitator/consultant Safety is an expense Safety is as integral to profit as quality and production Monocultural training materials and approaches Cultural diversity affects approach to safety management The safety department is responsible for safety Trained and educated employees perform safety functions previously performed by "experts"
On a personal level, some beliefs that hold back the culture are never articulated but carried in the culture as implied. Examples are, They never say, Put production ahead of safety, but if you dont meet a deadline you never hear the end of it. Another manager once said, I dont know why we have so many accidents since none of the employees ever do any work! Both of these assumptions almost insure failure in starting any new safety program and must be addressed before progress can be made. 1997 Rosa Antonia Carrillo 12 Managers: Expanding Their Leadership Role in Safety 2. Prioritize the invalid assumptions according to their negative impact on the safety culture. Pay special attention to the assumptions that separate safety from the real work. One of the most common complaints from safety committee members is that, Safety projects take a back seat until we have some free time Another common issue is the inconsistent definition among managers on the questions, How safe is safe enough? ; What policies are we going to enforce?; What do we really mean by safety first? 3. Analyze each invalid assumption to determine causes. Ask how and why the old assumption became a part of our culture and what would leadership have to do differently to embed a new a assumption. It is important to acknowledge that past assumptions may have been built on experience, but may no longer be valid. Managers have to understand their contribution to the problem before they can change their behavior and create a new culture. Later they can engage employees in similar dialogues so that they have an opportunity to air differences of opinion and realize that they too play a role in keeping work out assumptions in place. 4. Articulate the new assumption and the driver or motivation for change. Do not accept superficial statements like safety first. Many organizations put slogans on the walls, but few have leaders at all levels of the organization living up to them. The new assumption has to be reality driven. You have to know which business reasons are sufficiently strong to motivate people to adopt higher standards in safety. If a lasting change in the way people work is the goal, a workable assumption is, Safety standards are an integral part of production. The latter statement will spark a number of organizational changes such as defining a common set of safety standards adhered to by everyone or rewriting production specs to include safety conditions. 5. Get management agreement on the meaning and intended consequence of the new assumption. Never assume that writing a station order or procedure constitutes changing the culture. How many plants have requirements that work orders have three or more signatures before they are implemented? How many people read the work order before signing? How many supervisors assign others to sign for them because they are away in meetings about really important matters 1997 Rosa Antonia Carrillo 13 Managers: Expanding Their Leadership Role in Safety regarding the business? Culture change will take place as managers engage in meaningful dialogue about the new assumptions, buy into them because they see a real business need for them, and demonstrate them through their actions. This is unlikely to happen without an organized, concerted effort to involve all supervisors and managers in translating the new assumptions into their own work. Once management is in agreement, they may formulate action plans to gain employee buy- in for the new assumptions. 6. Put action plans that support the new assumptions into the business plan. If the business plan is used, this is the most effective place to integrate safety improvement actions into the business. Organizations with excellent safety cultures usually empower employees to participate in designing the solutions to safety problems. Care has to be taken to keep supervisors and middle managers in the communication loop to prevent disenfranchisement of any group. These six steps can be implemented through Leadership Assumptions Dialogues where you assess your current assumptions about safety, and identify the new, desired assumptions to achieve the next level of safety excellence. Once the top level of management has completed the process, the next step is to involve the rest of the managers, supervisors, and eventually employees in similar dialogues. Conclusion New assumptions are often met with fear or cynicism: fear because fundamental changes may threaten job security or loss of power; cynicism because safety efforts may be viewed as flavor of the month. Nevertheless, leaders need to be bold and take on difficult challenges. The safety manager of a 2000-person nuclear power plant took the kinds of risks we are talking about, challenging his companys traditional practice of setting measurable and achievable accident goals. By those standards, he argued, they could meet their .13 (11 loss times) goal and see eleven employees die on the job that year. Not exactly the kind of value statement they wanted to make to their employees. Instead, he proposed a goal of zero accidents, facing the doubt and criticism of management. Ultimately, he won their support; and though they have not yet 1997 Rosa Antonia Carrillo 14 Managers: Expanding Their Leadership Role in Safety reached their ultimate goal, accidents at the plant are down fifty percent and, best of all, the culture is changing and accidents and injuries are no longer considered acceptable. This is one example of risk taking. Culture is local and we cannot replicate anyone elses exact process for success. Benchmarking and experimentation will help you find your own way, but this requires eliminating the fear of making mistakes. With so many paths available, which one to choose? Where should you spend your resources? Of all the resources, time is the scarcest. Changing the way people think is time consuming. You and those you invite to engage in these dialogues might feel it is a waste of time, that other issues seem more immediate. By what criteria? Customer focus is important, but if you are going to lead, you need to look ahead, beyond fire fighting. That is the role of the leader; to look into the future and forecast what will be needed to survive, to adapt. Keep in mind that any improvements you make in helping people achieve a common understanding of safety standards for safety will positively affect all areas of your enterprise. 1997 Rosa Antonia Carrillo 15 Managers: Expanding Their Leadership Role in Safety Quickie Safety Culture Assessment
Check off the statements that describe the beliefs/assumptions in your facility culture:
1. Employees ignore or bypass technical improvements.
2. Employees disregard new policies and procedures.
3. Our accident numbers have been flat.
4. Many workers compensation claims are not legitimate.
5. Employees are often defensive and evasive during accident investigations.
6. Employees file many unnecessary and illegitimate grievances.
7. Employees are resistant to our safety initiatives.
8. Employees do not appreciate the work we are doing to improve our safety performance.
9. Workers do not believe that we have their best interests at heart.
10. Employees feel we put our business goals ahead of the welfare of our workers.
If you agree with more than one or two of the above statements, it is unlikely that a new safety program can succeed without a safety culture change dialogues, education and training.