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ERROR MANAGEMENT PROGRAM

This includes the Management, the Error Management Team, Supervision, and focus on the individual Operators. Supporting functions like QA and HR must also have their roles clearly defined, communicated, and understood. Having clarity on who is doing what provides an environment that promotes success.

TYPES OF ERRORS
• Skill-Based Errors: Errors that occur in the execution of a routine, highly practiced task.
• Decision Errors: when the behaviors or actions of the employees proceed as intended, yet the chosen plan proves inadequate to achieve the desired end-state and results in a non-compliance situation.
• Perceptual Errors: Errors that occur when an employee's sensory input is degraded, and a decision is made based upon faulty information.
Human error should be treated as a learning opportunity. A minor remedial action ranging from re-training to counseling is probably appropriate.

TYPES OF VIOLATIONS
Repeated errors that are not addressed could be classified as Violations.
• Routine Violations: Violations that are habitual actions on the part of the operator, including overconfidence, and are tolerated by the governing authority.
• Exceptional Violations: Violations that are an isolated departure from authority are neither typical of the individual nor condoned by management.
A “Just Culture” or “no blame culture” environment must exist in order for every individual to feel comfortable reporting any mistakes they make.
When a culture of no blame exists, employees are more inclined to report mistakes than if a punitive environment is present.
Statistics show that a large number of unsafe acts can be categorized as “honest mistakes” and should not be cause for punitive action.

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