Zero incident vision

• It a is a complex process that takes work, commitment and

long-term planning.
• It also requires effort not only on the part of the safety
manager/officer, but from the whole organization (From
strategy, new policies, to training and cultural changes) it
involves a lot more than the elimination of risks.
 To define health as the absence of visible, self-reporting indicators is
dangerous. Larry Brilliant Project with WHO over years to eradicate
smallpox and frame the thinking that shapes global infectious disease
control, in which became a success story and benchmark for safety culture.
 If you did not experience it, does it mean its
not there!
• If you never receive a check-up by a physician, yet you
feel good and nothing appears to be wrong, have you
reached your goals of health and feel confident you will
live a long life with this approach?
• Within the medical
community we it comes to
Respond its positive, while
React is negative.
Comparison between Healthcare and aviation, study done by NHS & UK JRSM, 2016
Why healthcare and other
industry do not have
Despite 42% cut of accident rate over the past 2
decades, the Question is still, How come plan
crashes
• In the airline industry, every aircraft is equipped with a black
box, which records the conversations and sounds in the cockpit.
If there is an accident, the box is located, the data analyzed, and
the reason for the accident excavated. This ensures that
procedures can be changed so that the same event doesn’t
happen again.
In every 3 second , one person is
dyeing across the world
Reported from WHO 2015
Cost and Fatality caused by lake of Safety Culture
Impact on national economy
 Zero incident culture = Excellent performance culture

• If the goal is zero incidents/injuries and it is obtained, what is the measure

of continuous improvement? Moreover, if an organization obtains
excellent results and cannot precisely describe why, the successful results
are lucky, not excellent.
• Whenever results are rewarded, by default, the performance that obtained
the results is reinforced
 When excellence in safety is measured by zero failures, a
self-limiting organizational culture will developed no further
improvement can be achieved.
Employee can belief : "If safety means no incidents, then
anything that I do that doesn't result in an incident or get me
hurt must be safe "
 Zero incident strategy
• 1. Define What You DO Want
• 2. Change What You Can Control
• 3. Set Short-Term Goals
• 4. Start From the Bottom
• 5. Don’t Take Training for Granted
• 6. Track Changes
 Traditional Safety Management Zero Accident Vision (ZAV)

Zero accident is a GOAL Zero accident is JOURNEY

Preventing accident Creating safety culture

Safety in operations and within tactical
Safety is strategic challenge
challenges
Risk management Safety leadership and business excellence

Refer to lagging indicators Refer to leading indicators

Safety perceived as a cost Safety perceived as investment

Incident is a failure Incident is opportunity for learning

Safe behavior/ practice is desirable Safe behavior/practice is a norm

Safety is priority Safety is value

TNO, Netherland, 2015