A Means to Improve Prework Discussion – Precision Execution™ Training

This standalone training course is an excerpt of our Precision Execution™ Training. Please scroll to review how this training can be helpful for you and your company.

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What is precision execution? “what is intended to happen is all that happens”. To achieve Precision Execution requires verification and validation prior to the performance of a Critical Step. High Reliability Organizations such as in the medical industry always verify, they have the right patient, they have the right body part selected, or the correct medication in the proper dosage. In industrial setting high performers validate they are on the correct component or device, also known as CCV (correct component verification), correct system, and in the correct location or building. This can be accomplished by a self-check, also known by the acronym TV-STAR (Touch-Verbalize-Stop-Think-Act- Review) which is verifying that you are on the right component or device. In many instances this is followed up by having an equally competent worker perform a concurrent verification abbreviated as CV before you perform the Critical Step. This is done before, not after, the act of the Critical Step. If you remember, the Critical Step has a point of no return and has an irreversible outcome. While other controls can be utilized prior to executing a Critical Step, Self checking should be done by the individual when performing the Critical Step through the use of “TV-STAR”.

Lastly, if there is a team of two or more workers, utilize formal communications. This is especially important when you work in high-noise areas, use radios or phones, or have hearing issues for any reason. We recommend using the military approach of repeat backs and the use of the phonetic alphabet. This is typically called 3-Way Communication or 3-Part Communication.

The PEM model incorporates questions we have already explored and brings them to you in a logical order to be most effective in event prevention and produce high performance and consistent outcomes in high-risk industries.

What are your hazards and sources of energy?

  • The work environment can introduce as a hazard. Examples of work environment energy sources are things such as working at heights or in high winds, or in a radiation field. In the medical world the patient’s location could introduce sources of energy such as in an ambulance, rescue plane, or helicopter that is moving at a high rate of speed.
  • The energy that is intrinsic to the system such as radiological, chemical, electrical, or mechanical systems.
  • The energy from the tools that you use or are being used near the work area. These can be cranes, heavy equipment, high-powered tools, or medical equipment such as x-ray machines or MRI machines.

This question helps the work planners and work performers start to identify the Critical Steps in the task and associated Risk Important Actions.

Once you believe you have determined what the Critical Step or Steps are check it against the definition of a Critical Step and Risk Important Actions for accuracy.

This question requires you analyze not only the assets worked with or on, but also assets that are in close proximity to the work that could be impacted should a loss of control occur.

This question will help you identify if you have the right people with the right mindset, a fundamental understanding of the science and technology for the work at hand, and the right Controls in the form of error-prevention tools and techniques to ensure positive control is maintained for all Critical Steps.

During pre-work discussions it is essential that everyone involved in the task answer the following question:

What can go wrong, and when it does who will do what?”.

To create the right mindset for asking and answering this question consideration must be given to “whennotif it goes wrong”.

Using this answer to this question should help you identify if strong Barriers and Safeguards are available to limit harm or damage to your assets this is especially true for your most valued assets, your workforce.

With our A Means to Improve Prework Discussion – Precision Execution™ Training course, we will provide you with the enhanced abilities in the following areas:

  • The principles and practices associated Precision Execution™ Model (PEM) to improve work activities
  • PEM principles to improve Task Planning
  • PEM principles to improve Pre-work Discussions

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