CULTURE FOR SAFETY Nuclear Safety and Security Programme International Conference on Human and Organizational Aspects of Assuring Nuclear Safety, Vienna FOR SAFETY

The IAEA strives to assist member states in ll involved in nuclear strengthening their culture for safety through activities have a common concern to a variety of activities. sustain and improve safety. However, there is substantial diversity among organizations in their understanding Aof how to work with the to influence safety in a positive way. This brochure provides the reader with a fundamental understanding of a strong culture for safety and how IAEA can assist Member States in strengthening it. Culture for Safety’ is a concept describing the What is Culture for Safety? priority and value put on ‘Culture for Safety’ refers to how an ’s culture prioritizes and values safety. In some safety by the members circumstances when a severe event happens, of an organization’s analysis indicates that the safety margins had been eroding steadily for years. This can result from overall culture. people gradually accepting declining conditions: ignoring risks brought on by the decline in safe work practices that may have unnoticeably drifted towards prioritizing other concerns over safety. Risks might have been played down, because “nothing has happened”, which can eventually lead to the occurence of a severe event. Assessing and analysing an organization’s culture for safety helps us understand the anatomy of accidents and events, and thereby comprehend why safety performance can gradually decline. The basic assumptions, shared among people, can be found on the deepest level of safety culture. A group’s shared basic assumptions can be about how work should be done, e.g. “work procedures should always be followed because they are paramount to safety” or “we are not accountable for safety because that is the duty of the managers”. Some basic assumptions can jeopardize safety. This was identified through the IAEA Director General’s Report on the Fukushima Daiichi accident, which explained that: A major factor that contributed to the accident was the widespread assumption in Japan that its nuclear power plants were so safe that an accident of this magnitude was simply Laguna Verde NPP SCCIP unthinkable. This assumption was accepted by

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nuclear plant operators and was not challenged Evolving terminology: From safety by regulators or by the government. As a result, culture to culture for safety Japan was not sufficiently prepared for a severe The IAEA has traditionally applied the concept nuclear accident in March 2011. ‘safety culture’, defined as “the assembly of characteristics and attitudes in organizations and Unfortunately, a group is seldom aware of its individuals which establishes that, as an overriding shared basic assumptions because they are not priority, protection and safety issues receive the directly visible. Although basic assumptions within attention warranted by their significance”. A central an organization’s culture can take several years to outcome of the International Conference on Human develop, we usually don’t think about what basic and Organizational Aspects of Assuring Nuclear Safety - Exploring 30 Years of Safety Culture held assumptions we hold because we typically only in February 2016, was a call to “evolve from the reflect on the behaviours we see. Just like the tip theoretical concept of safety culture through the of an iceberg only shows a small part of the entire more practical concept of culture for safety” (Closing iceberg, we can only directly observe a small part of a Statement by Juan Carlos Lentijo, DDG-NS). culture. What we can see is the superficial level of the Practitioners argue that by moving towards ‘culture for safety’ we are reminded that ‘safety culture’ is culture, which is shown through actual behaviours not a discrete entity that can be ‘implemented’ or of people, i.e. “the way we do things around here”. ‘removed’ from an organizational culture. Rather, This does not mean we cannot identify shared safety is an outcome of an organization’s culture basic assumptions at all. We can identify these by as its culture influences every aspect of how the interpreting the behaviours and expressed norms of organization’s members behave, from how the management system is developed to how defence- people in the organization. Investigating the shared in-depth principles are manifested. As such, the goal basic assumptions to understand their impact on for any organization is to create an organizational day-to-day safety will allow organizations to work culture that is working to achieve safety day by day effectively with improving their culture for safety. – in short: a culture for safety.

Safety culture Culture for Safety

Management Management Technology Technology system system

Safety-system Strategy Safety-system Strategy

Safety Culture is one variable amongst others Culture as something inherent in all aspects of the organization

COMPARTMENTALIZED SYSTEMIC APPROACH APPROACH Organizations are Organizations have a safety that differ in their capabilities to culture. fulfil safety requirements. CULTURE FOR SAFETY 3

The IAEA’s Approach to Contributors to a Strong Culture for Safety Culture for Safety The IAEA has developed an international A strong culture for safety is part of the defence-in- framework consisting of five overarching cultural depth (i.e., denotes the practice of having multiple, redundant, and independent layers of safety systems characteristics describing a strong safety culture: in place to protect against a single, critical point of 1. Safety is a clearly recognized value; failure), and therefore needs to be integrated into everyday activities; it should involve all levels of 2. Leadership for safety is clear; the organization from the top down. Striving for a 3. Accountability for safety is clear; strong culture for safety is a continuous journey, 4. Safety is integrated into all activities; and as culture is continuously evolving and requiring continuous attention to successfully improve over 5. Safety is learning-driven (IAEA Safety Standards time. Series No. GS-G-3.1) As explained, shared basic assumptions are key Each of these high level characteristics is described drivers within culture. To take a closer look at by a number of attributes that have been identified how these are created, group dynamics and the as essential for achieving a strong safety culture. way people interact with each other, need to be For example, the characteristic “accountability for reviewed. In a strong culture for safety, people feel safety is clear” is described by attributes such as respected and can freely share their thoughts and “there is a high level of compliance with regulations worries with regard to safety. Managers and leaders and procedures” and “’ownership’ for safety is play a central role in creating this environment. In a strong culture for safety, everyone feels accountable evident at all organizational levels and for all for safety and is sensitive to minor deviations that personnel”. These attributes serve as international could lead to larger safety problems. Therefore, it is references of what ‘good’ looks like when assessing important that trust and openness are engendered and improving culture for safety. and strengthened in such a way that they permeate the organization. Furthermore, the IAEA has established an integrated approach which promotes a seamless Another aspect of a strong culture for safety is to be integration between the management system and alert to those influences that can impact the culture. its culture for safety. The safe operations of nuclear One example is the influence of local culture. Over the past several years, many studies have been organizations are formalized through management conducted on the influence of local culture in the systems. However, safe performance depends . These studies focused on a number of on the actions of individuals and groups; these dimensions, but primarily sought to answer whether actions are influenced by the culture for safety people will first act in the interest of what their local of the organization. Following this, the IAEA culture expects of them, or first act in the interest of safety standard on Leadership and Management maintaining a safe work environment. for Safety (IAEA Safety Standards Series No. When cultures collide, especially in high risk GSR Part 2) requires the management system to industries such as aviation, mining, nuclear power, promote and support a strong culture for safety oil and gas, accidents can and do happen. For by: “ensuring a common understanding of the key example, by the end of the 1990s, Korean Air had aspects of safety culture within the organization; more plane crashes than almost any other airline providing the means by which the organization in the world. It was identified by researchers that supports individuals and teams in carrying out Korea’s hierarchical culture affected cockpit their tasks safely and successfully, taking into communications that in turn led to plane crashes. account the interaction between individuals, The interactions among the crew were not supporting effective communication, as the co-pilots did not technology and the organization; reinforcing a find it appropriate to question the captains’ actions. “learning and questioning” attitude at all levels of Only when Korean Air determined that their safety the organization; and, by providing the means by problem was “cultural”, they were able to identify which the organization continually seeks to develop the specific cultural issues causing problems and and improve its safety culture.” could apply effective measures to resolve them. 4 CULTURE FOR SAFETY

According to the latest aviation safety data reports, The IAEA secretariat further offers tailored support Korean Air now has one of the safest records missions, i.e. workshops and trainings in the area worldwide. of safety culture, leadership and management for safety. Services and assistance in which the IAEA Cultural influences like these shape people’s provides to Member States upon request are: understandings, interpretations, and common expectations with regard to safety in their –– Independent Safety Culture Assessment (ISCA): daily work; and, culture for safety — whether it is Separately or in the scope of a peer review, e.g. actively strengthened or left to chance — can be OSART ; an asset to performing work safely or a liability –– Safety Culture Continuous Improvement Process resulting in serious accidents. Therefore, it is (SCCIP): Comprehensive training support important to identify the strengths and weaknesses before things go wrong and implement improvement package on safety culture self-assessment for activities proactively. both licensees and regulatory bodies; –– Workshop for Senior Managers on Leadership IAEA Assistance for Continuous and Culture for Safety; Improvement of Culture for Safety –– Workshop for Middle Managers on a Systemic Approach to Safety — Pragmatic ; The improvement of culture for safety is an on-going –– Train-the-trainer training on Safety Culture endeavour that requires long term commitment to Oversight; succeed. The IAEA offers comprehensive support to licensees and regulatory bodies wishing to –– Tailored training on Culture for Safety systematically improve culture for safety. An Improvement Techniques, i.e. safety coaching, effective way of doing this is to conduct safety mindful communication; culture assessments and implement improvement –– Workshop on Culture, Leadership and activities based upon their findings. The assessments Management for Safety – tailored for the needs can be conducted by either internal or external of the organization; teams. The IAEA offers both external safety –– Workshop on Integrated Management System – culture assessments as an optional module of peer Implementation and continuous improvements; review missions, e.g. OSART as well as training and courses for developing internal culture for safety –– Workshop on Culture for Safety and Security – improvement teams for licensees and regulatory arranged in cooperation with IAEA Division of bodies. The culture for safety improvement teams Nuclear Security. are trained to both conduct safety culture self- assessments and implement improvement activities. Nuclear Security Culture Whichever assessment method is chosen, it is of Assistance through the IAEA’s nuclear security key importance that the organization, including the culture programme is also provided, upon request, senior management, is committed to a long term by the Division of Nuclear Security to Member effort, and that the organization develops process States, to promote and sustain a strong nuclear ownership. security culture.

PNRA SCCIP, Pakistan MORE INFORMATION & POINT OF CONTACT

Further information on Culture for Safety, please visit: https://www-ns.iaea.org/tech-areas/operational-safety/safety-culture-home.asp

Or contact: [email protected] Vienna InternationalCentre,POBox 100,1400 Vienna, Austria http://www-ns.iaea.org |[email protected] Department ofNuclear SafetyandSecurity

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