Lesson sharing

It is good practice to reviewa project on completion and record the reasons for departure between planned and actual performance. Where lessons can be learned, or opportunities exploited, they should be incorporated into project management guidelines. Some companies hold post project sessions with their contractors to explore better ways of handling particular issues, especially when there is an expectation of additional shared activities. 

Share lessons learned and help provide approaehes that have been implemented on hazardous waste and other sites... 

In the DOE environment, the term lesson learned is defined as a good work practice or innovative approach that is captured and shared to promote application. It may also be an adverse work practice or experience that is captured and shared to avoid recurrence. This term is used by DOE and other federal and private-sector institutions, to describe the following ... 

Tlie DOE Office of Environmental Safety and Health distributes monthly summaries ba.scd on data retreived from the DOE Occurrence Reporting and Processing System (ORPS) to share chemical safety concerns throughout the industry to alert operators of similar processes. In addition quarterly and annual reviews feature lessons learned from ORPS by trending analyses of ini an... 

Share their previous mentoring experiences and to extract lessons for the current relationships. 

When a technical language is adopted by those who do not share the expertise of its parent community, it may actually become distorted, and this may make it even more difficult for students to keep clear what different forms of symbolism mean. So in biology lessons students are likely to meet equations representing photosynthesis and aerobic respiration (Examples 7 and 8 in Table 4.1). When just considering the substances involved, these two equations will seem to stand in the same relation as those discussed for the hydrogen/nitrogen-ammonia equilibrium ... 

Question 5 Is the controller/switcher IC at fault (by design) This is actually a fairly common occurrence. No semiconductor product is released without its fair share of shortcomings. These are usually known to the company at the time of release, with the internal understanding that there were some lessons learned, and these will be resolved when the time comes for the next Rev, or the next product. Fair enough But there are several variations to this theme, some that you may need to be aware of as you seek answers to a particularly stubborn problem. The three main variations are that the company knows about the problem the company knows about the problem but does not want to admit it or the company does not know about the problem. 

Information related to broader industry issues, newly recognized hazards, and lessons learned from near misses and actual incidents can also be shared with customers and users as part of product stewardship. Trade, professional, and other cooperative organizations such as universities and local emergency planning committees (LEPCs) can be effective vehicles for information sharing, in addition to individual company initiatives. 

It strongly supports reporting and investigating incidents and near misses, and emphasizes the value and necessity of communicating and sharing the lessons learned to all that could benefit. 

There is no publicly available database for sharing lessons learned from reactive incidents. 

Develop and implement a program for reporting reactive incidents that includes the sharing of relevant safety knowledge and lessons learned with your membership, the public, and government to improve safety system performance and prevent future incidents. 

Suggested improvements for sharing reactive chemical test data, incident data, and lessons learned. 

The company recognizes the need for better and more formal sharing of lessons learned and for support of an improved industry incident database. 

Another important consideration is how your readers might feel about the subject. Will they be interested in it If not, what can you do to arouse their interest If you ve taken a position on an issue, how likely is it that your readers will share your opinion If they re likely to disagree, how can you help them accept, or at least understand, your position (You ll learn more about this issue in Lesson 11.)... 

Continuous improvement is a necessary element of a successful management system. Each investigation or implementation of the management system provides an opportunity to evaluate its effectiveness. The lessons learned strengthen and refine the management system. It is also valuable to recognize and share the positive aspects of those investigation activities that were especially successful. 

In practice, external sharing of lessons learned from investigations is not an easy task. Those who wish to share details of serious incidents with the public encounter numerous challenges. Many process safety incidents involve fatalities or third party activity, and thus may ultimately end up in litigation. 

A large portion of these common events can be linked to less than adequate follow-up of recommendations from previous incident investigations. The earlier investigation teams may have properly identified underlying root causes, submitted suggested preventive actions, and attempted to share results yet the repeat occurrences continue due to incomplete implementation of recommendations or ineffective sharing of lessons learned between potentially affected parties. 

Formal acceptance of recommendations Assignment of a responsible individual Determination of action priority Implementation of actions Changes to the management system Audit trail Action tracking Sharing lessons learned Follow-up audit Incident trend analysis... 

---