Leading with Tech Safety: An Unexpected Pathway to Excellence

#1e5d91
Joshua Kerievsky
CEO, Industrial Logic
IndustrialLogic.com
@JoshuaKerievsky
Leading
With
Tech
Safety
An
Unexpected
Pathway

To
Excellence

Joshua Kerievsky, CEO @JoshuaKerievsky

#1e5d91
Injuries
Impede
Our

Ability
to
Excel

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Normalization
of Deviance

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“People become so much accustomed
to a deviant behavior that they don’t
consider it as deviant, despite the fact
that they far exceed their own rules
for elementary safety.”
Diane
Vaughan
Sociologist,
Columbia
University

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Maslow’s
Hierarchy
of Needs

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Extreme
Programming
Agile Scrum Kanban
Lean
Methods Lean
Startup

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Strength.
Lightness.
Beauty.

Seamlessly
integrated.
MacBook
Pro’s
Unibody

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Paul O’Neill,
ALCOA CEO 1987

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•Economics
educaGon
Paul O’Neill,
ALCOA CEO 1987

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•Economics
educaGon
•Engineering
&
operaGons

research
Paul O’Neill,
ALCOA CEO 1987

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•Economics
educaGon
•Engineering
&
operaGons

research
•Programmed
soIware
for

Veterans
AdministraGon
Paul O’Neill,
ALCOA CEO 1987

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•Economics
educaGon
•Engineering
&
operaGons

research
•Programmed
soIware
for

Veterans
AdministraGon
•Served
On
ALCOA
Board

For
1
Year
Paul O’Neill,
ALCOA CEO 1987

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Paul O’Neill
Photo:
REUTERS/Tony
GenDle

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“I
intend
to
make
ALCOA
the
safest
company

in
America.

I
intend
to
go
for
zero
injuries.”
Paul O’Neill
Photo:
REUTERS/Tony
GenDle

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“It
was
literally
the
worst
piece
of

advice
I
gave
in
my
enGre
career.”
SELL!!!

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ALCOA
Revenue
(in
Billions)
1987-‐2012

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Graph
courtesy
of
William
O’Rourke,
top
Safety
Director
under
3
ALCOA
CEOs

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“From
this
day
forward,

we
will
not
budget
things

that
need
to
be
done
to

improve
safety

condiGons.”

#1e5d91
Workplace
Injury?
Report
it
within
24
hours.

CEO
Presidents
Vice
Presidents
.
.
.
Plant
Manager
.
.
.
Plant
Worker
What

happened?
How
will
it

never
occur

again?

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“Accidents
and
injuries

are
not
the
natural

price
to
pay
for

meeGng
goals.

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“Accidents
and
injuries

are
not
the
natural

price
to
pay
for

meeGng
goals.

ProducGvity
does
not
necessitate

danger.”

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“Some
habits
have
more

power
than
others...
[they]
seem
to
unlock
all

these
other
changes
and

set
oﬀ
a
chain
reacDon.”

–
Charles
Duehigg,

The
Power
of
Habit
Keystone
Habits

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Safety
Empowerment Understanding

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Safety
Improvement

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Safety
Improvement
Quality

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Safety
Improvement
Quality InnovaGon

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Safety
Improvement
Quality InnovaGon Well-‐Being

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Safety
Improvement
Quality InnovaGon Well-‐Being
Proﬁt

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William

O’Rourke
Vice
President,

Sustainability
and

Environment,

Health
&
Safety

for
Alcoa.
“When
I
went
to
run

Alcoa-‐Russia,
I
led
with
safety.”
• The
2
plants
acquired
by
ALCOA
in
2005

averaged
5
fataliDes
per
year
for
50
years.
• First
calendar
year
(2006)
under
ALCOA,

there
were
ZERO
fataliDes.
• Within
the
last
5
years,
there
have
been

ZERO
fataliDes.

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A graphic
representation of
all possible
sequences of events
that could result in
an incident.
Originally
developed
in
1962
at
Bell
Labs,
FTA
is
used

in
Failure
Analysis
and
is
considered
to
be
a
part
of

reliability
engineering.
Fault Tree Analysis

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Students(Can’t(Access(Service(
New(Produc5on(
Server(
Ok(To(Toggle((
Test(Passes(
Immune(System(
Fails(
No(Auto?(
Rollback(
No(SMS(
No(Policy(
Non?Standard(
Tomcat(Runner(
Nginx(Points(
To(Down(
Service(
Non?Standard(
Java(Version( JRE(Crash(
No(Policy(
And$
And$ And$ And$
Fault Tree Analysis of Downtime

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“Injuries
are
oIen
the
result
of

diﬀerent
combinaGons
of
unsafe

condiGons
and
unsafe
behavior.”

-‐
Linda
Merton,
safety
and

hygiene
manager
at

Alcoa's
Mission
Valley
Works

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Production Local
Tomcat 6 Tomcat 7
MySQL 5.5.9
Case Sensitive
MySQL 6.1
Case Insensitive
JRE version (box 1): 6
JRE version (box 2): 7
JREVersion 6
Diﬀerences
in
producGon
and
local

environments
are
oIen
the
source

of
producGon
problems

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Understanding Our
Infrastructure

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“Safety
requires
comprehensive

understanding
of
processes.”

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“Safety
requires
comprehensive

understanding
of
processes.”

“Understanding
leads
to
bejer,

more
producGve
plants.”

#1e5d91

Jun
16,
2010
8:56:42
AM
com.industriallogic.shared.acGon.AcGonProcessorServlet
processRequest

SEVERE:
null

java.lang.NullPointerExcepGon

at
com.industriallogic.acGon.ScreencastDownloadAcGon.moviePathFor(ScreencastDownloadAcGon.java:73)

at
com.industriallogic.acGon.ScreencastDownloadAcGon.screencastFileNameFor(ScreencastDownloadAcGon.java:53)

at
com.industriallogic.acGon.ScreencastDownloadAcGon.process(ScreencastDownloadAcGon.java:21)

at
com.industriallogic.shared.acGon.AcGon.processWith(AcGon.java:32)

at
com.industriallogic.shared.acGon.AcGonProcessor.processWith(AcGonProcessor.java:19)

at
com.industriallogic.shared.acGon.AcGonProcessorServlet.processRequest(AcGonProcessorServlet.java:61)

at
com.industriallogic.shared.acGon.AcGonProcessorServlet.doGet(AcGonProcessorServlet.java:49)
ScreencastDownloadAction.java
Exceptions In Our Code

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Visualizing Hazardous Code
private
boolean
movieExistsFor(String
pathToMovie)
{

return
new
File(pathToMovie).exists();
}
private
String
moviePathFor(String
acDvity,
String
screencastFileName,
Language
devLanguage)
{

return
screencastPath
+
"/"
+
acDvity
+
"/"
+
devLanguage.key
+
"/"
+
screencastFileName;
}
237
ProducDon
ExcepDons

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Spending
40
minutes
ﬁxing

compilaGon
errors
is
unsafe.

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CyclomaGc
Complexity
in

Cruise
Control
code
base

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Are
you
actually
implemenGng

Test-‐Driven
Development?

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“It
takes
10
minutes
to

go
through
the
lockout
and
tagout
procedure.
It's
a
pain
in
the
neck,

and
all
for
a
repair
that
will
take
ﬁve
seconds..”
-‐
ALCOA
worker
with

20+
years
experience

#1e5d91public List keysOfCompletedPagesFor(UserProﬁle user, String albumId, Language devLanguage) {
  String sql = "select pageStats.elementKey from PageCompletionStatus page " +
    "join AlbumStatistics albumStats on (albumStats.albumId = page.albumId and albumStats.devLanguage = page.devLanguage) " +
    "join TrackStatistics trackStats on (trackStats.albumStatistics_id = albumStats.id) " +
    "join PageStatistics pageStats on (pageStats.trackStatistics_id = trackStats.id and page.elementKey = pageStats.elementKey) " +
    "where page.user_id = :userId " +
    "and page.albumId = :albumId " +
    "and page.devLanguage = :devLanguage ";
  Session session = getSession();
  ﬁnal SQLQuery query = session.createSQLQuery(sql);
  query.setLong"userId", user.getId());
  query.setString("albumId", albumId);
  query.setString("devLanguage", devLanguage.key);
  @SuppressWarnings("unchecked")
  List result = query.list();
  session.close();
  return result;
}
public
List
uniqueIdsFor(ViewableAlbum
viewableAlbum,
UserProfile
userProfile,
CompletionStatusRepository
repository)
{

List
keys
=
repository.keysOfCompletedPagesFor(userProfile,
viewableAlbum.getId(),
viewableAlbum.getDevLanguageEnum());

Listids
=
new
ArrayList();

for
(String
key
:
keys)
{

String
path
=
getPagePathFor(key);

Page
page
=
viewableAlbum.getAlbum().getPage(path);

ids.add(page.getUniqueId());

}

return
ids;
}
Before

#1e5d91
public
List
uniqueIdsFor(ViewableAlbum
viewableAlbum,
UserProfile
userProfile,
CompletionStatusRepository
repository)
{

Language
albumLanguage
=
viewableAlbum.getDevLanguageEnum();

List
ids
=
new
ArrayList();

for
(Page
page
:
viewableAlbum.getAlbum().getPages())

if
(repository.isPageCompleteFor(userProfile,
findSourceAlbumIdFor(page.getKey()),
page.getKey(),
albumLanguage))

ids.add(page.getUniqueId());

return
ids;
}
After

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Release #
Development
Time
(months)
Readying
Time
(months)
Total Time
(months)
5.0 6 6 12
5.1 7 8 15
5.2 4 7 11

#1e5d91
Release #
Development
Time
(months)
Readying
Time
(months)
Total Time
(months)
5.0 6 6 12
5.1 7 8 15
5.2 4 7 11
Schedule
Stress

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Test
failed
21
Gmes
locally
&
36
Gmes
in

dev
build
in
the
last
6
months.

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Continuous Deployment:
Feeling Safe To Deploy Software

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•Respect
•Integrity
•CommunicaGon
•Excellence

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ONE
VALUE!!
Not
2,
3,
4,
5...

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Safe To Fail, Fall, or Swing

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OccupaDonal
Safety
and
Health
AdministraDon

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Sit or
stand
Pair in
comfort

Identify risky
work conditions

Identify risky
work conditions
Propose
improvements

Identify risky
work conditions
Propose
improvements
Bridge between
workers and
managers

#1e5d91
Today
Template
Engine
Wiki
Renderer
Hibernate Raw SQL
Custom Web Handling
Old Java Code
Old JS/HTML/Flash

#1e5d91
Today
Template
Engine
Wiki
Renderer
Hibernate Raw SQL
Custom Web Handling
Old Java Code
Old JS/HTML/Flash
Tomorrow

#1e5d91
Today
Template
Engine
Wiki
Renderer
Hibernate Raw SQL
Custom Web Handling
Old Java Code
Old JS/HTML/Flash
Tomorrow
Composer
Wiki Renderer
Template Engine
Old
Java
CodeTemplate Engine

#1e5d91
Today
Template
Engine
Wiki
Renderer
Hibernate Raw SQL
Custom Web Handling
Old Java Code
Old JS/HTML/Flash
Tomorrow
Composer
Wiki Renderer
Template Engine
Old
Java
CodeTemplate Engine
Player
New JS/HTML
Web Framework
Persistence
Some
Good
Lang

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So How Do I Do It?
TechSafety
Value the safety
of the people
doing the work.

#1e5d91
So How Do I Do It?
TechSafety
Value the safety
of the people
doing the work.
Excellence
Habits of
excellence emerge.

#1e5d91
So How Do I Do It?
TechSafety
Value the safety
of the people
doing the work.
Proﬁts
Remain focused on
safety & habits of
excellence.
Happy
customers and
proﬁts follow.
Excellence
Habits of
excellence emerge.

#1e5d91
Q+A
An
Unexpected
Pathway

To
Excellence

Leading with Tech Safety: An Unexpected Pathway to Excellence

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