look this way 2003[1] aud efectiva step change

7/28/2019 Look This Way 2003[1] Aud Efectiva Step Change

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S a fe t y O b s e r v a t io n S y s t e m


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On behalf of Step Change in Safety, we are pleased to re-introduce these guidelines

devoted to safety observation systems. These guidelines were initially developed by

representatives from drilling companies and supported by UKOOA, IADC and the OCA.

We believe these guidelines will help to control risk of injury to people, harm to the

environment, damage to the property and loss of production. They will encourage the

whole workforce to make a genuine contribution to the development of a total safety

culture. Indeed, we firmly believe that the positive approach featured in these guidelines

will help us all to feel good about putting a lot of effort into identifying where people are

doing the right thing, as well as where improvements can be made.

The guidelines provide each location and the company responsible for its management,

with a sound basis for developing the safety observation system they feel is best for

them. We recognise that the needs of drilling mobile units are not the same as a

production platform, and both are different from vessels or onshore worksites.

Cogent has updated its Basic Offshore Safety Induction & Emergency Training to acquaint

new recruits and those undergoing refresher training with the rudiments of safety

observation systems. Pocket cards provide a summary of the principles for companies

and personnel alike.

Finally, may we personally thank you for taking the time to read these guidelines. An

accident-free workplace is a goal we would all like to attain. With your help we can use

these guidelines to move further towards this goal.

Step Change in Safety

www.stepchangeinsafety.net

Re-issue, 2 0 0 3


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Introduction to the guidelines. 6

Why safety observation? 7

The benefits of safety observation systems. 8

The tools to get started. 9

Principle 1 An observation-orientated system. 12

Principle 2 A people-based system. 13

Principle 3 Full employee involvement. 14

Principle 4 Individual accountability. 15

Principle 5 Management support. 16

Principle 6 Training resources. 17Principle 7 Reporting and recording. 18

Principle 8 Tracking results. 19

Principle 9 Auditing the system. 20

LOOK SHARP! Making progress. 21

Who owns the system? 24

Standardising the data. 25

Is there any support? 26

Implementing the system 27

Self assessment check list 28


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4 / 5

In this section, we look athow these guidelines were

produced who was

responsible and why.

We consider the role that a

safety observation system has

to play and how such a

system can become one of the

central pillars of a positive

safety culture.

We also look at the benefits

such systems offer to

individuals, companies, and the

industry in general. And, finally,

we explain how the essential

principles which we havepresented in Section 2 (LOOK

SHARP!) can be used not only

as a foundation for the

development of new safety

observation systems, but also

as an industry standard against

which existing systems can be

reviewed.

1. Introduction tothe guidelines.

2. Why safety

observation?

3. The benefitsof safety

observationsystems.

4. The tools to

get started.


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INTRODUCTION

The objectives of the group were to identify common

themes between individual systems and to develop a

set of minimum standards for safety observation

systems in our industry.

By employing brainstorming techniques during an

extensive examination of existing safety observation

systems, the common themes were extracted and

the most beneficial elements identified. As a result,

a number of key elements were defined upon which

an observation system could be built. These key

elements were subsequently further modified and

developed into a series of nine fundamental

principles. Finally, these nine principles were agreed

upon as the basic requirements for a safety

observation system which would be acceptable

throughout the industry.

The workgroup also agreed that safety observation

systems represent a very positive mechanism in the

drive to eliminate unsafe acts and conditions, and

raise safety awareness amongst all personnel

throughout the industry. Furthermore, the group

concluded that the basic principles which have been

identified are equally applicable to all worksites

onshore and offshore.

These guidelines are therefore the culmination of

this workgroup process. In presenting them here,

we believe that any safety observation system built

on these minimum standards will help to providenew impetus towards achieving the industrys safety

targets in line with the Step Change initiative of year

on year improvement.

A cross industry

workgroup was formed

to examine the use of

safety observation

systems both in the oil

and gas industry and in

a wider context.


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W HY SA FETY OBS ERVATION ?

An observation-based safety system can be the foundation of a positive safety culture. As an

integral part of an effective safety programme (alongside near-miss reporting, incident

analysis, etc) it provides an excellent means of addressing the human dimensions of safety.

In short, it helps to eliminate unsafe or hazardous acts and conditions. It actively encouragesthe whole workforce to be involved and therefore generates greater safety awareness both

individually and collectively. And since such a system demands a minimum level of

commitment and accountability from everyone, it should ultimately lead to a continuous

improvement in safety and environmental performance.

By implementing a safety

observation system, a

company makes a real

commitment to safety that

is visible and relevant. It

acknowledges that the vast

majority of injuries to the

workforce can easily be

prevented not by

intimidation or reward

but by changing unsafe or

hazardous behaviour. By

promoting new work

practices which aim to

identify and eliminate

hazardous behaviours and

conditions before they lead to

an accident, management

can demonstrate a genuine

commitment to the well

being of all employees.

Indeed, a well designed,well maintained safety

observation system can

help to control the four

main elements of any

business, namely: risk of injury to people.

harm to the environment.

damage to property.

loss of production.


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THE BEN EFITS OF SAFETYOBSERVATION SY STEM S

The most obvious benefit to

come from the development

of a safety observation

culture will be a reduction in

accidents and incidents

both at individual worksites

and throughout the industry.

However, the impact of safety

observation systems can be

measured in a variety of

other ways. The proven

benefits include:

enhanced safety awareness throughout

the industry.

improved safety and environmental

performance throughout the industry.

improved operational performance within

companies.

increased client satisfaction and enhanced

reputation outwith the industry.

improved business performance by a

reduction in operating cost.

Significantly, it is these

individual contributions which

help to underpin anothermajor benefit of safety

observation systems, namely

the increased ownership of

safety which is felt among all

employees.

On a more individual scale, there are also

specific benefits which help to promote the use

of safety observation systems amongthe workforce.

For example, managers find that rather than

being responsible for accidents, they are now

responsible for an accident prevention progress.

Meanwhile for other employees, there is the

extra reassurance that those closest to the work

and its inherent dangers (ie themselves and their

peers) are now responsible for identifying andeliminating hazardous

conditions or behaviours.


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8 / 9

THE TOOLS TO GET Y OU STARTED

The following section

presents the nine basic

principles for any safety

observation system. Thesehave been developed from

within the oil and

gas industry.

They form a framework which

we hope will help to

standardise the industry

approach to this issue. If you,

as an individual or a company,

are serious about using

safety observation to improve

performance in line with

industry targets, then we

believe these principles are

the basic tools which will help

you to do just that.

If you already have a safety observation system in

place these principles will enable you to assess how

appropriate your current approach is. In the spirit

of safety observation you will be able to identifywhere you are doing it right and where

improvements can be made.

However, if you are about to develop your own

corporate safety observation system, then these

guidelines give you somewhere to start. But

remember the nine principles presented here are

only what we believe is a minimum requirement for

an effective system. You may decide to take safety

observation further within your company, but

whatever path you take it should be built upon

these foundations.

Indeed, one of the advantages of this

framework is its versatility. It provides the

basis for a system that can be customised to

suit the needs of any business provided

that the minimum standards set out on the

following pages are always met.


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The Essential Principles

In this section, we look

at the nine fundamental

principles of any safety

observation system. For

each of the principles,

we provide a short

explanation of the way

in which it can be

applied, using examples

where appropriate. And

then, finally, we look at

how you can start

working towards

implementing your own

safety observation

system.

1. An observation-

orientated system

2. A people-based

system

3. Full employeeinvolvement

4. Individual

accountability

5. Management

support

6. Training

resources

7. Reporting and

recording

8. Tracking results

9. Auditing the

system

10. The LOOK SHARP!

Making progress.


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AN OBSERVATION - ORIENTATED SYSTEM

A successful safety observation system has to

encourage everybody to make the time to observe

safe and hazardous behaviours or conditions.

Furthermore, the techniques for observing need to

be outlined in a systematic way both in terms of

process and frequency. By providing a structured

approach to observation, companies can ensure

that individuals are not open to accusations of

prejudice or misuse of the system.

It is also important that the observation techniques

and tools are broad enough to include recognition of

safe acts and conditions. Recording where things

are being done right is an important part of safety

observation.

This is the (obvious) starting

point a safety observation

system should be observation-

orientated. It should teach

and promote the techniques

and the skills required for

observing both safe and

hazardous behaviours or

conditions. And it should also

provide the tools necessary

to put these observation

techniques into action such

as pocket card reminders and

observation check lists.

Objectives

Encourage people to look at

safety.

Promote new observation skills.

Develop effective observation

tools.

Fig.1 and Fig.2 demonstrate that, what may at

a glance appear normal, will differ as one looks

closer.

Finally, it should be emphasized that using your

eyes is only one element of the observation

process. Employees must also be encouraged

(and trained) to follow their observations with

appropriate communication. Being able to talk to

ones peers to highlight hazardous behaviour, or

to commend safe acts, is a critical part of any

safety observation system.

Count the black dots!

Fig. 1


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A PEOPLE - BASED SYSTEM

The majority of accidents and unsafe incidents are

caused by people. Of course, they dont mean to,

but they do and there is always a reason. Reasons

could be complacency, perception of the job

pressures, stress or failure to recognise risk.

Sometimes the reason may also be a simple lack of

knowledge and/ or appropriate training. A good

safety observation system is designed to identify and

correct all these unsafe behaviours and/ or

conditions before they lead to accidents.

To achieve this, a safety observation system should

focus on a number of people-based areas or

categories which cover the most common types of

unsafe behaviour. These are the use and care of

personal protective equipment (PPE); working in at-

risk positions; the misuse of tools and equipment;

failure to follow procedures; and poor housekeeping.

In each of these areas, a company should identify

the safe/ unsafe behaviours which are relevant to

their specific work site or operation. These will then

form the basis of the observation checklist which is

used by their employees as their primary guide to

safety observation.

The primary focus of any

safety observation system is

on people rather than things.

The observation techniques

which are taught should

emphasise this fact. They

should concentrate safety

observation on the actions

and attitudes of co-workers.

While unsafe conditions must

also be identified, the main

aim of safety observation is

to identify and eliminate

hazardous behaviours.

Objectives

Put the emphasis on people not things.

Categorise typical unsafe behaviours.

Detail these on the observation checklist.

Are the horizontal lines parallel or do they slope?

Fig. 2


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FUL L EM P LOY EE IN VOLVEM EN T

Securing greater employee involvement in safety is

the ultimate goal of any safety observation system.

But first, employees have to be convinced of the

merits of safety observation. They have to trust the

system. To achieve this will always be a challenge,

but there are some recognised ways of engaging

employees in the observation process.

In the first instance, if employees understand that

the system is based on sound principles then they

are more likely to participate. So communicate the

rationale for safety observation. Secondly, if the

workforce has a sense of ownership over the

system then they will feel more involved. Hence,

employees should be encouraged to customise the

system to meet their needs before it is fully

implemented. And thirdly, everyone will be more

committed to a safety observation system that is

proactive communicating a desire to achieve

greater success rather than one which is reactive

and designed to avoid failure. Likewise, employees

should be encouraged to participate with positive

outcomes i.e. recognition for their efforts and

not forced to take part in safety observation through

threats of disciplinary action of any form.

If the process of safety

observation is to be a natural

part of the work culture,

then it must have full

employee involvement. This is

the main goal from the very

outset and will influence the

way in which any safety

observation system is

conceived, designed and

implemented. Most

importantly, the trust

necessary to ensure full

participation will not be built

on a fault-finding approach; it

requires a combination

of helpful advice and

positive feedback.

Objectives

Ensure employees recognise the benefits.

Develop the idea of employee ownership.

Make participation a positive experience.


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INDIVIDUAL ACCOUNTABILITY

Individual employees at a work site

are the people who are both most at

risk from injury, and the people who

are most likely to see the risks. They

are therefore also best placed to

identify and correct any hazardous

behaviours. In this way, safety

observation encourages individuals to

be more accountable for their own

safety, and for the safety of their

peers.

The idea of being accountable can also extend beyond the collection of observation data. As

the safety observation system develops, employees should also recognise that they have a

responsibility to be pro-active in problem solving and in action planning for performance

improvements. If they, as individuals, are identifying hazardous behaviours and conditions at

their work site, then the system should encourage individuals to propose solutions and to

suggest process changes which will secure enhanced safety performance. In this way, the

goal of raising safety performance becomes everyones responsibility.

It is now widely accepted that safety is not

the sole responsibility of the safety

manager, but a responsibility shared by the

entire workforce or crew. Reinforcing this,

the concept of individual accountability

should be a central feature of safety

observation. Not only should the system

encourage employees to observe (and then

act to correct) hazardous behaviour in

others, it should also encourage individuals

to demonstrate that they are accountable

for their own behaviour and responsible for

their own safety.

Objectives

Make everyone accountable for safety.

Encourage employees to be pro-active.

Welcome ideas/ feedback from everyone.


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M ANAGEM ENT SUP P ORT

One of the most important areas of management

involvement is their role in observing and reinforcing

safe behaviours. If managers only react to

hazardous behaviour, they will set the wrong tone

a fault-finding tone for safety observation in

general. It is crucial that employees are made

aware, preferably at the time of observation, that

their safe behaviour has been noted and recorded.

Furthermore, since the majority of behaviour is likely

to be safe behaviour, this approach (reinforcing safe

acts) provides managers with numerous

opportunities to be pro-active and to interact with

their workforce in a positive way.

In addition to being positive, however, managers

should also ensure that their involvement is seen to

be regular and specific. In the first instance,

management cannot begin to influence behaviour if

their contact with the workforce is too infrequent.

And in the second case, there is no use identifying

hazardous behaviour, if you do not give a specific

indication as to what safe behaviours should be

occurring.

Giving the green light to a

new safety observation

system may imply

management support for the

concept, but it is also critical

that managers and senior

supervisors get personally

involved. Management at all

levels need to discuss and

develop their own

understanding of the nine

basic principles. Although the

focus of a safety observation

system is on the actions of

the workforce in general, its

success will be determined by

the level of management

awareness and their visible,

positive involvement.

Objectives

Provide visible support for safety observation.

Regularly reinforce safe behaviours.

Identify the safe way of doing things.


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TRA IN IN G AN D RESOU RCES

In a total safety culture, you will find that individuals participate because they

understand the research, the principles and the rationale behind the concept of

safety observation and feedback. Training in a new safety observation system

should provide this kind of background information to assist individuals to

develop their own ideas of why they should comply. Obviously, there is also a

need for promotional resources (such as booklets, posters, videos, etc) which

explain the procedures of safety observation.

This kind of training for behaviour change, then needs to be backed up by a programme

of resources which continue to deliver the relevant messages in the workplace. These

resources (posters, booklets, pocket cards, videos, etc) need to provide simple and

effective messages.

Often any change, such as

the introduction of a new

safety system, can appear tobe an inconvenient and

uncomfortable development to

many employees. They may

well view the new system as

unnecessary, a temporary fix,

or a passing fad. To

overcome such attitudes, you

have to give employees the

information they need to

develop a more collective andlong term view of how safety

observation will help to reduce

their personal risk. This

requires training which

combines a full rationale of

the principles of safety

observation with a practical

introduction to the day-to-day

workings of such a system.

It requires training whichhelps individuals to look

beyond their personal and

immediate needs to consider

the long-term group needs

addressed by a positive

change in safety and risk

management.

Objectives

Promote the principles of safety observation.

Provide safety observation training

for everyone.

Develop appropriate promotional material.


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FEEDBACK AND RECORDING

The mechanism for recording

individual observations should be

made as simple as possible. It should

provide an accurate inventory of

potential hazardous behaviours and

conditions. These should be decided in

discussion with the people who know

the risks best the workforce. By

providing a standard format for

recording observations, you can

ensure that the process is free of bias

and personalities. It also focuses

attention on behaviours that do have

real risk and ensures that the data

collected is delivered in a format

suitable for processing and future

tracking.

A safety observation system should provide

information in two ways. Firstly, as

immediate verbal feedback to an employee

or co-worker regarding their

safe/ hazardous acts. This feedback can be

both positive and negative (or corrective).

And secondly, by systematically recording

data relating to both safe and hazardous

behaviours. Significantly, by recording all

this data against a site-specific inventory of

possible behaviours, you can make sure that

it is both objective and easy to process.

Objectives

Provide guidelines for giving feedback.

Create an inventory of site-specific risks.

Demonstrate the system is free of bias.

Delivering feedback in a constructive way is one

of the skills central to the success of a safety

observation system based on peer-to-peer

observation. As a result, you should ensure

that all employees receive guidelines on how to

give feedback. These should address issues

such as the use of positive feedback; making

feedback brief and specific (not vague and

unhelpful); giving feedback that fits the situation

and which is based on sound knowledge; and

ensuring that feedback is caring i.e. non-

threatening and intended to reduce the risk of

personal injury.


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TRACK IN G THE RESULTS

The analysis of the safety observation data will need

to be computer-based to ensure that all the

variables (not to mention the high number of

observations) are effectively covered. The results of

the analysis can be used to target further behaviour-

based campaigns. Companies are encouraged to

develop a simple database for collecting and

reporting their observation data.

The continuing flow of data can also be used to

track a variety of pre-determined success indicators.

These may range from the number of observations

recorded through to complex measurements based

on the ratio of safe to hazardous behaviours

recorded against specific elements on the site

inventory. Naturally, goals can be set for the

success indicators and these will enable employees

to track progress. Achieving goals will help

individuals to realize that their actions (their safe

behaviours and their safe observations) are making

a real difference.

Finally, it is important that the workforce always

receive clear feedback on results. This feedback

should close the loop between the action of

observing and reporting an unsafe act or condition

and the subsequent conclusion of any remedial

action to prevent re-occurrence.

Observation data can be

collected in a systematic way

and can be entered into a

database for analysis and

problem solving. With

investment in the right

computer software, individual

companies can make use of

the data in future safety

planning.

Objectives

Develop systems for analysing observation data.

Use the information in planning for safety.

Use the information to set goals for everyone.


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AUDITING THE SYSTEM

As well as providing critical safety

information, the observation data

gathered will give the systems

administrators an overview of the

continuing effectiveness of safety

observation. This information can be

used to target and schedule

awareness-raising campaigns. Only by

maintaining high levels of awareness

will you achieve continuous

improvement in safety observation.

Finally, the nature of operations at any

work site can change and so

therefore can the risks. Regular

audits ensure that all major risks

associated with hazardous behaviour

are included on the safety observation

checklist.

(A proforma checklist (p28/ 29) can

be used to undertake a self

assessment of your own observation

system. Please feel free to photocopy

and distribute this template.)

As with any system, it is essential that

your safety observation system is regularly

audited to ensure continuous improvement.

Analyse the observation data to track how

the system is operating over time. J ust as

safe behaviour needs to be reinforced

regularly, the process of observing will also

need to be promoted and supported if levels

of motivation among employees are to be

sustained. A regular review of the sites

inventory of hazardous behaviours will also

be essential to maintain system relevance.

Objectives

Review levels of employee participation.

Maintain the relevance of the system.

Seek continuous improvement in safety

observation.

Auditing the safety observation system will

ensure that it continues to be fit for the

purpose i.e. useful in moving your company

towards a total safety culture where there are

no injuries or lost time incidents. Auditing will

also ensure that specific goals, such as

eliminating one particular kind of hazardous

behaviour or condition, continue to be the most

relevant at that time.


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2 0 / 2 1

See Hazards And Raise Performance

On the preceding pages, we outlined the nine essential principles of any

safety observation system. These principles represent the minimum

required standard for any effective safety observation system.

To make progress towards a total safety culture, companies which do not yet

have a safety observation system in place can use these nine principles as the

basis for a system which can thereafter be developed to reflect their own

operations and identity.

The overriding objective will always be to highlight the connection between

effective safety observation and the resulting benefits. The purpose remains to

eliminate all unsafe behaviours and conditions from the workplace.

Presentation is a matter for individual companies, but however you choose to

present your safety observation system, it should be supported with a standard

hazard checklist, training materials and promotional material such as postersand videos.

By making a commitment to safety observation which reflects the principles set

out in these guidelines, individuals and companies can help to ensure that safety

observation is an effective mechanism for making progress towards improving

health, safety and environmental performance throughout the industry.


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2 2 / 2 3

In this section, we look at some of the

cross industry issues that will impact on

any safety observation system.

These issues need to be addressed if the

concept of safety observation is to

deliver real benefits on an industry wide

basis. They highlight how commitment

from all sectors of the oil and gas

industry is necessary to ensure the

development of a positive observation-

based safety culture.

And, finally we would ask anybody who is

considering using an observation system

to read Changing Minds, a Step Change

guide to behaviour in the

oil and gas industry.

Who owns thesystem?

Standardising the data.

Is there any support?

Implementing the

system.


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W HO OW NS THE SYSTEM ?

However, the ownership of any such system will lie

with those responsible for the ongoing operation of

a particular facility whether on or offshore. Local

ownership is essential to

ensure the relevance of the system and the

trust and commitment shown in it by employees.

In each instance, therefore, the duty holder and

vessel/ site operator will be accountable for the

implementation and maintenance of all aspects of

the facilitys safety observation system. They will be

responsible for ensuring that all personnel (including

third parties and sub contractors) employed at the

facility have adequate knowledge to be pro-active in

utilising their specific safety observation system.

These guidelines were compiled

from within the oil and gas

industry to promote the use of

safety observation systems on

an industry-wide basis. They

provide ideas and support for

those companies committed to

realising the benefits of

safety observation.

Furthermore, assurance of compliance between all parties should be addressed by

contractual arrangements which reflect the necessity for the operation of, and participation

in, the safety observation system.


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2 4 / 2 5

STANDARDISING THE DATA

The effective operation of a safety observation system should provide a wide

range of data on both safe and hazardous behaviours (as well as valuable

information on safe/ dangerous conditions).

Over a period of time, a

detailed profile of the critical

safe and hazardous

behaviours will be derived

for individual work areas and

entire facilities. Using this

information it should be

possible to refine work

practices and safety

management systems

throughout the industry so

that they function better

impacting on the industrys

safety culture in a positive

way.

However, to make this

possible, it is not only

necessary that companies

are willing to share this

information, but that they

set out to gather the data in

a standard format which

facilitates comparisons

between similar tasks, work

areas and facilities.

This need for the

standardisation of data

therefore includes an onuson the duty holder and

vessel/ site operator to

supply information pertaining

to (but not restricted to)

safe/ hazardous acts and

conditions which have the

potential to cause harm to

people, damage to the

environment or property, or

loss of production.


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IS THERE ANY SUPPORT?

From an industry perspective, the Step Change in

Safety Leadership Training and CIP (Common

Induction Process) are ideal existing vehicles through

which initial efforts to raise awareness of

observation systems can be focused. The intention

would be to help individuals within the industry to

develop their own ideas of why they should

participate in safety observation. General awareness

training also provides a foundation for the flexible

use of these principles and guidelines by individual

companies to achieve site-specific or job-specific

goals.

Although a large proportion of the oil and gas

industry workforce is made up of contractor and

service company personnel, all employers have a

responsibility to ensure their employees are exposed

to observation systems. It will always be the case

that industry training will have to be further

developed and made more specific at the individual

company/ facility level. It will be the responsibility of

duty holders and employers to ensure compliance

with their system and to deliver training appropriate

to their specific procedures and circumstances.

It is important that everyone

has an opportunity to learn

the principle, rationale and

procedures of safety

observation. However, the

options for providing safety

observation awareness

support and training are

varied and will be the joint

responsibility of the industry

and individual companies.


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2 6 / 2 7

IMPLEMENTING THE SYSTEM

Many companies in the Oil and Gas industry already

have systems in place. These may require to be re-

examined in light of these new guidelines, but if not

fully compliant, can easily be fine tuned.

Your Safety Observation System can be improved by

sharing observation results and learnings by using

the Safety Alert Database and Information

Exchange (SADIE) which can be found on the Step

Change website www.stepchangeinsafety.net

The expectation of Step

Change in Safety is that

safety observation systems

will be introduced throughout

the oil and gas industry.

Finally, we hope you find these guidelines useful. The success of the guidelines

will be by your willingness to embrace safety observation systems as another

valuable tool in the ongoing effort to reduce accidents and improve performance.


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Questionabout

YOURobservationsystem

1.Isitobservation-or

ientated?(p12)

2.Isitpeoplebased?

(p13)

3.Doesitpromotefu

llemployeeinvolvement?(p14)

4.Doesitpromotein

dividualaccountability?(p15)

5.Doesithavevisiblemanagementsupport?(p16)

6.Isitbackedbytrainingresources?(p17)

7.Doesitencourage

reportingandfeedback?(p18)

8.Doesithaveamethodfortrackingresults?(p19)

9.Isitregularlyaudit

ed?(p20)

Installation/Site:

ProposedRemedialActions

TargetDate

for

Compliance

ComplyYes/No

C

omments/Suggested

Improvements

Ye

s-Howdotheycomply?

No-Co

mpleteRemedialActions.

L

OOK

TH

IS

W

AY!

SafetyObservationSystemS

elfAssessmentCheckList

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