PROGRAMME DETAILS:
Introduction
Review of basic terms – hazard, risk, incident, accident, near miss etc
The benefits of incident investigation – why it’s so important
Accident investigation as part of overall management systems ref OHSAS 18001,
HSE 65 and MAPPs
Statistical trends and models e.g. Heinrich and Bird
Human Factors, safety management and safety culture
An overview of human performance management
Human failure types – slips, lapses, mistakes and violations
Failure models
Barriers and cultures – spotting the early warning sins
Leadership, worker Involvement and competency
Investigation Methods and descriptions
Review of the different tools available e.g. ARCA – APOLLO Root Cause Analysis, Black bow ties, HFIT, TapRooT
Descriptions of each and comparison between the various options
Linking to safety technology principles such as FMEA and Fault tree analysis
Lifecycle of an Investigation Part 1 Investigation
Reporting
Investigation techniques and the investigation team
Types of evidence – what and how to gather including taking witness statements
Lifecycle of an Investigation Part 2 Analysis
Root cause analysis and recommendations
Action planning and management
Sharing information (learning from incidents for continuous improvement)
Counting the Costs of incidents – reputational management and the financial implications of incidents
Techniques for calculating the financial cost of accidents from the simple lost time accidents to major incidents
Emergency Planning
The importance of MAPPs (major accident prevention policies) and emergency planning
Key elements of emergency planning
Testing the EP and ensuring the lessons from incidents feed back into MAPP and EP
Review and Close
Review of key learning points
Short quiz to test understanding
Final questions and course evaluation
By the end of the workshop delegates will:
Recognise the importance of efffective incident investigation in creating a positive safety culture in the oil and gas environment
Know the different human failure types and how they contribute to accidents
Identify the lifecyle of an investigation and carry out an investigation following the lifecyle
Understand what root cause analysis is and use it in their own investigations
Understand that incident investigation and emergency planning are related and where they sit within the overall health and safety management system.
