Training Root Cause Analysis using Tripod Beta Method Incident Investigation and Analysis
INTRODUCTION
Tripod Beta is a renowned method for incident analysis leading to proactive process control measures. It does not just focus on the immediate, human, causes of the incident, but identifies the structural flaws that allowed the incident in question to occur. The Investigation framework clarifies unknowns and uncertainties and thus leads to insights. Underlying causes are identified and lead to well considered conclusions and management actions, strengthening the organization's sustainability as well as business and safety performance. Many years of applied research and extensive practical use have made the matured Tripod theory the best solution for both proactive and reactive risk management. Many companies and other large organizations have gained the benefits of using the Tripod methodology, namely a considerable, measurable reduction in incident rates and a firm grip on risks. In the Tripod Beta methodology the investigation process goes hand-in-hand with the analysis process.
This training seminar will highlight:
- How to gather the adequate evidences to identify human and organizational failings
- Incident Investigation as per Tripod Beta Methodology
- Structured way of incident / accident investigation and analysis
- Benefits of using Tripod Beta method
- Software used as support for the Tripod Beta incident Investigation
- How to create actual incident / accident investigation database and use it for developing optimal mitigation measures
PROGRAM OBJECTIVES
- Conduct a structured incident/accident investigation and analysis
- Create a effective Tripod Beta diagram-explaining the whole incident
- Determine Basic Risk Factors of your company
- Develop effective remedial actions
- Use the investigation findings for cost effective measures of improvement
- Use software support for developing Tripod Beta Diagram and Incident Report
WHO SHOULD ATTEND?
- Safety Managers, Engineers and Specialist
- Process Safety Officers
- Auditors
- Operations and Support Staffs and Production Managers
- HSE Advisers, Managers
- Auditors
- Incident Investigators
- Project Managers
- Finance managers
- Supply Chain Managers
- Logistics Managers
- Quality improvement personnel
- Petroleum Engineers
- Mining Engineers
- Financial Analysts
- Drilling Engineers
- Traffic Engineers
- Police and Military Officers
PROGRAM OUTLINE
Accident / Incident Investigation and Tripod Beta Principles
- Risk Management of Human Systems
- Organization’s defenses between a source of harm and an undesirable outcome as a series of barriers, represented by layers of Swiss cheese
- What is Sequentially Timed Event Plotting (STEP)?
- Rules for Constructing a STEP
- The Four Key Stages in a Tripod Beta Investigation
- Defining Event, Agent and Object
- Telling the Story through the Core Diagram
Barriers, Preconditions and Underlying Causes and Basic Risk Factors
- Barrier Identification and How they are associated with an Incident in a Systematic and Thorough Manner
- Four Possible States of a Barrier and their use within a Tripod Beta Tree
- Human Errors and their Link to the Immediate Causes
- Preconditions to Immediate Causes, Definition and Position within a Tripod Beta Tree
- Underlying Causes, Definition and Position within a Tripod Beta Tree
- Causation Path, Definition and Presentation within a Tripod Beta Tree
- Basic Risk Factors in Business Process
Remedial Actions, Reporting, Tree Logic and Test
- Identify the Nodes on a Tripod Beta Tree where remedial action should be applied
- Haddon's Hierarchy of Barrier Effectiveness
- The Cost vs. Benefit of various types of Barriers
- Report Layout and Format
- The Ways in which Lessons Learnt may be communicated throughout the Company
- TEST
Permintaan Brosur penawaran Training
( Harga, Waktu dan Tempat)
silahkan Menghubungi kami.
Cs1 : +62812 2554 2418
Cs2 : +62857 2459 5005