Accident causation analysis

• The 5 whys

• Defence in depth

Auditing

• Audits – missing the obvious

• Audits – a false sense of security

• Behavioural safety

Change management

• Management of change

• Technical support

• Inadequate mental model

• Alarm system

• Interconnection and single supply

Communication skills for executives

• Communication between shifts

• Why and where should you talk to workers?

• When should you talk to workers?

• Who should you talk to?

• How should you conduct the talk?

• What should you talk about?

• What else to do on walk-arounds?

Defence in depth

• Defence in depth

• First barrier: cement job

• Second barrier: cement evaluation tool

• Third barrier: well integrity test

• Fourth barrier: monitoring

• Fifth barrier: BOP

• Diverter barrier

• Ignition barrier

• The response plans: blowout response

• The response plans: oil response

• Post blowout risk assessment

Hazard identification

• Hazard identification

• Process safety or personal safety

• Government legislation

Incident reporting systems

• Reporting systems

• Key points for design

• Design for warning signs

• Mindful reporting

Learning from other incidents

• Learning from other incidents

Managing major hazards – the use of indicators

• Lost time injury frequency

• Using appropriate indicators

Organisational structure – its impact on managing risk

• Organisational design

• Lines of authority

• Corporate safety department

Warning signs – how they may be ignored

• It can’t happen here

• Intermittent signs

• Normalisation at Gretley Coal Mine

• Normalisation at Macondo blowout

• Onus of proof

• Group think

• Group think at Macondo

• Confirmation bias

• Warning signs