The Course Content
Day One: Safety Systems and Risk Management
Safety first
Learning from failures
Analyzing near misses, incidents & accidents
Taxonomy of theories
Risk assessment, Choice of case studies
Types of recommendations
Day Two: Continuity of Operations – Plant Systems Reliability
Coping with risks
Defining reliability and resilience
Reliability Centered Maintenance (RCM) techniques
Fault Tree Analysis (FTA)
Reliability Blok Diagram (RBD)
Practical examples and case studies
Day Three: Case Studies from High Reliability Organizations (HROs)
Case from Aviation industry
Case from Process industry
Case from Oil and Gas industry
Case from Nuclear industry
Group work and group presentations
Day Four: The Concept of Generic Lessons & Benchmarking
Attributes of the generic lessons
Best practice of learning from failures from different industries
Best practice can be learned from worst practice
The ten generic lessons and the three underpinning factors
What is benchmarking? History of benchmarking
Different methods of benchmarking and how they relate to each other
Day Five: A Model of Learning and Unlearning Excellence
Adaptive organizational learning
Routine dynamics
The Decision-Making Grid (DMG) model
A framework for analyzing near-misses and failures
High severity with low frequency versus high severity with high frequency