Unplanned Process Safety Events (typically loss of containment) will be collated and curated on a dedicated platform using CGE Risk Management Solutions BowTie Server solution.
Global | Local
An organization with multiple sites can create a ‘parent’ or ‘corporate’ bowtie and have (slight) differences on local ‘children’ derived from that global bowtie. This establishs a more centralized risk management approach.
After defining the barriers in your safety management system (the plan stage) and implementing them (the do stage), AuditXP is used to check and monitor the quality and effectiveness of the barriers.
Barrier Failure Analysis (BFA) is a way to structure an incident and to categorize the elements of the diagram according to incident analysis taxonomy. The structure offers events, barriers and causation paths. Events are used to describe a causal sequence of unwanted events. This means each event causes the next event. It is also possible to have parallel events that in combination cause the following event.
This can be used to analysis & communicate the escalation from Threat to Consequence via the Top Event and the barrier deficiencies.
Some incidents can have an overwhelming amount of information. The timeline offers a diagram that structures an incident investigation and creates an overview in chronological order, making it easier to manage the investigation.
The simple but powerful comparison between Audits (planned barrier demands) and Incidents (unplanned demands) highlights where, perhaps, major accidents (or near misses) are occurring despite positive survey or inspection results which may indicate that either the wrong questions are being asked and/or the wrong answers are being returned.