The development of industrial safety culture in large corporations naturally goes through several stages: from implementing basic rules to deep behavioral work. In her presentation, Tatiana Bobrovitskaya details the transformation journey of Shell's approaches. Starting in the 1990s, the implementation of unified standards (Control Framework) and Life-Saving Rules radically reduced injury rates, achieving zero incidents by 2014. However, the incidents of 2019 triggered a review of established practices and the realization that instructions and leadership programs alone are not enough to prevent tragedies.
Using a global strategy as an example, the speaker shows how the focus is shifting from administrative control to employee support. The new philosophy is based on three elements:
One of the least obvious but most important steps was the revision of key performance indicators (KPIs). The presentation details the shift away from tracking all minor recordable incidents in favor of focusing exclusively on serious incidents, fatalities, and High Potential Incidents (HPI). This decision was driven by the fact that the classic injury pyramid is not always accurate: a large number of minor injuries does not necessarily correlate with the probability of a major accident. Shifting the focus allows the company to direct resources toward deep investigations of truly critical risks, such as dropped objects, and high-quality lesson learning.
The transformation also affected the attitude towards violations of Life-Saving Rules. While the strict "break a rule, get fired" principle used to apply, a Fair Event Handling approach has now been implemented. The speaker emphasizes that the main goal of an investigation is no longer to punish the employee, but to identify the systemic factors that provoked the violation. This allows the system itself to be "fixed" and root causes to be eliminated while maintaining staff trust.