#Incident investigation

Comprehensive incident management and accident investigation at industrial enterprises. Moving from mere blame-seeking to deep root-cause analysis (5W principle) and building a proactive culture. Transforming routines for 'Target Zero'.

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items in this topic
Case
Vitaliy Kirilin
Head of the educational and methodical department
SIBUR
March 18, 2026

How to Establish a Technical Training Center: Lessons Learned

Creation of corporate technical training centers with a focus on practical training and the rejection of the academic approach. Educational programs are formed based on incident investigation reports, and active production staff are involved as instructors. The effectiveness of the system is measured by the trend of reducing production incidents after at least 60% of the target audience has completed the training.

Incident investigation Internal trainers Performance evaluation
Case
Rinat Fatkhutdinov
Director
iTechnoPro
February 5, 2026

AI + Automation in HSE

Implementing artificial intelligence tools to automate routine HSE processes. Practices include using AI bots to collect Near Miss data, hybrid search systems (RAG) for regulatory databases, software robots (RPA) for reporting, and generating engaging content for briefings.

Incident investigation Training Gamification
Case
Roman Portnyagin
Head of Investigation Process Development, Incident Investigation Department
Nornickel
December 18, 2025

Destructive Thinking Patterns: Who Hides the Truth During Investigations

A methodology for internal incident investigations that eliminates experts' cognitive biases. The approach is based on perceiving a person as an adapter of an imperfect system, rather than a mechanism, and avoiding evaluative words when formulating root causes.

Incident investigation Safety culture Forum 2025
Case
Margarita Anokhina
Director of Incident Investigation Department
Nornickel
December 18, 2025

Cardinal Safety Rules: Placebo or Effective Medicine

Implementation and optimization of Cardinal Safety Rules (CSR) in a large industrial company. Reducing the list to six key rules, strict enforcement (up to dismissal), and analyzing the impact on fatal injury statistics.

Incident investigation Safety culture Safety leadership
Case
Zaur Shugushev
Chief Cardiologist of Central Healthcare Directorate — Russian Railways, Head of Cardiovascular Pathology Center, Department Head, Doctor of Medical Sciences, Cardiovascular Surgeon
Russian Railways
December 17, 2025

Prevention of Cardiovascular Diseases

A workplace cardiovascular disease prevention system including occupational risk stratification, a five-level investigation of sudden deaths, and control of medical check-ups via a corporate network linked to VHI. Workers with critical illnesses are moved to light duty with a chance to return after successful treatment.

Incident investigation Risk management Health protection
Expert blog
Arsen Azizov
Lead Occupational Safety Specialist
Gazprom Transgaz Ukhta
November 21, 2025

The Swiss Cheese Model in Occupational Safety

Incident investigation Risk management Barrier approach
Expert blog
Ilya Zabugin
Deputy Managing Director for HSE
Pokrovsky Mine
November 21, 2025

A Modern Approach to Safety: Prompt Emergency Reporting

Incident investigation Communications Digitalization
Expert blog
Arsen Azizov
Lead Occupational Safety Specialist
Gazprom Transgaz Ukhta
November 20, 2025

Why Eliminating Minor Non-Conformities Matters, or the "Broken Windows Theory"

Incident investigation Safety culture Safety audit
Expert blog
Ilya Musatov
Deputy Director for Occupational Safety and Production Control
SUEK-Khakassia
November 20, 2025

Understanding the Human Factor as the Primary Source of Accidents and Injuries in Mining Enterprises

Incident investigation Safety culture Leadership
Expert blog
Ekaterina Gemberova
Head of Safety Systems Development Division
OTEKO
November 19, 2025

From Dry Bulletins to Real Stories: How the "Matter of Chance" Video Series Shapes a Conscious Safety Culture

Incident investigation Safety culture Employee engagement
Expert blog
Anton Krylov
Deputy Director for Production Safety — Head of Risk and Accident Analysis Department
SUEK-Kuzbass
November 18, 2025

"Safety Contact": A Targeted Strike on Risks

Incident investigation Safety culture Communications
Expert blog
Andrey Shutov
Deputy Chief Engineer for Industrial Safety and Occupational Health at Surgutneftedorstroiremont
Surgutneftegas
November 16, 2025

Regular Incident Analysis: From Blaming Individuals to Systemic Solutions

Incident investigation Risk management Injury prevention
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