#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'.

95
items in this topic
Case
Rustam Azizov
Head of Contractor Management Division
OTEKO
October 8, 2024

Full Cycle of Interaction with Contractors

A comprehensive contractor interaction management system, including multi-stage selection, permit digitalization, regular audits, and reliability rating formation. The practice covers the entire lifecycle of working with counterparties: from on-site inspections to joint incident investigations and the application of a fine system with the possibility of replacing them with proactive safety investments.

Incident investigation HSE TOP 100 Training
Expert blog
Mikhail Zhiganov
Director of Safety Culture Development Department
Nornickel
October 1, 2024

Human Error

The article examines the nature and causes of human errors in the workplace through the relationship between the personal qualities of the employee and the work environment. The author analyzes the negative consequences of customary disciplinary punishments, which destroy trust and force the hiding of misconduct instead of eliminating the true causes. The publication offers an approach to improving the error response system — from implementing clear algorithms for finding root problems to fair e...

Incident investigation Safety culture Employee engagement
Case
Pyotr Zhukov
Head of Production Safety Division
Unigreen Energy
September 19, 2024

HSE Management System: A Course on Worker Safety

Implementation of an original 12-element human-centric and risk-oriented HSE model. The model divides incident causes into unsafe acts (direct and indirect) and unsafe conditions (eliminable and manageable), forming protective barriers for each, including commitment development, telemedicine, root cause analysis, and personnel involvement.

Incident investigation HSE TOP 100 Safety culture
Case
Olga Nemtsova
Lead Occupational Safety Specialist
UEC-Klimov
September 3, 2024

Gamification as a Tool to Improve the Effectiveness of First Aid Training

Implementation of a practice-oriented approach to first aid training using gamification. Practice includes analyzing real incidents and solving situational tasks in teams using training mannequins and evaluation sheets.

Incident investigation HSE TOP 100 Employee engagement
Case
Dmitriy Feoktistov
Head of Road Safety Department
Irkutsk Oil Company
July 11, 2024

Reducing Seasonal Accident Rates

Transformation of the road safety management system based on a deep analysis of accident causes. Implementation of automated contractor notifications, task systems, and electronic attendance tracking for safety stand-downs to reduce seasonal accident rates.

Incident investigation Training Contractors
Case
+11
14 speakers
April 10, 2024

Opening of HSE DAYS Season V

A comprehensive approach to engaging top management in HSE issues. Includes regular behavioral audits with top executives, their chairmanship in incident investigations, and systematic feedback from HSE specialists.

Incident investigation HSE DAYS Safety culture
Case
Vitaliy Kirilin
Senior Manager of Training and Methodology Division
SIBUR
December 11, 2023

The Role of Methodology and a Systematic Approach in Technical Training

Methodology for adult technical training with HSE modules integrated into professional programs. Includes problematization, skill practice, reflection, outdoor training grounds, and post-training monitoring.

Incident investigation LOTOTO Lockout / Tagout
Case
Artem Kaniseyev
Lead HSE Engineer
Tomskneftekhim
November 23, 2023

Implementation of an Integrated Safety Barrier System

Implementation of an integrated safety barrier system at a petrochemical enterprise. Includes a vertically integrated risk management system, practice-oriented training, targeted audits, personnel engagement through safety championships, and intelligent video surveillance for PPE control at heights.

Incident investigation HSE TOP 100 Safety culture
Case
Mariya Novokshanova
Lead Occupational Safety Specialist
Gazprom Dobycha Noyabrsk
November 22, 2023

Our Approaches to HSE Training Require Changes

Transformation of HSE training approaches through simulated methods and gamification. Using interactive warm-ups, business games, situation analysis, and proprietary board/floor games to engage managers and workers in the learning process and realize the value of safe behavior.

Incident investigation HSE TOP 100 Safety culture
Case
Anna Litovchenko
Head of Occupational Safety Service
Volzhsky Pipe Plant
November 13, 2023

Tools for Improving Safety Culture – Practical Experience

Implementation of five tools to improve safety culture at a large manufacturing enterprise: monthly Safety Days, public investigation commissions with worker participation, an interactive induction room, a quest room, and a VR simulator for practicing violation identification skills by line managers.

Incident investigation HSE TOP 100 VR
Expert blog
Aleksey Mosyagin
Head of HSE Service
Zarubezhneft-Dobycha Kharyaga
November 10, 2023

Incident Investigation: Practices of Zarubezhneft-Dobycha Kharyaga LLC

The article is devoted to the practical experience of LLC "ZARUBEZHNEFT-dobycha Kharyaga" in high-quality investigation of workplace incidents, taking into account the requirements of legislation and internal regulations. The material outlines the sequence of investigation stages, including the use of the "LORD" method for fact collection, building a timeline, and searching for root causes using a series of "Why?" questions. This makes it possible to differentiate between direct and systemic cau...

Incident investigation
Case
Vera Konshina
Head of Labor Safety and Environmental Services
Yandex Market
November 9, 2023

Incident Analytics

Building a transparent incident feedback collection system using QR codes and electronic forms. Automating task routing, classifying events into four categories (including non-occupational injuries), and analyzing accumulated data to identify hidden patterns and revise audit schedules.

Incident investigation HSE TOP 100 Employee engagement
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