#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
Tatyana Bobrovitskaya
General Manager for HSE
Shell
March 10, 2022

Development of New Approaches to Leadership and Safety Culture

Transformation of safety culture approaches in a large corporation focusing on psychological safety, Human Performance, and a learning mindset. Revision of KPIs: moving away from tracking minor injuries in favor of deep analysis of serious and High Potential Incidents (HPI), and implementing Fair Event Handling for Life-Saving Rules violations.

Incident investigation Well-being Safety culture
Case
Ilya Guselnikov
Chief Specialist for Best Practices Implementation
Irkutsk Oil Company
December 2, 2021

Safety Structure at INK LLC

A multi-level HSE management structure using international incident investigation and risk assessment methodologies. Implementation of the "Risk Control" system using Job Safety Analysis (JSA) and digital tools for prompt hazard identification, along with a management motivation system based on safety performance.

Incident investigation Safety culture Safety leadership
Case
Sergey Peresypkin
HSE Director
Baker Hughes
September 30, 2021

Relevance and Integration of the Human Factor in Oil and Gas Companies

Integration of the human factor concept into the HSE management system of an international oil and gas company. The approach includes transitioning from punitive measures to analyzing systemic flaws, identifying error traps, and revising leadership programs with a focus on a growth mindset.

Incident investigation Safety culture Leadership
Case
Vadim Demchenko
Freelance Consultant, Course Author and Safety Culture Lecturer at Gazprom Corporate Institute
Independent Expert
September 14, 2021

Fair Treatment of Personnel and the No-Blame Principle in Safety Culture

Implementation of fair treatment principles and a reporting culture to reduce injuries. The practice includes rejecting punitive measures for unintentional errors, analyzing root causes of incidents, and involving personnel in identifying organizational flaws.

Incident investigation Safety culture Leadership
Case
Vyacheslav Pachin
Head of HSE Service
GC "Agropromkomplektatsiya"
September 2, 2021

Forming a Proactive Approach to Occupational Safety. Modern Realities: Roles and Tasks of an HSE Specialist

Transforming the role of the HSE specialist from an overseer to an advisor and leader. Implementation of proactive tools: KPIs based on identified violations and submitted ideas, manager training through case studies, regular audits using checklists, and creating a competitive effect between departments.

Incident investigation Safety culture Leadership
Case
Evgeny Parygin
Advisor on Safety Culture and International Certification
SNIIP, State Corporation "Rosatom"
August 24, 2021

Leader's Tools for Enhancing Safety Culture

Integration of safety culture principles into the organization's management system and supply chain. Implementing a non-punitive culture, developing leaders' managerial courage, and applying international IAEA and WANO standards to assess and enhance safety levels.

Incident investigation Safety culture Leadership
Case
Galina Astapenko
Chief Manager of Production Safety and Environment Department
KTZ
June 30, 2021

Integrated HSE System. Digitalization of Processes, Including IT Development Prospects in HSE

Comprehensive digitalization of HSE and environmental processes in a national company with 120,000 employees. Implementation of a unified information system and mobile app for recording hazardous conditions, conducting behavioral safety dialogues, automating environmental accounting, and online employee surveying.

Incident investigation Employee engagement Motivation
Case
Serik Mazhkenov
Project Ambassador
HSE DAYS
June 17, 2021

Management by Objectives – an Effective Tool for Developing a Safety Culture

Implementation of the Management by Objectives system in HSE. The practice includes dividing objectives into state objectives (result) and driver objectives (process), cascading indicators to the department level, and linking the achievement of driver objectives to the staff motivation system.

Incident investigation Safety culture Employee engagement
Case
Dmitriy Zubov
HSE Director
Danone
June 15, 2021

Incident Management

The incident management system at Danone, which includes investigating all incidents (including micro-injuries and near-misses) using a combination of 5M and "5 Whys" methods. The practice covers involving contractors on an equal footing with full-time employees and developing a neural network to forecast future incidents based on large datasets.

Incident investigation Safety culture Risk management
Case
Elena Golenkova
HSE Incident Investigation Expert
GPN-Development
June 8, 2021

Fundamentals of Effective Incident Investigation in HSE

Transformation of the incident investigation system in a large manufacturing holding. Implementation of a unified regulatory document, modular and practical training for commissions, incident classification, and a lessons learned system for proactive risk management.

Incident investigation Safety culture Training
Case
Dmitriy Kondrashin
Director
DuPont Sustainable Solutions
Tatyana Zamorova
CEO
DuPont Sustainable Solutions
May 25, 2021

Safety Culture Development Trends in the Post-Crisis Period: Research Results and Action Guide

Analysis of safety culture research results in CIS and European companies by DuPont Sustainable Solutions. Covers the pandemic's impact on industrial safety, the role of digital tools, and integrating a risk-oriented approach into business processes.

Incident investigation COVID-19 Safety culture
Case
Aleksandr Pivikov
Director of Production Safety
OMK
April 13, 2021

The Role of HSE Professionals

Rethinking the role of the HSE professional by elevating their status, reporting directly to the top executive, and developing internal trainers. Practices include implementing proactive KPIs like audits, contractor control, and training line managers to build a safe behavior culture.

Incident investigation Safety culture Safety leadership
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