#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
Anzhela Rodygina
HSE Director
Dietsmann
April 1, 2021

Innovations in Preserving Staff Life and Health

Implementation of European safety culture standards through cascade personnel training (17 modules). Transition from financial to non-financial motivation for identifying hazards and using the internal Control Repeat Sector IT system to monitor violation elimination.

Incident investigation COVID-19 Safety culture
Case
Aleksey Kuzin
Head of Ecology and Technosphere Safety Division
BMZ
March 25, 2021

HSE vs. Production. Three Levels of Struggle

A three-level safety management model at an industrial enterprise, integrated with lean production principles. It includes using the "Safety Cross" at the foreman level, holding thematic HSE Days at the shop level, and regular performance analysis by top management. Special attention is paid to investigating micro-injuries using the QRC (Quality Response Control) tool and engaging line managers in risk management.

Incident investigation Safety culture Leadership
Case
Pavel Sidorov
Head of Quality, Environment and Occupational Safety Department
Fels
March 10, 2021

HSE Process Automation Using Standard Office 365 Tools

Automation of routine HSE processes (contractor evaluation, vehicle inspection, incident recording) using standard Office 365 tools (Forms, SharePoint, Power Automate). Transitioning data collection from paper and Excel into a unified digital ecosystem with automatic notifications and analytics.

Incident investigation HSE DAYS Contractors
Case
Aleksandr Pivikov
Director of Production Safety
OMK
December 17, 2020

Incident Registration and Investigation Practices

Transforming the incident investigation process by involving top management and line managers. Implementing an independent incident notification line, abandoning punishment for errors in favor of penalizing concealment, and using an IT portal to monitor corrective actions and work with lessons learned.

Incident investigation Safety culture Safety leadership
Case
Tatyana Bobrovitskaya
General Manager for HSE
Shell
December 16, 2020

Key Approaches to Building Safety Leadership

Building safety leadership through the implementation of Human Performance and Learner Mindset concepts, as well as developing five key managerial habits. The practice includes creating a psychologically safe environment for open discussion of mistakes, focusing on high-risk areas, and assessing HSE risks before establishing joint ventures.

Incident investigation Well-being Safety culture
Case
Oleg Dunayev
Fleet Safety, Occupational Safety and Fire Safety Specialist in the Region
Philip Morris
October 29, 2020

Safe Driving Communication

Multichannel safe driving communication system for a fleet of over 1,700 vehicles. Includes interactive email newsletters with accident analysis, the Mission Zero mobile app with tests and telematics reports, TV panel broadcasts, and engaging online training.

Incident investigation Safety culture Employee engagement
Case
Tatyana Bobrovitskaya
General Manager for HSE
Shell
October 8, 2020

Safety Leadership at Shell. Examples of Leadership Development in Joint Ventures

Transitioning from strict injury KPIs to proactive indicators and the concepts of Human Performance and Learning Mindset. Implementing a culture of psychological safety for open discussion of incidents and errors, as well as translating safety standards in joint ventures through boards of directors.

Incident investigation Safety culture Leadership
Case
Andrey Khokhryakov
Safety Culture Development Program Manager
Salym Petroleum Development N.V.
Mikhail Kovalev
Director of Occupational Health and Safety Department
Salym Petroleum Development
October 1, 2020

Obstacles on the Path to Goal Zero. Experience in Developing a Safe Production Culture at the Salym Group of Fields

A comprehensive program for transforming the safe production culture in an oil and gas company, aimed at transitioning from directive control to conscious partnership. It includes implementing emotionally engaging introductory sessions, an institute of internal trainers, a promise matrix, intervention days, and a focus on analyzing the behavioral causes of incidents.

Incident investigation Safety culture Leadership
Case
Aleksandr Pivikov
Director of Production Safety
OMK
September 24, 2020

Contractor Management

A contractor management system including strict contractual requirements, replacing fines with mandatory training for violators at the contractor's expense, and company rating. Automated terminals for pre-shift testing and a supervising institution for on-site control have been implemented.

Incident investigation Safety culture Safety leadership
Case
Valeriya Lukina
Head of Occupational Safety and Ecology Service
Novabev Group
Alina Kuzmichyova
Occupational Safety Specialist
Danone
July 21, 2020

10 Steps to a Safe Warehouse

A ten-step model for developing a safe environment in finished goods warehouses under the corporate WISE program. Features 13 basic technical standards, LOTOTO procedure for heavy trucks, contractor rating system, remote audits via AR glasses, and dynamic risk assessment.

Incident investigation LOTOTO Lockout / Tagout
Case
Natalya Kovaleva
Country OT Manager
Coca-Cola HBC Russia
Yuliya Babenko
QEHS Manager
Paulig Rus
June 30, 2020

Incident Communication Practices Across All Production Sites

A proactive incident communication system across distributed production sites. It includes standardized Safety Alerts (24-hour rule), regular Safety Days, Behavioral Based Safety (BBS) projects, and digital tools for collecting employee observations.

Incident investigation Safety culture Safety leadership
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