#Root causes

Root Causes mapping the subterranean venom of failures. Halting the pathetic witch-hunt of low-level scapegoats to slaughter the true 'pathogen'. Aggregates hacks pivoting blame to corroded tech logs or sloppy time-tables.

14
items in this topic
Case
Mikhail Zhiganov
Director of Safety Culture Development Department
Nornickel
Aleksey Avramenko
Head of Safety Culture Development Division
Nornickel
March 18, 2026

Leadership: Do You Really Need It?

Transformation of safety culture at a large industrial enterprise through the transition from directive control to engaging leadership. Implementation of developmental feedback tools, behavioral safety audits, and Just Culture principles for proactive management of minor injuries and near misses.

Root causes Safety culture Safety leadership
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.

Root causes Safety culture Incident investigation
Expert blog
Arsen Azizov
Lead Occupational Safety Specialist
Gazprom Transgaz Ukhta
November 21, 2025

The Swiss Cheese Model in Occupational Safety

Root causes Risk management Incident investigation
Case
Dmitriy Chetvertkov
Lead HSE Specialist
MMK
November 18, 2025

Development of an Electronic Risk Register through the Improvement of HSE Tools

Integration of disconnected mobile and desktop occupational safety applications into a unified electronic risk register. Implementation of root cause analysis functionality and automatic selection of additional PPE based on identified occupational risks.

Root causes HSE TOP 100 Risk assessment
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

Root causes Risk management Incident investigation
Expert blog
Anton Krylov
Deputy Director for Production Safety — Head of Risk and Accident Analysis Department
SUEK-Kuzbass
November 13, 2025

Incident Investigation: Not About Blame, But Hunting for Root Causes

Root causes Safety culture Risk management
Expert blog
Svetlana Kautova
Head of Occupational Safety Department
MTZ Transmash
November 6, 2025

Exercise for Practicing the Identification of Accident Causes: Immediate, Underlying, and Root

Root causes Safety culture Incident investigation
Expert blog
Svetlana Kautova
Head of Occupational Safety Department
MTZ Transmash
November 5, 2025

Immediate, Underlying, and Root Causes of an Accident?

Root causes Safety culture Risk assessment
Expert blog
Svetlana Kautova
Head of Occupational Safety Department
MTZ Transmash
November 5, 2025

Why Use a Structured Approach in Accident Investigation?

Root causes Safety culture Incident investigation
Expert blog
Sergey Konovalov
Head of Industrial Safety and Occupational Health Department
LUKOIL
November 5, 2025

The "5 Whys" Method: A Simple Tool for Finding the Root Causes of Incidents

Root causes Safety culture Incident investigation
Expert blog
Natalya Kalmykova
Deputy Head of HSE Department
Ajax Engineering
October 31, 2025

The Deep Roots of Workplace Tragedies: Digging to the Very Core!

Root causes Safety culture Communications
Expert blog
Natalya Kalmykova
Deputy Head of HSE Department
Ajax Engineering
October 31, 2025

Danger is Closer Than We Thought!

Root causes Safety culture Risk assessment
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