Click here to load reader
Upload
jkm-nair
View
2.840
Download
3
Embed Size (px)
Citation preview
J k m nair/Director-CEO/ TSI - 2010 1
Bowtie Concepts
J K M NairDirector and CEOTraining $olutions International
J K M NairJ K M NairDirector and CEODirector and CEOTraining $Training $olutionsolutions InternationalInternational
T$I presents…………..
J k m nair/Director-CEO/ TSI - 2010 2
( Training $olutions
International )
Here is your one stop solution for training, conference and seminar related issues of your personal and corporate world.
We deal with all HR, HRD, HRM functions, Strategy planning, Personnel and company related development programs on:- Psychology profiling- Leadership, communication, conflict management, Time management- Risk management, Safety and Security Management- Corporate Resource management - Rational Emotive Responses, - Emotional Intelligent- Artificial Intelligence, Expert Systems,- Behavior Based Safety, Bow Ties, - Engineering Systems, - Quality Concepts, Quality Certification, Auditing,- Public speaking, Human Performance …………………………………
Contact us on : [email protected] nos: USA: 0016825569455India: 91-22-28912797/ Cell: 9820133928 Mumbai India
J k m nair/Director-CEO/ TSI - 2010 3
Identify Risks, Check why and how, Analysis what could happen, and for postmortems
Copyright: [email protected]
J k m nair/Director-CEO/ TSI - 2010 4
C CE
JKM/Bowtie/2010 4
J k m nair/Director-CEO/ TSI - 2010 5
History of Bow TiesHistory of Bow Ties
No one knows!
Morphed from Cause Effect Diagram ?
Lifted out from Butterfly diagrams ?
1970s David Gill of ICI plc
1979 Presented in University of Queensland, Australia
J k m nair/Director-CEO/ TSI - 2010 6
Risk ManagementRisk ManagementRisk Management
Approaches to the RISK
1.We take risk -2.We run risk -
People who take risks are not always the same as those who run them
The return is worth it.
We can become victims if something go wrong
J k m nair/Director-CEO/ TSI - 2010 7
Failures
Active Latent Failures Failures
Errors and mistakes that directly impact the system and break the safety barriers
Unidentified (yet) errors and mistakes that will impact the system at a later time(if not identified in time)
JKM/Bowtie/2010 7
J k m nair/Director-CEO/ TSI - 2010 8
Risk and failures !
People who make active failures are frequently running the risk
People who are accepting the latent risk are those who have taken the original risk
JKM/Bowtie/2010 8
They expect all to go well !They expect all to go well !
J k m nair/Director-CEO/ TSI - 2010 9
The Day the Sea Caught FireThe Day the Sea Caught Fire
6th July 1988
JKM/Bowtie/2010 9
Training $olutions International
J k m nair/Director-CEO/ TSI - 2010 10
• Royal Dutch/Shell Group used the technique in
“ PIPER ALPHA DISASTER ”
• BowTie Pro launched in 2004/shell
• Royal Dutch/Shell Group used the technique in
“ PIPER ALPHA DISASTERPIPER ALPHA DISASTER ”
• BowTie Pro launched in 2004/shell
In 1990, Occidental was out of business in UK
Pieper Alpha Fire
Maintenance Work
JKM/Bowtie/2010 10
J k m nair/Director-CEO/ TSI - 2010 11
Cause ConsequenceEvent
ThreatThreatJKM/Bowtie/2010 11
J k m nair/Director-CEO/ TSI - 2010 12
IncidentHazard
Cost –$ 1,500,000,000,
Life lost –167
Company –Out of business
In 2 years
JKM/Bowtie/2010 12
J k m nair/Director-CEO/ TSI - 2010 13
H
A
Z
A
R
D
CONSEQENCE
Incident
BARRIERS
J k m nair/Director-CEO/ TSI - 2010 14
H
A
Z
A
R
D
EFFECT
BARRIERS
Incident
JKM/Bowtie/2010 14
J k m nair/Director-CEO/ TSI - 2010 15
BARRIERS
Incident
JKM/Bowtie/2010 15
PREVENTION
MITIGATION
CCAAUUSSEE
EEFFFFEECCTT
J k m nair/Director-CEO/ TSI - 2010 16
Do A Risk Analysis Now ?Do A Risk Analysis Now ?
J k m nair/Director-CEO/ TSI - 2010 17
H O W What will happen
Cause EffectTiger
Escapes
1.
2.
3.
1.
2.
3.
Hazard and Cause analysis
J k m nair/Director-CEO/ TSI - 2010 18
HELP
CAUSE EFFECT CONSEQUENCESCan we put in the barriers now ?
TigerEscapes
Cage not strong
C5C5 C3C3
C5C5
Mauls/KillspeopleDoor left open
Loss of [email protected]
J k m nair/Director-CEO/ TSI - 2010 19JKM/Bowtie/2010 19
Your Fire Extinguisher Cylinder Leaked out
corrosion
Effect On
Human
Effect on
Ship Deck
Human Error
Damage in
handling
THREAT
THREAT
EFFECT
EFFECT
Damage When operating
Stored with
Chemica l drums
Chemical Chemical Leaked outLeaked out
J k m nair/Director-CEO/ TSI - 2010 20
A bowtie diagram can be created by defining:
Event to be prevented
Threats that could cause the event to occur
Consequences of the event occurring
Controls to prevent the event occurring
Controls to mitigate against the consequences
Sum up: ; ;
1Trgs
olutio
ns.in
terna
tiona
l@gm
ail.co
m
J k m nair/Director-CEO/ TSI - 2010 21( Tra
inin
g $o
luti
ons
Inte
rnat
iona
l ) Know us More……………………………………………………….
Contact us for:
- Corporate Training solutions- Man power Planning solutions- HR audit solutions- Conference solutions- Security and Safety Solutions- Staff Development Solutions- Active Learning solutions- Motivational Solutions- Counseling solutions- Conflict Solutions- Negotiation Solutions- 6 Sigma and Kaizen solutions- Trainer Development Solutions- Brand Building Solutions- Market Research Solutions- Maritime Solutions- Leadership Solutions- ISO/ISM/Q solutions- Advance Safety Audit Solutions- Root Cause solutions- Change management Solutions
Gestalt solutions
RET solutions
Emotional Control Solutions
Anger manage Solutions
Career path solutions
Home Solutions
TA solutions
Retirement solutions
Stress Control solutions
Performance Improvement
Anti Piracy Solutions
Behavior Control Techniques
Corp Governance Issues
CSR- the Social Responsibility
Incident Investigation
And many more . . . . . . .
J k m nair/Director-CEO/ TSI - 2010 22
Thank [email protected]
Contact us on : [email protected] nos: USA: 0016825569455India: 91-22-28912797/ Cell: 9820133928 Mumbai India