Learning from incidents (LFI) seminar

Humber Refinery – Phillips 66

Glasgow Caledonian UniversityTuesday 10th December 2013

Immediate learnings

Incident occurs

Immediate investigation by ERT

Risk ranking

Immediate learnings – management review/1 page summary

Site learning process

Investigation (AAR/RCA)

Site management and HSE reviews

Actions entered into IMPACT e.g. design, procedures, TBT, training

Actions closed in IMPACT data base

Site learning – other inputs

High Learning Value Events

Corporate RCA Library – data from other sites and industry

UK HSE and UKPIA programmes – eg Buncefield/Texas City

PHA incident reviews

–Questions?