Learning Event Bulletins
A tool to assist with learning from unwanted events and/or threats in order to reduce the occurrence of high potential incidents.
Safer Together seeks to reduce the occurrence of High Potential Incidents (HiPo). This requires becoming a learning focused industry. Current negative associations with labelling an incident as a ‘HiPo’ are hampering effective learning from these incidents.
Focus on ‘unwanted events/threats’ as triggers to investigate and disseminate lessons learnt. Encourage industry to approach unwanted events with a positive learning mindset. Investigate, report and disseminate the lessons as ‘Learning Events’ triggered by unwanted events/threats occurring, regardless of whether it is classified as a HiPo or not. Influence and reinforce safe behaviours (hazards and habits) that can help safeguard people.
The Rig Site Safety Working Working Group has successfully piloted:
- A list of common ‘unwanted events and threats’. This list serves as a guide to 'triggers' for producing a Learning Event Bulletin.
- A template for Learning Event Bulletins that organisations can use to break down and communicate a Learning Event and preventative actions that could be considered by other organisations.
- Issuing Learning Event Bulletins to the Drilling and Completions community. This process includes seeking feedback from rig crews, as well as the things they learnt/discussed arising from the Learning Event Bulletin. The feedback/lessons learnt are then collated and sent back to the Drilling and Completions Community.
The Safety Leadership Working Working Group has:
- Developed a searchable web-based library for storing Learning Event Bulletins and uploaded previously issued Bulletins to this library.
Finalise a process for preparing, approving and distributing Learning Event Bulletins on an industry-wide basis.