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.

Challenge

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.

Solution

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.

Result

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.

Coming Next

Finalise a process for preparing, approving and distributing Learning Event Bulletins on an industry-wide basis.

For More Information

[email protected]

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