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 (HiPo) Incidents. 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 process for issuing Learning Event Bulletins. Following this successful trial, the Safety Leadership Working Group has expanded the process Industry-wide. This involved:
- Improving the Learning Event Bulletin format and content based on user feedback.
- Producing a Learning Event Bulletin template that organisations can use to break down and communicate a Learning Event and preventative actions that could be considered by other organisations.
- Developing a How To Guide to help prepare a Learning Event Bulletin.
- Preparing a list of common ‘unwanted events and threats’. This list is summarised in the Learning Event Bulletin How To Guide, and serves as a guide to 'triggers' for producing a Learning Event Bulletin.
- Building a searchable web-based library for storing Learning Event Bulletins.
- Roll-out the Learning Event Bulletin process across WA/NT.
- Explore ways of continuing the dialogue on learning from incidents. (i.e. How can we find out what others learnt when they discussed the Learning Event Bulletin? How can we share what we discussed?)
- Develop an app for building, and sharing, Learning Event Bulletins.