bow tie concepts training solutions

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 : trgsolutions.international@gmail.comContact nos: USA: 0016825569455India: 91-22-28912797/ Cell: 9820133928 Mumbai India

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Identify Risks, Check why and how, Analysis what could happen, and for postmortems

Copyright: Trgsolutions.international@gmail.com

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C CE

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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

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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)

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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

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They expect all to go well !They expect all to go well !

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The Day the Sea Caught FireThe Day the Sea Caught Fire

6th July 1988

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Training $olutions International

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• 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

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Cause ConsequenceEvent

ThreatThreatJKM/Bowtie/2010 11

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IncidentHazard

Cost –$ 1,500,000,000,

Life lost –167

Company –Out of business

In 2 years

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H

A

Z

A

R

D

CONSEQENCE

Incident

BARRIERS

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H

A

Z

A

R

D

EFFECT

BARRIERS

Incident

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BARRIERS

Incident

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PREVENTION

MITIGATION

CCAAUUSSEE

EEFFFFEECCTT

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Do A Risk Analysis Now ?Do A Risk Analysis Now ?

Trgsolutions.international@gmail.com

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 tigerTrgsolutions.international@gmail.com

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

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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: ; ;

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J k m nair/Director-CEO/ TSI - 2010 21( Tra

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Contact us for:

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Behavior Control Techniques

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CSR- the Social Responsibility

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And many more . . . . . . .

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Thank youtrgsolutions.international@gmail.com

Contact us on : trgsolutions.international@gmail.comContact nos: USA: 0016825569455India: 91-22-28912797/ Cell: 9820133928 Mumbai India