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Session III:

What are effective leading risk indicators of future process safety performance

OESI Forum Risk Awareness & Perception,

12 & 13 May 2014

Safety & Environmental Management Systems

(SEMS)

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• Goal: Safe & Reliable Operations / Operational Integrity

• SEMS is a key mechanism to reduce the likelihood of

major incidents

Current State

• Good systems with analysis exist

• Generally good culture of reporting

Areas for Enhancement

• Not shared between organizations

• Safety culture could further encourage reporting

• Analysis could be improved to allow system learning

• Legal protection could improve sharing

• Many existing data bases not well analyzed

• Not necessarily true that pyramid or near misses are indicative of major incidents

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Phase 1 SPI

A. Fatality

B. Injury to 5 or more persons in a single incident

C. Tier 1 process safety event

D. Loss of well control

E. $1 million direct cost from damage to or loss of facility /vessel / equipment

F. Oil spill to water > or equal to 10,000 gallons (238 barrels)

A. Tier 2 Process safety event

B. Collisions that result in property or equipment damage > $25,000

C. Crane or personnel/material handling operations

D. Loss of station keeping resulting in drive off or drift off

E. Life boat, life raft, or rescue boat event

SPI 3: Percentage of SPI 1 and SPI 2 incidents that involved failure of one or more of COS specified equipment as a contributing factor

SPI 5: % of critical maintenance, inspections and tests completed on time

SPI 6: Number of fatalities

SPI 7: DART

SPI 8: Recordable Injury and Illness Rate

SPI 9: Oil spills > 1 bbl

SPI 1: frequency of work-

related incidents resulting in one or more of the following

SPI 2: Frequency of work-

related incidents that do not meet the definition of a SPI 1 incident but have resulted in one or more of the following:

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Phase I SPI Bow TieTM Coverage

Barrier Elements

SPI 1A

SPI 1B

SPI 1C

SPI 1D

SPI 1E

SPI 1F

SPI 2B

SPI 2A

SPI 2C

SPI 2D

SPI 2E

SPI 5

SPI 3

SPI 6

SPI 7

SPI 8

SPI 9

SPI 3

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LFI Program Scope

A. Fatality

B. Injury to 5 or more persons in a single incident

C. Tier 1 process safety event

D. Loss of well control

E. $1 mil direct cost from damage to or loss of facility/vessel/ equipment

F. Oil spill to water > or equal to 10,000 gallons (238 barrels)

A. Tier 2 process safety event

B. Collisions that result in property or equipment damage > $25,000

C. Crane or personnel/material handling operations incident

D. Loss of station keeping resulting in drive off or drift off

E. Life boat, life raft, or rescue boat incident

SPI 1

SPI 2

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LFI Program Scope

High Value Learning Event

An event that may be considered for use as a reference in process hazard analyses, management of changes, project design, risk assessments, inspections, operating procedures reviews and/or training. HVLEs should meet 1 or more of the criteria below:

A. Identify a previously unknown risk, situation, operational or mechanical hazard, or critical equipment failure

B. Identify a previously unknown combination of factors that resulted in an unexpected condition or event.

C. Identify a routine operation or activity that created a previously unidentified risk or consequence

D. Identify a situation where established industry designs, controls or procedures failed to prevent an event (e.g. loss of wall thickness).

E. An event that is part of a pattern in industry events which could indicate that certain hazardous conditions are not well understood.

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Areas for Improvement and Additional Comments • Physical Process and Equipment

• Design • Material Construction • Reliability • Instrumentation & Controls

• Administrative Process • Risk Assessment and Management • Operating Procedures or Safe Work Practices • Management of Change • Work Direction or Management • Emergency Response

• People • Personnel Skills or Knowledge • Quality of Task Planning and Preparation • Individual or Group Decision-Making • Quality of Task Execution • Quality of Hazard Mitigation • Communication

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LESSONS LEARNED.

Describe lessons

learned and actions

taken to reduce the

likelihood of a

recurrence

Lessons:

Questions Charlie Williams

Center for Offshore Safety

Executive Director williamsc@centerforoffshoresafety.org

THANK YOU

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Data Requested

OGP Learning Workshop - Mar 31 2014

• General: date, time, location, water depth

• Description

• Site Type

• Operation Type

• Activity Type

• Incident or Event Category

• Incident Consequences

• Areas for improvement

• Lessons Learned

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Data Requested

OGP Learning Workshop - Mar 31 2014

Site Type

• Aircraft

• Diving Vessel

• Drilling Rig on Production Facility

• Fixed Production Facility

• Floating Production Facility

• Floating Storage and Offloading Facility

• Mobile Offshore Drilling Unit

• Offshore Supply or Support Vessel

• Offshore Construction Vessel

• Seismic Vessel

• Subsea Production System

• Other

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Data Requested

OGP Learning Workshop - Mar 31 2014

Operation Type

• Aviation

• Marine - Diving, Seismic, Transportation, Rig Moves, etc.

• Production – Petroleum, Natural Gas Production, Flow Lines, Pipe Lines

• Projects – Includes Offshore Construction Activities

• Wells – Exploration, Appraisal, Production Drilling, Wireline, Completion, Workover, Abandonment, Intervention Activities

• Other

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Data Requested

OGP Learning Workshop - Mar 31 2014

Activity Type

• Confined Space Entry

• Diving

• Drilling Activities – Normal, Routine

• Energy Isolation

• Emergency Response (Actual or Drill)

• Helicopter Flight

• Helicopter Landing or Take-Off

• Hot Work

• Maintenance, Inspection and Testing

• Marine Vessel – In-Transit

• Marine Vessel – Station Keeping

• Material Transfer or Displacement

• Mechanical Lifting or Lowering

• Production Activities – Normal, Routine

• Simultaneous Operations

• Start-Up or Shut-Down Operations

• Working At Height

• Other

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Data Requested

OGP Learning Workshop - Mar 31 2014

• Areas for improvement

• Physical Facility, Equipment and Process

• Administrative Processes

• People

Multiple Areas for Improvement can be checked

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Physical Facility, Equipment and Process

Enhancements in the quality of the physical process and equipment design, layout, material specification, fabrication, or construction were highlighted for improvement, including:

• Process or Equipment Design or Layout

• Process or Equipment Material Specification, Fabrication and Construction

• Process or Equipment Reliability

• Instrument, Analyzer and Controls Reliability

Data Requested

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Administrative Processes

Enhancements in the quality, scope or structure of administrative processes for managing various aspects of work execution were highlighted for improvement, including:

• Risk Assessment and Management

• Operating Procedures or Safe Work Practices

• Management of Change

• Work Direction or Management

• Emergency Response

Data Requested

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People

Enhancements to the personnel actions linked to the execution of work tasks were highlighted for improvement, including:

• Personnel Skills or Knowledge

• Quality of Task Planning and Preparation

• Individual or Group Decision-Making

• Quality of Task Execution

• Quality of Hazard Mitigation

• Communication

Data Requested

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• LFI Committee

• Blind sharing by members – 3rd Party Reviewer

• Year round sharing

• Quarterly review of and learning from LFI data

• Annual Performance Report

LFI Process