Incident Investigation & Learning Masterclass
May 25 - 26, 2015 - Yogyakarta SGT.U.N International
marketing@info.tun.sg
Phone:+65 63763177
A solidly implemented management system is the foundation for good business perfor-mance. The Risk Identification and Management module and the Continuous Improvement Loop are at the heart of the management system. Learning from failures plays an important part in that improvement loop. However, incident investigation to identify the relevant facts required for improvement is not easy. When and how to start an investigation / Triggers / Terms of Reference / Positive and negative aspects of involving various parties in an investigation team? How to se-cure all relevant facts? How to discover the facts not disclosed by the incident report. This workshop aims to explain relevant aspects of incident investiga-tion and the required processes to get optimal information for learning. Key Benefits of Attending the Course At the end of the workshop participants will be able to Describe the context into which the Tripod Beta methodology fits Use Tripod Beta theory to construct accurate Tripod Beta diagrams. Use Tripod Beta theory and tree to set up a quality investigation plan Understand Human Behaviour and the Human Error theory model Identify remedial actions to prevent reoccurrence of, as well as the next incident Progress to phase two of the Tripod Beta Practitioner Accreditation process