November 17, 2022 15:04
Learning from incidents plays an important role in guaranteeing the safety of Dutch industry. This knowledge collection provides you with a basis to start working with learning from incidents in your organisation. The knowledge collection varies from informative and educational information sources to practical tools and fact sheets that you can apply to your situation.
Typical measures to get this issue right in one's own organization
What situations are we talking about?
An incident, or escalation from a small unusual occurrence to a major incident, resulting from inadequate learning from incidents and near misses in one's own organisation or those of others.
Promoting a safety culture in which all incidents or unusual occurrences are reported to managers.
The timely and systematic gathering of information about the incident (what, when, who) where the depth of information gathering depends on the consequences of the incident.
Reporting of incidents to the competent authority in a timely and complete manner.
Conducting thorough incident investigations of cases with the highest learning potential (why).
Having a learning session with the organisation's management team and prioritising possible improvements in existing measures to ensure (process) safety.
Monitor timely and complete follow-up of these identified actions.
Sharing lessons within the organisation, with the competent authority and with the sector.
Assessing lessons learned from others for possible improvements to one's own measures to ensure (process) safety.
Questions from the strategic leadership role about risks and control measures that point to answers in the Knowledge base
What and how?
Questions from various tactical or operational leadership roles about risks and control measures that point to answers in the Knowledge base
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