Professional Documents
Culture Documents
• A Systematic Approach
• Clear understanding of what can cause harm and the risk of it happening.
• Clear, unambiguous language and terms when discussing managing risk,
• So that everyone understands what is required to avoid incidents and accidents.
• Clear and simple process to determine the risks and actions to minimise them.
• Easy to use tools, techniques and practices.
The Cullen report, following the Piper Alpha accident, basically concluded
that ”managing safety risk was in a mess and needed to be fixed”.
• One outcome from the investigation was the development of the
Hazards and Effects Management Process [HEMP]
Organisation, Responsibilities,
Element 3
Resources, Standards and Docs
Element 7 Audit
• Course Scope
• Learning Objectives
• Course Structure
• HEMP
Hazard and Effect Management Process
is a structured, sequential methodology
(process) for effectively managing Health,
Safety and Environmental Risks in our
works.
It uses well-defined standard terminology
to avoid communication confusion.
• ALARP
HEMP requires Controls and Barriers to
be defined, implemented, maintained
to reduce the assessed Risk to ALARP:
As Low As Reasonably Practicable
Unacceptable Region
ALARP
Tolerable Region
Acceptable Region
Recovery
Control
Top
Event
Control
Barrier
Consequences
Hazards
Threats
Recovery
Control
Barrier
Control
Loss of
Control
Control
Barrier
Recover
Control
Gasoline in
HAZARD
Tank
• Top Event
is the first Event from a release of a Hazard.
An Incident is a release of a Hazard that (luckily) does not cause Harm;
also called a ‘near miss’.
An Accident is a release of a Hazard that (unfortunately) does cause Harm.
THREAT
Overfill
Recovery
Control
Top
Event
Control
Barrier
Consequences
Consequences
Accident
Hazards
Threats
Recovery
Control
Barrier
Control
Loss of
Control
Control
Barrier
Incident
Recover
Control
Gasoline in
HAZARD
Tank
• Hazard Identification
• Threat Recognition
Hazards
Identify
• Hazards
Something that can cause harm to:
• People [People] P
• Plant [Assets] A
• Planet [Environment] E
• Profile [Reputation] R
FlammableHydrocarbons
Identify
• Hazards
Something that can cause harm to:
• People [People] P
• Plant [Assets] A
• Planet [Environment] E
• Profile [Reputation] R
Energy Sources:
• Gravity
• Motion
• Mechanical Ga
G as • Electrical so
c See lin
eni • Temperature ei
n
g It! HA
ryo A
RD
• Pressure ZA Ta
nk
re
C AZ RD
tu
Ch
H
• Chemical
ra
em
pe
ica
m
• Biological
Te
l
• Radiation
• Sound
Hazard Identification and Risk Management 26
Hazard Checklist
Identify
• Hazards Registry and Checklist
Hazards are usually systematically identified
using a standard checklist based upon a
registry of all Hazards on the facility [Hazard
Register, HazReg].
The process consists of going through the
list and identifying those items that are
relevant to the situation.
Identify
• Threats
Situation or condition that could cause the release of a Hazard.
It is important to differentiate Hazards and Threats.
Hazards generally cannot be eliminated, (e.g. Hydrocarbons, Pressure, Gravity )
whereas
Threats can be eliminated or controlled or have work practices modified to compensate.
FlammableHydrocarbons
Corrosion Rain - Slippery Road Loss of Balance - Fall Impact with Structure
Moving HeavyEquipment RaisedObjects Treatment Chemicals Gas Compressor
Identify
• The Top Event
is the first event to release the Hazard.
It is the thing that we do not want to happen!
Common ‘Top Events’ in our industry are:
• Loss of Containment
• Loss of Control
• Exposure
THREAT
Overfill
Recovery
Control
Top
Event
Control
Barrier
Consequences
Hazards
Threats
Loss of
Recovery
Control
Control
Barrier
Control
Containment
TOP EVENT
Control
Barrier
Recover
Control
Gasoline in
HAZARD
Tank
Identify
• The Top Event
is the first event to release the Hazard.
It is the thing that we do not want to happen!
Common ‘Top Events’ in our industry are:
• Loss of Containment
• Loss of Control
• Exposure
FlammableHydrocarbons
Identify
A Hazard is?
[choose all applicable]
a) Something that slows work
b) Something used to protect people
ü c) Something that can cause harm
d) Something used to warm people of danger
• Assess Risks
• Determine Probability – Likelihood
• Determine Consequences – Severity
Assess
• Assessing Risk
is a combined process of evaluating
• Probability, or Likelihood that a Hazard can be released by the Threat and cause harm
‘What is the chance that it may happen?’
• Consequence, or Severity, is the ultimate harm arising from the release of the Hazard
‘If it does happen, what harm could it cause?’
FlammableHydrocarbons
Assess
• Assessing Risk
is a combined process of evaluating
• Probability, or Likelihood that a Hazard can be released by the Threat and cause harm
‘What is the chance that it may happen?’
• Consequence, or Severity, is the ultimate harm arising from the release of the Hazard
‘If it does happen, what harm could it cause?’
Assess
• Assessing Risk
is a combined process of evaluating
• Probability, or Likelihood that a Hazard can be released by the Threat and cause harm
‘What is the chance that it may happen?’
• Consequence, or Severity, is the ultimate harm arising from the release of the Hazard
‘If it does happen, what harm could it cause?’
A B C D E
People Assets Environment Reputation Never heard of Heard of in Has happened Has happened Has happened
in industry industry in the at the Location more than once
organisation or or more than per year at the
0 No injury or No No No
more than once once per year in Location
health effect damage effect impact
per year in the the
1 Slight injury or Slight Slight Slight industry Organisation
health effect damage effect impact
2 Minor injury or Minor Minor Minor Note: Reputation is essentially an indirect effect
health effect damage effect impact
as a result of causing harm (people or environment)
3 Moderate injury or
health effect
Moderate
damage
Moderate
effect
Moderate
impact
Note: Some companies use ‘Community’ instead of ‘Reputation’
4 Major Injury or Major Major Major
up to 3 fatalities damage effect impact
5 More than 3
fatalities
Massive
damage
Massive
effect
Massive
impact
Hazard Identification and Risk Management 35
Risk Assessment Matrix
Assess
• The Risk Assessment Matrix [RAM]
is a simple tool and methodology to evaluate the combination of Probability and
Consequence to categorise the criticality of Risk, and the mitigation measures that must be
taken to effectively reduce the Risk to ALARP and can be effectively managed on site.
Assess
• The Risk Assessment Matrix [RAM]
• Example
n A plane crashing into a gas processing plant due to loss of control may cause massive harm.
However it is very (very) unlikely to happen.
n AThe Riskmeter
three is therefore
fall duemoderate
to loss of control or balance may result in a single fatality.
Statistics show many individuals die every year as a result of such falls.
Assess
• The Risk Assessment Matrix [RAM]
• The RAM is used for Assessing Risk both in planning works and investigating incidents.
• The RAM is a qualitative screening tool for prioritising the mitigation (Controls, Barriers,
Recovery) measures that must be in place, and be effective, to enable safe work
execution.
• The RAM approach gives common terminology for clear communication of Risk
Assess
• The Risk Assessment Matrix Process
• Estimate the Likelihood of the hazard being released to do harm.
• Estimate the Severity of harm likely to be caused with the release of the hazard.
Note: These two step are interchangeable, either can be done first.
• Determine the Risk category by combining Likelihood and Severity codes from the
RAM.
Note: This should be done for the situation under review, not what happened somewhere else.
Estimate
Likelihood
Estimate
Severity
Determine
Risk Type
Hazard Identification and Risk Management 39
Assess Risks
Assess
• Assessing Risk Process
• Estimate the Severity of the harm for each potential Consequence
• Consider the most serious credible harm [to PAER]
Do not consider what happened before, only what could happen this time.
• Exercise:
Estimate Consequence - Severity for ‘Dropped Object’ when working at height.
CONSEQUENCE
SEVERITY
3 Major injury or
health effect
Moderate
damage
Moderate
effect
Moderate
impact
4 PTD or up to 3
4
Major Major Major
fatalities damage effect impact
5 More than 3
fatalities
Massive
damage
Massive
effect
Massive
impact
Hazard Identification and Risk Management 40
Assess Risks
Assess
• Assessing Risk Process
• Estimate the Severity of the harm for each potential Consequence
• Consider the most serious credible harm [to PAER]
Do not consider what happened before, only what could happen this time.
• Exercise:
Estimate Consequence - Severity for ‘Dropped Object’ when working at height.
A B C D
D E
People Assets Environment Reputation Never heard of Heard of in Has happened Has happened Has happened
? in industry industry in the at the Location more than once
organisation or or more than per year at the
0 No injury or health No No No
more than once once per year in Location
effect damage effect impact
per year in the the
1 Slight injury or Slight Slight Slight industry Organisation
health effect damage effect impact ?
2 Minor injury or Minor Minor Minor
health effect damage 2 effect impact
3 Major injury or
health effect
Moderate
damage
Moderate
effect
Moderate
impact
4 PTD or up to 3
4
Major Major Major
fatalities damage effect impact
5 More than 3
fatalities
Massive
damage
Massive
effect
Massive
impact
Hazard Identification and Risk Management 41
Assess Risks
Assess
• Assessing Risk Process
• Estimate the Severity of the harm for each potential Consequence
• Consider the most serious credible harm [to PAER]
Do not consider what happened before, only what could happen this time.
• Exercise:
Estimate Consequence - Severity for ‘Dropped Object’ when working at height.
A B C D E
People Assets Environment Reputation Never heard of Heard of in Has happened Has happened Has happened
in industry industry in the at the Location more than once
organisation or or more than per year at the
0 No injury or health No No No
more than once
D
once per year in
E
Location
effect damage effect impact
per year in the the
1 Slight injury or Slight Slight Slight industry Organisation
health effect damage effect impact
3 Major injury or
health effect
Moderate
damage
Moderate
effect
Moderate
impact
Asset 2 E
4 PTD or up to 3
4
Major Major Major
fatalities damage effect impact
5 More than 3
fatalities
Massive
damage
Massive
effect
Massive
impact
Hazard Identification and Risk Management 42
Assess Risks
Assess
• Assessing Risk Process
• Determine the Mitigation Measures as a result of determining the Risks.
• Controls to reduce Likelihood
• Barriers to reduce Severity
• Exercise:
What are the Implications of the Risks for ‘Dropped Object’ when working at height?
Risk = People 4 D
Asset 2 E
Assess
• The Risk Assessment Matrix [RAM]
Use only the approved RAM to ensure clear communication with all stakeholders.
There are other qualitative and quantitative risk assessment matrices; developed for specialist
application. These should not be used for determining HSE / Work Risks. They can cause confusion.
Note: It is not appropriate to assign numbers to Probability – Likelihood, two sets of numbers can
cause confusion of the order. Use the letters.
Assess
• Hazards and Effects Register
A record of Hazards, Threats, Top Events (Incidents), Consequences and Potential Risk is maintained
as the Hazards and Effects Register for each plant facility.
Any Risks in the Yellow or Red bands of the RAM must have a Documented Demonstration of ALARP;
what controls and barriers must be implemented to ensure safe working.
Those in the Blue categories can be managed by the Work Crew or Person in Charge of Works [PICW,
Supervisor], using standard mitigation measures.
Exposure
Assess
Probability is?
[choose all applicable]
a) The degree of injury suffered
b) A calculation of how many people will be hurt
c) The likelihood that a hazard may be released
ü
d) Something used to warm people of danger
Consequence is?
[choose all applicable]
ü a) A calculation of incident monetary impact
ü b) An estimate of likely harm caused
ü c) An estimate of possible severity of harm
d) Loss of containment of hydrocarbon
Risk is?
[choose all applicable]
ü
a) Categorised by using the RAM
b) The likelihood of an event occurring
ü c) The severity of harm caused
d) A determined combination of estimated probability and consequence
Hazard Identification and Risk Management 46
Control
Control
• Managing and Mitigating Risk
• Controls
are preventative measures to reduce the Likelihood of releasing a Hazard and causing an
Event.
• Barriers
are protective (responsive) measures to reduce the severity of the potential Consequence
arising from a Top Event happening.
CONTROLS
BARRIERS
Control
• Initiating Action
The objective of a Control is to act as a preventative measure to avoid a Threat releasing a
Hazard and causing a Top Event.
An Initiating Action is a failure of a Control
• Human Error
• Failure of training and competence assurance
• Equipment Failure
• Maintenance Management, Inspection Failure
Initiating Action
HAZARD
Control
• Managing and Mitigating Risk
• Example of Controls
• Procedures, Working Instructions
• Safe-Systems-of-, Control-of-, Permit-to-Work
• LOTO procedures & practices
• LOLC procedures & practices
• Instrumentation
• Automated Control
• Measurement & Detection
• Warning Alarms [H/L, HH/LL]
• Maintenance Management
• Barricades CONTROLS
• Access Control
• Hand-rails & Guards
• Training & Learning
• Competence Assurance
Control
• Managing and Mitigating Risk
• Example of Barriers
• Personal Protection Equipment
• Fall Protection Systems
• Blast & Fire Walls
• Fires Systems
• Automatic Blanketing
• Automatic Sprinklers
• Fire Extinguishers
• Gas Escape Sets
BARRIERS
Hazard Identification and Risk Management 51
Review Quiz
Control
Controls are?
[choose all applicable]
a) Hard Hat
ü b) Tool Belt
c) Safety Boots
ü d) Gas Detector
Barriers are?
[choose all applicable]
ü a) Safety Gloves
b) Kick-board on scaffolding
ü c) Safety Glasses
ü d) Blast wall
• Recovery Measures
Recovery
• Recovery Measures
are steps taken to:
• Control the release of the Hazard
Minimise any escalation of the Consequence
• Avoid further spread of the consequence
• Avoid ‘knock-on’ effects causing other events
• Remove people from harms way
• Return conditions to normal
• Demonstrating As Low As
Reasonably Practicable
Extreme Examples
§ Proportionate: Spending US$1m to prevent a major explosion capable of killing 150 persons.
§ Disproportionate: Spending US$1m to prevent 5 staff from suffering bruised knees.
Tolerable Region
Risk cannot be justified without detailed study of all possible reduction measures.
Work can only be undertaken by competent personnel who can dynamically assess condition
changes, or other threats, and manage the risk.
Acceptable Region
Applied Controls and Barriers are regarded as sufficient to enable safe work execution.
Supervising personnel must ensure ongoing application and integrity of control measures.
• Demonstrating ALARP
The hierarchy for Tolerability and ALARP demonstration is as follows:
1. Legal requirements (local laws, regulations)
2. Stakeholder/Public perception
3. Company’s minimum guidance along with national and international standards
4. Consistency across business
5. The ALARP mindset: Doing the Right Thing
• Are we comfortable with the decision?
• Have we done enough?
• Is the effort (cost, time, resources) of further risk reduction disproportionate to the risk
reduction possibly achieved?
Ultimately ALARP determination is based on expert and professional experience, judgment and Company/Society values
However, if you did not examine alternate options and document your choice, you have not demonstrated ALARP
Demonstrate effectiveness of
existing Business Management System
to locally manage risk
ALARP is?
[choose all applicable]
a) A best guess estimate
b) A professional determination based upon experience, judgment and Company values
ü c) A Governmental legal ruling
d) A stakeholder ruling
ALARP is?
[choose all applicable]
a) Constantly variable
b) Dependent upon the work, worksite and generally prevailing conditions, and can be
ü changed if deemed not ALARP
c) Absolutely fixed
d) Not applicable to all activity risk assessments
Control
Most
effective Eliminate
Find an alternate way that eliminates
the hazard-threat combination
Substitute
Find an alternate way that substitutes
a high risk with a lower one
Isolate
Find a way to fully isolate the hazards
to avoid any risk from inability to control
Reduce
Provide additional or upgrade plant equipment Engineering Controls
to help control and protect: reducing the risk
Safe Systems
Provide Policies, Procedures, Practices and Training
to reduce exposure to risk, and provide ability to asses change
PPE
Least Provide Personal Protective Equipment
effective as a barrier to help minimise risk to personnel
Hazard Identification and Risk Management 63
Hierarchy of Control
Control
• Hierarchy of Controls and Barriers
Determine whether the work can be done in a way that better mitigates and manages the
Risk by applying the following simple Hierarchy of Controls and Barriers.
• First:
Eliminate or substitute Hazard-Threat-Risk by doing it another way.
• Second:
Implement ‘fail-safe’ Controls that cannot be over-ridden.
• Third:
Implement ‘effective’ Controls that can be managed by Person in Charge of Works
[PiCW].
• Fourth:
Ensure adequate Barriers to protect People, Plant, Assets and Environment are in
place, fully functionable and tested.
Control
• Control Barrier Thinking
It is possible for a Control to fail.
Control ‘Barrier Thinking’ is applying sufficient sequential Controls that can provide enough
protection in the event of a Control failure.
For example a series of escalating ‘overpressure’ Controls that are initiated by the failure of
a preceding Control.
Hydrocarbon
under Pressure
Sequential Level of Control
HAZARD
Human Error
Close wrong Valve
Initiating Action High High
High
Pressure Pressure
Pressure Loss of
Overpressure Alarm and Automatic
Safety Relief Containment
Operator Shut-down
Valve
THREAT Intervention Valve
Plugged Line Top Event
CONTROL CONTROL CONTROL
Initiating Action
Hazard Identification and Risk Management 65
Barrier Thinking
Control
• Recovery Barrier Thinking
Equally Recovery measure can fail.
‘Barrier Thinking’ again, is applying sufficient sequential measures that can provide enough
response in the event of a failure of a barrier element.
Hydrocarbon
under Pressure
Sequential Level of Recovery
HAZARD
Gas
Loss of Detection
Automatic
Ignition
Overpressure Containment Alarm and
Blow-Down
Source Fire, Explosion
Operator Control
THREAT Intervention Consequence
Top Event
RECOVER RECOVER RECOVER
Control
• Effectiveness
To be effective, a Control or Barrier must be able to:
• Stop the Threat from causing the Top Event
• Once the Top Event has happened, mitigate or reduce the Consequence Severity
me”
t ho
a
o this
ot d
n
“Do
Examplesof ineffective
(or missing)
barriers!
Control
• ‘Swiss-Cheese’ Failure Model
Complete Control, Barrier and Recover failure
Longford Gas Plant
If e
ach
Co
Eve ntrol B
nt c a
an h rrier h
app as a
en, w
and eakne
the s
con s, and
seq t
uen hey co
ces in
may cide t
be m hen a
ajor Top
Texas City
Hazard Identification and Risk Management 68
Review Quiz
and be able safely manage Hazards and their Effects in your workplace and
work activities.
Identify
Assess
If You See It, Every Person,
then You Own It Safe, Every Day
Recovery
Control
If not You, then Who? Play by the Rules
If not Now, then When? and Stay Safe