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Velocityehs Ebook Using Risk Bowties To Manage Risk
Velocityehs Ebook Using Risk Bowties To Manage Risk
www.EHS.com
Contents
Introduction.............................................................................................................3
Additional Resources..............................................................................................12
Along the way, we’ll discuss how bowties can address a common pain point: training your workers in workplace
risks and the controls you have in place, and engaging them in your risk management practices. We’ll debunk the
misconception that bowtie analysis is an esoteric, difficult tool to use, and explain how it can combine information
from many kinds of risk assessments. We’ll also discuss how bowties enable better knowledge and management of risk
controls and make it easier to manage risks across multiple facilities. Finally, we’ll review how risk bowties work with
other key tools to give your organization a flexible risk management system that evolves with your operations, and
helps you model and improve the ability of your business to withstand major accidents.
A Comprehensive View of Risk The limitations of this approach might become even more
apparent if we do a follow-up thought experiment, in which
Let’s start our discussion of bowties with a thought our supervisor asks us to compile all of this information in the
experiment. Imagine all the knowledge of your workplace aftermath of a major incident. The gaps in our risk awareness
risks is saved in different formats, in different places. You would become painfully obvious, along with their contribution
have spreadsheets and documents, checklists, and historical to the incident occurring.
records of various kinds of risk assessments, like hazard
studies, job safety analyses (JSAs), hazard and operability Now, imagine you can bring that information together in a
analyses (HAZOPs), hazard identifications (HAZIDs), hazard way that provides comprehensive views of your workplace
identification and risk assessments (HIRAs), and safe work risks, at a glance — one that lets you map the connections
procedures (SWPs). In addition, you have the tribal knowledge between causes of every type of safety incident to its
of those in engineering, operations, maintenance, purchasing, potential consequences, and show what controls are in
etc. In reality, you probably don’t need to imagine this, place to mitigate harm. That’s what a bowtie analysis does,
because it’s probably your situation right now, as it is for and why it’s so useful.
many EHS professionals.
BOWTIE ANALYSIS
Risk
Consequences
Risk Causes
Direct participation from workers in safety management yields Workplaces and the nature of work itself continue to evolve,
obvious benefits. This is why an emerging consensus of global due to changing technology, changing work arrangements,
safety experts, as represented by standards like ISO 45001, and changes necessitated by business or production goals.
see participation as being essential to a successful safety The ongoing COVID-19 pandemic accelerated trends
management system. Section 5.4 of 45001 on Consultation already recognized by initiatives like National Institute
and Participation of Workers says, “The organization of Occupational Safety and Health (NIOSH) “Future of
shall establish, implement and maintain a process(es) for Work,” forcing organizations to make quick pivots to protect
consultation and participation of workers at all applicable employees from exposure to the SARS CoV-2 virus. In some
cases, organizations may have added new production lines Fault Tree Analysis: A top-down analytical method showing
for products such as hand sanitizer, that were in public an unplanned event at the top, and all the independent
demand during the pandemic. All such change modifies the contributing events below it, which are broken down into
landscape of risks in the workplace, and quickly can cause risk distinct causes.
assessments and risk management plans to become outdated.
Event Tree Analysis: An analysis showing all possible
With the bowtie analysis capabilities you get with VelocityEHS consequences of an unplanned event, or loss of control,
Risk Management, you can easily adjust your bowties or including estimated probabilities of different outcomes.
generate new ones as operations change. Even better, you can
involve your employees in the process, and keep them aware Five Whys: A method of identifying a root cause by asking why
of the components of your current risk management system. it happened, then asking why that happened in a series of five
questions, each time going deeper than the time before.
It’s the simple way to effectively train your workers on
workplace risks and maintain their awareness level, no Hazard Identification Study (HAZID): A way to break down
matter what the future of work may hold. workplace processes to identify hazards and controls, and to
assess the effectiveness of controls at reducing risk.
Risk Bowties Easily Combine Hazard and Operability Study (HAZOP): A systematic
assessment method that breaks down an existing process to
Information from Many Different look for places where deviations from original plans occurred.
Risk Assessments While each of these methods have their strengths and
So far, we’ve learned how risk bowties can help train workers limitations, a collective limitation of using so many methods
on workplace risks and the controls you have in place, and is that it’s harder to view risk holistically. It takes work to
keep them engaged with your safety management system. dig through documents and assessments and synthesize a
We also explained that risk bowties are easier to do than comprehensible view of risk that you can share with everyone
you probably think. The next benefit of risk bowties is their in your workplace.
ability to synthesize data from many different types of risk
assessments into a single, intuitive view of risk, and overcome Or at least, it used to be difficult to do that. With a solution
the limitations of tabular risk data. like VelocityEHS Risk Management, you can select the
assessments you want, then just hit the “Generate Bowtie”
button. Within a few minutes, the software will:
A Multiplicity of Risk Methods
There are many ways of assessing workplace risk. These • xtract the hazard and top event details from
e
include methods of root cause analysis to determine the available data in the selected assessments.
underlying causes of an event after the fact, and methods • identify causes and associated preventative controls
used to prevent the occurrence of unplanned events. for each unplanned event.
• identify consequences and associated mitigative
Here is a survey of some of the methods commonly used:
controls for each event.
Failure Mode, Effects & Criticality Analysis (FMECA): A • a ssemble all the elements and create a new risk
quantitative failure analysis method that shows links between scenario in the current risk register.
potential failures (failure modes) and consequences, and the • s et all the cause likelihoods, consequence severities
relationship between the probability of different failure modes and control effectiveness values, and calculate and
and the severity of outcomes. generate the risk bowtie, with all the risk ratings.
The Tyranny of Tabular Data Once you’ve identified all potential risk causes and impacts,
you can begin developing and assigning the appropriate risk
Another problem with having many kinds of risk assessments, controls to eliminate or reduce them. Risk bowties are a big
other than the difficulty of consolidating information, is if the help here, too.
data is in tabular form. Tabular data can give us an inaccurate
perception of risk by making us think risk pathways are simpler Risk controls can include a variety of measures, such as
than they are. engineering and process design improvements, training, work
practices, administrative policies and any other measure that
Think about it. When we use a table, we have to fit information acts in some repeatable and reliable way to minimize the
about the causes of an unplanned event, the preventative likelihood and/or severity of risks.
controls present, the consequences of loss of control, and the
mitigative controls in place into a tight space spread across When planning which controls to use, we should refer to the
one or two rows. Because what we see influences how well NIOSH Hierarchy of Controls.
we understand, we then start thinking of risk for any specific
unplanned event in terms of simple, linear pathways. That’s Least
inaccurate, because unplanned events rarely result from just effective Hierarchy of Controls
one pathway, and rarely have just one consequence. It’s also
Protect the worker with
dangerous because misunderstanding our risk pathways PPE Personal Protective Equipment
undermines our ability to prevent major workplace accidents,
and places our workforce and business at risk.
Administrative Change the way
Controls people work
Risk bowties help us escape from the tyranny of tabular
data and gain a more accurate view of risk pathways. The
figure below depicts how easy it is to map out different risk Engineering Isolate people
Controls from the hazard
pathways and absorb information about multiple causes
and consequences at a glance.
Replace
Substitution
Path the hazard
Cause 1 way Consequence 1
1
Pathway 2 Physically
Cause 2 Consequence 2 Elimination remove
3 the hazard
way
Path
Cause 3 Consequence 3 Most
effective
Unplanned Event/
Loss of Control
BOWTIE ANALYSIS
Risk Causes
Facilitating Risk Management It’s then a simple process to generate a site bowtie from
the master bowtie and select a specific site representative
at Multiple Facilities responsible for reviewing and managing the site bowtie.
Once the site bowtie is created, the responsible party gets
Now that we have some background about what risk bowties an email notification that they have a site bowtie to review,
are and how they help us visualize and manage risks, let’s and they can access the bowtie via a link. At that point, the
look at the ways a specific type of risk bowtie, called a user begins the review process, and essentially “owns” any
master bowtie, simplifies our ability to manage risks across changes made to the bowtie. The figure below shows the
multiple facilities. relationship between the master bowtie and site bowtie.
Note how changes in the master bowtie flow “downward”
Challenges of Managing Risk at to the site bowties.
Multiple Facilities
We’ve examined some of the ways traditional approaches to
managing risk, like using spreadsheets and tables, make it
hard to establish an accurate view of risk and share it with our
workers. For example, tables encourage us to oversimplify
risk pathways by viewing them too linearly, and they don’t
account for multiple causes and multiple consequences of an
unplanned event. It’s also hard to access the risk information
when we need it, or to use it to quickly get an overview of risks
at a facility.
The reality is, many of us are also responsible for managing During review, the user can select which causes, controls, and
safety and risk at multiple locations within our company, consequences to include or exclude in the site bowtie. To limit
which compounds those challenges. These facilities might the possibility of mistakenly excluding master bowtie features
have similar operations, meaning that many risk pathways and relevant to the site bowtie, you should consider ensuring
controls will be very similar, but not exactly the same. Creating that software used for your risk bowties prompts the user to
risk assessments for each individual facility is a lot of work, provide an explanation for the exclusion.
and there are many opportunities for errors. For example, site
What if, in the process of managing risk at the company level,
operators assessing risks independently of each other have no
we learn new information about risk pathways, or decide to
ability to build on existing knowledge which creates potential
make changes to controls that will affect every facility with
for gaps in risk control.
the same operations and same risk pathways? That’s another
We’ve seen how risk bowties make risk management easier advantage of using master bowties. With VelocityEHS Risk
by helping users quickly map risk pathways and develop Management, changes you make to the master bowtie
a common understanding of risk across a facility. Can risk are applied to all the site bowties based on it. It also sends
bowties also improve the way we manage risks across notifications to the “owners” of those bowties, prompting
different facilities? them to review the changes. The facility user can then accept
or reject the changes as appropriate, if they include an
explanation for any exclusions made.
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FMECA
Bowties: A Unified View of Operational Risk
We've seen that there are many ways of assessing workplace risk and preventing
Risk Causes
FAULT TREE ANALYSIS
Stay updated
We’re always adding more content to our blog and our Resources page, so be
sure to check there often!
Bowtie analysis is just one of many tools within our Risk Management solution,
which also includes risk registers, qualitative and quantitative risk analysis, layers
of protection analysis (LOPA), critical controls verification and much more!
Ready to see more? Visit our Risk Management page to request a demo with
one of our customer solutions consultants today!
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