In a previous blog, we have already introduced the guidelines for creating a basic bowtie diagram. Now it is time for you to apply CGE guidelines and the guidelines written in the CCPS/EI book ‘Bow Ties in Risk Management’ to create a usable bowtie. This concept book introduces how to create a qualified bowtie and how to use it in depth for risk management. The bowtie case of this blog comes from process safety, where relevant practical examples can be found. We expect that this blog (a) provides new bowtie users with thorough thinking for creating a bowtie and (b) provide experienced bowtie users with a way to verify the quality of their existing bowties.
Make the hazard and the top event meaningful
The hazard and the top event are the elements that determine the scope of a bowtie. The hazard is an operation, activity, or material with the potential to cause harm. It should show the source of the risk. According to the CCPS/EI book, the hazard can include two types of details: situational context; and an indication of scale. The top event can be described as the very first moment when control over the hazard is lost. Therefore, firstly the top event describes how/what control is lost. Secondly, the top event should happen to the hazard.
In figure 1a, the hazard ‘Chemical/Flammables liquids’ is general and doesn’t describe the context or scale of this chemical. The context information ‘Bulk Storage’ in the top event is not appropriate; while the ‘Flammables liquids in bulk storage’ in Figure 1b is a well-worded hazard because it contains the information of context. The top event ‘Loss of Operational Control’ is also too general for the hazard ‘Chemical/Flammables liquids’ since the operational control loss can refer to different things; while ‘Loss of primary containment’ is more precise and specific in relation to its hazard.
Summarized changes:
- The original bowtie skeleton should be revised accordingly, and an action is added to summarize the changes defined.