Blog archive2018-02-20T17:08:52+01:00

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Lion Air Flight 610 – So who’s to blame?

One year ago the domestic flight Lion Air Flight 610 crashed into the Java Sea thirteen minutes after takeoff, killing all 189 people aboard. The final investigation report was published on the 25th of October 2019. The media were keen on having their most pressing question answered: Was it the aircraft, was it the airline or was it the crew? But the question where we could derive enduring insights from should not be who was accountable, the question should be: how and what can we learn from accidents where responsibility [...]

November 5th, 2019|Blog|

Bowties for pizza delivery drones?

Guest blog by Anthony Venetz from Across Safety Development Love them or hate them, drones are now a part of the aviation environment. They represent a huge spectrum of equipment types, use cases and operators, and somehow they all need to be managed so as to ensure the safety of manned aviation and people on the ground. The BowTie methodology is playing a key role in that process. Being a company specializing in the use of BowTie across all sectors of the aviation industry, we at Across Safety have been [...]

October 15th, 2019|Aviation, Blog|

ISO 31000 blog series – Monitoring and review – Learning from incidents with bowties

In the previous ISO 31000 blog, we saw the inherent difficulties in incident analysis and learning from incidents. In this software blog, we focus on how IncidentXP helps tackle these difficulties. IncidentXP guides you through the process of incident investigation. 7 steps Notably, IncidentXP supports you in the following 7 steps: Fact-finding Timeline Event chaining Identifying barriers Assessing barrier state Causation analysis & categories Recommendations and Reporting/linking to bowtie diagram The details on each of these steps can be found in other blogs or in this YouTube video. For the [...]

October 2nd, 2019|Blog|

ISO 31000 blog series – Monitoring and review – The harsh reality of incident investigation

In the previous ISO 31000 blogs, a plan has been drawn up and communicated clearly with the help of bowties. The next question then becomes, how do we know our plan is working as we had imagined? Is our paper world close to the reality of the real world? In ISO 31000’s framework, we Monitor and Review so that we may improve the quality of our process. In these final ISO 31000 blog posts, we will explore the topic of incidents and the inherent obstacles therein. The harsh reality of [...]

September 18th, 2019|Blog|

LOPA Risk Assessment “By the Numbers”

Guest blog by David Hatch from Process Safety Integrity As BowtieXP users become more proficient in model development (often guided by the CCPS/EI concept book which includes significant contributions from CGE) they wish to exploit enhanced functionality to provide more accurate risk assessments to inform their decision making. Adding value to qualitative risk assessment (matrices) BowTieXP provides customizable risk matrices which estimate the Inherent & Residual risks based on the combinations of Severity & Likelihood. Threat frequency, Barrier effectiveness & Consequence severity all influence the outcome, however, these are often [...]

September 9th, 2019|Blog, BowtieXP, Quantification|

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