CGE Network Event 2018

“Making risk understandable”

List of speakers

Keynote speaker

Dr. André Kuipers

Keynote speaker

Dr. André Kuipers: Astronaut & Ambassador of Earth

See below for more information on André Kuipers.

Chairman

Donatello Piras

Chairman

Donatello Piras: Network Event Chairman

See below for more information on Donatello Piras.

Event host

Arjan Verboom

Event host

Arjan Verboom: Network Event Host

See below for more information on Arjan Verboom.

Background information

Adinda te Veldhuis started her career at one of the big 4 companies as an auditor where she gained experience in different industries. During her time in the utility sector she broadened her expertise from audit to finance and control which she combined with risk management. By aligning all the different expertises in the second line of defense including assetmanagement, security and safety she is able to add value to a companies performance. In her last job in a railway company this resulted in a next step in risk management. Recently Adinda started her own company FinMoreValue, offering a variety of CFO Services.

Adinda te Veldhuis will be the chairwoman of the Global User Group Meeting on Friday, September 28.

Background information

Dr. André Kuipers is the first Dutchman with two space missions to his name. His second mission is the longest spaceflight in European history. In total the ESA astronaut spent 204 days in space: 11 days during mission DELTA in 2004 and 193 days during mission PromISSe.

After years of training in Houston, Moscow, Cologne, Montreal and Tokyo, a Russian Soyuz spaceship launched André and his two crew members from Russia and America on the 21st of December 2011 from Kazakhstan. Two days later he arrived at the International Space Station to live and work for six months. On board he was not only a medical doctor, scientist and flight engineer, but also handyman and ambassador for several charities. On the 1st of July 2012, André returned to Earth and landed in his space capsule in the Kazakh steppe.

Astronaut André Kuipers offers a unique look behind the scenes of international human spaceflight. He shares his story about the training, the mission and his exceptional view of our planet.

Presentation

“Risk Management in space – Technology and Innovation”

In space you can find an outstanding multinational: the International Space Station (ISS). Realised by the United States of America, Europe, Russia, Canada and Japan. André was given the great privilege to work in the ISS twice and be a part of this international enterprise.

The ISS is the largest, most complex, international technological structure ever made by mankind. Working on groundbreaking technology which can exist in an extraterrestrial environment enables us to come to scientific insights about our place in the universe, we gather enormous amounts of information about our own Earth and the life our planet sustains. In space technology is everywhere: when it comes to medical issues, communications, transport, energy and even when it comes to exercising!

Background information

Dr. Ann Lindeis, Director Safety & Human Performance.

Ann holds a PhD in Experimental Psychology and has been working in the field of Human Factors for over 30 years. During that time she:

  • researched pilot performance issues in “next generation” military aircraft;
  • investigated for Human Factors issues in air, rail, and marine accidents at the Transportation Safety Board of Canada, and;
  • joined NAV CANADA, the Canadian air navigation service provider, in 2001.

At NAV CANADA, Ann and her team are responsible for:

  • safety investigations across the Operations, Engineering and Technical Operations groups;
  • the Safety Risk Assessment program;
  • providing Human Factors support in key areas of Human Performance that drive business success;
  • the continuous improvement of NAV CANADA’s Safety Management System.

Presentation

“Common Aviation Risk Models (CARM), the future of safety knowledge sharing”

The general theme of the presentation will be the “art of multiple ‘different but related’ organizations working collaboratively and sharing knowledge to build a single risk bow tie”. The Aloft Group, NavCanada, Air Transat and Japan Airlines will jointly share their perspective on building bowties and the importance of collaboration within the industry.

Background information

Anthony Pateyjohns (GradIOSH DipNebosh) is the UK Rail Safety Professional and Safety and Sustainability Risk Manager at London North Eastern Railway (LNER).

He worked on both sides of risk management, from train to training room. He has seen really good risk management and some not so good. He believes however that any risk management, good or bad, is something if it’s brought to life for the people exposed to the risk. Every effort you make, big or small, keeps you moving forward. Fundamentally he wants to see people from ballast to board room talk about risk in the same language and to demystify some of the dark arts around risk management.

This drive has rewarded him with opportunities to work on or lead in the development ofaward-winningg reporting mechanisms, risk assessment and risk management training packages and lead the delivery of accident/investigation training at all levels.

In his time in UK rail he has worked with Engineers, Operators and Customer Service providers and throughout one thing has been clear, safety is one of the many competing goals people have in their every day working lives, if you want to encourage people to move it up the list of priorities what you do has to be simple and compelling… which brought him to Bow Ties…

Panel discussion

Anthony participates in the panel discussion during the plenary morning program on September 27.

Background information

Anthony has a great depth of understanding of aviation safety management derived from an operational, managerial and academic background. His experience in the industry spans over 30 years. As a safety management professional he has experience as a safety investigator, instructor and consultant. Since establishing Across Safety Development in 2010, clients he has advised, consulted and trained include the UK CAA, RAF, Heathrow Airport, British Airways and the UK Air Accident Investigation Branch.

As a pilot, he has flown a wide range of aircraft types in diverse operating environments. These include international passenger operations on B-747s, regional airline operations in South Australia, seaplane operations in Micronesia and owning and operating a successful flying school. His background puts him in a unique position to really understand the operational issues, challenges and decisions aviation
organizations must make to successfully manage risk.

Presentation

“The use of the Bow Tie to help drive organisational and cultural change”

The CAA has developed two tools over the last couple of years. The first is a Safety Maturity Model (SMM) for regulators and the second is their Regulatory Bowtie. This session covers this Regulatory Bowtie tool, explains where their developed Safety Maturity Model fits in and how BowTieServer supports the CAA to drive process and cultural improvement.

Background information

Antoinette van Antwerpen is Channel Partner Manager at CGE Risk Management Solutions. Antoinet is responsible for overseeing the global partner network of CGE, and acts as an account manager for several large accounts, mainly active in the oil & gas and aviation domain.

The global partner network includes more than 200 consultancy, training and solution partners, offering their services to clients in 12 different industries, ranging from Oil & Gas, Mining, Aviation, Energy to Chemical, Government and Healthcare. She assists partners in increasing their knowledge and skill set in relation to the BowTie method, incident analyses methods as well as the supporting tools, including the long-established BowTieXP risk analysis tool, IncidentXP and state-of-the-art enterprise solution BowTieServer.
From a client perspective, she is frequently involved in brainstorming and strategy sessions in order to assist customers to reach a next level in risk and incident management & assessment.

Antoinette has been in this position for almost ten years. Before this role she was involved in data security solutions. Previous employments include manager of a Chinese company in measurement tools and equipment, communication and sales at an airfreight company in Taiwan. Antoinette has a Bachelor degree in Chinese and English, and has been certified as an Interpreter and Translator in the Chinese, English & Dutch languages.

Antoinette van Antwerpen will be the host of the Global Partner Conference on Friday, September 28.

Background information

In his role as Program Director Arjan is involved in promoting and introducing risk management concepts & solutions. This involvement is direct via marketing & sales activities and via projects with industry leading clients, or indirect via organizing and attending events and trainings around the world together with consultancy partners. The main purpose of these activities is to share knowledge and make people aware of the possibilities of barrier based risk management.

For the last 20 years, Arjan has worked in the Finance as well as the IT Industry, and in the area of Risk Management in particular. Hereby he was responsible for implementing business concepts and software applications at large enterprises. Arjan followed the study for Chartered Accountant (NIVRA) and holds an international degree in Executive Master in Finance & Control.

Arjan is the host of the Network Event.

Background information

Arjan Zipp has been active in software development for his entire professional live with more than 10 years of experience in designing and implementing software for the risk management and accident investigation industry. Bringing together a thorough understanding of the safety-related industry and deep software knowledge, he has delivered a wide range of successful software solutions, including both common-off-the-shelf products as well as bespoke projects.

Arjan enjoys bringing together specialists from different fields and industries, working with them on how to translate their requirements into highly effective risk management software.

Presentation

Interactive product feature update

Background information

Bob van Riek is product manager and team member of the safety expert group at CGE Risk Management Solutions. In his position, he develops new strategies for barrier-based risk management. He is also involved in the development of software solutions BowTieXP, AuditXP, IncidentXP and BowTieServer. In his position, Bob provides training worldwide to safety experts from organisations from a dozen different industries.

Presentation

  • Interactive product feature update
  • BowTieServer: why, for whom and how?
    Workflow and modules

Background information

Brian McConnell is Chief Executive and Finance Director of Kelvin TOP-SET Ltd. Based in the UK, Kelvin TOP-SET specialises in Incident Investigation and problem solving, facilitating investigations and delivering courses in more than 20 countries each year

Prior to joining Kelvin TOP-SET, Brian ran a successful accounting services and consulting business. He was a director and senior consultant to several client companies reviewing existing business processes and exploring business failures, with a view to re-engineering the businesses to maximise their potential.

One of the main areas in Brian’s various roles is the review and management of business risk. Business risk is ever present and the focus is on change or what is different. Nothing stays the same. Change is the one constant. The TOP-SET model is a very useful way of addressing this topic and gives a clear structure to the review process.

Workshop

“Making business and safety even better”

Learning from ‘Weak Signals’
Over the years it is undoubtedly clear that safety is improving and yet there are major gains to be achieved by digging even deeper. Identifying ‘Weak Signals and Indicators’ can help companies make further improvements to business and safety performance, and importantly, avoid incidents and accidents.

Examples
In this presentation, examples will be given from several industrial sectors on how identifying seemingly unimportant indicators can be the key to preventing failures, even disasters, while establishing the opportunities for significantly enhanced performance across the whole company.

Tools and Techniques
The application of straightforward tools and techniques, from visual risk assessment to investigation and barrier analysis methodologies, will be illustrated and illustrating how TOP-SET, Tripod, Bowtie, and CGE help companies through co-operation.

Panel discussion

Brian participates in the panel discussion during the plenary morning program on September 27.

Background information

Coen van Gulijk is Professor of Railway Safety and Risk at the University of Huddersfield. His works focuses on Big Data Risk Analysis for the GB railway in partnership with RSSB. He has published several papers and chapters on the subject and is introducing the techniques to railway partners in the UK and abroad.

Workshop

“Big Data in your BowTie”

This workshop discusses how data from different sources are linked-up with BowTieServer. A brief introduction makes the compelling case for the introduction of data analytics in BowTie software. Subsequently, some practical techniques on the GB railways are featured and the workshop closes with a sneak preview of the safety analyst of the future.

Background information

Daniel has had a diverse career working in various risk management roles over the past 20 years. His career started with working in HSE Management on ports and mine sites in the remote Pilbara Region of Australia’s far North-West Region. After 5 years in various mining roles, Daniel made the transition to Oil and Gas where he originally continued in HSE Management for onshore and offshore construction projects in Australia and New Zealand, before moving into a HSE in Design Role with Technip based in Paris. With Technip Paris he worked for 6 years in Engineering Risk Assessments for Conceptual, FEED and Detailed Design projects, including the challenging Shell PRELUDE FLNG destined for the Australian Offshore regulatory environment.

Following his time in Technip’s design office, Daniel took on a corporate training role where he was responsible for the development and global deployment of a program based on Inherently Safer Design, Human Factors and Barrier Based thinking in engineers. This was followed by 3 years spent in Malaysia as the HSE Risk Manager – Program Management Consultant on a major industrial city design and construction. Today, Daniel works in a Group Operational Excellence Manager for SBM Offshore in Monaco. In this role, he is responsible for further developing processes relating to the management of Major Hazards across the lifecycle of Group assets.

Panel discussion

Daniel participates in the panel discussion during the plenary morning program on September 27.

Background information

Quality and safety thinking in healthcare is developing steadily in the last decades. The pace of this development is relatively slow. Who is to blame? Healthcare workers for their lack of effort or are current systems unable to support the healthcare industry. Is there a role for regulatory bodies or is the industry responsible. Currently analysis of critical events is a local action. Improvement measures are not shared. Is there a way of helping the healthcare industry forward?

Dave Dongelmans is an ICU physician, his interest in quality in safety emerged during his PhD thesis. The subject was the safety of automation of mechanical ventilation. This interest led to a number of positions in and outside the hospital relating to quality and safety. Ranging from chairmen of the Dutch intensive care evaluation (NICE) to member of the in-hospital committee reviewing sentinel events. He is also chairmen of SupraNET GGZ an organization trying to improve quality of care for people at risk for suicide using quality indicators and audit and feedback as its main tools. Not surprisingly his research focusses on quality and safety in healthcare. In a current project together with the Dutch Federation of University Hospitals (NFU), he works with a team on understanding the quality of improvement measures.

Panel discussion

Dave participates in the panel discussion during the plenary morning program on September 27.

Background information

David graduated from Oxford University with a BA in Mathematics in 1991. After obtaining a Ph.D. in Civil Engineering from the University of Newcastle-upon-Tyne he joined a risk management consultancy working in the rail, nuclear and environmental sectors.

For the past 12 years, he has worked for the Rail Safety and Standards Board in risk management and has extensive experience of applying probabilistic methods to a wide range of risk issues. He has a comprehensive knowledge of how the rail industry takes safety decisions and is responsible for developing the guidance to support the GB rail industry in reducing risk so far as is reasonably practicable (SFAIRP). He has also worked on the Common Safety Method for risk evaluation and assessment (CSM RA) and associated European guidance.

Presentation

“The use of BowTies to improve understanding and collaboration in the GB rail industry”

Britain’s railway system is one of the safest and most intensively used rail networks in the world. This good safety performance has been achieved by close co-operation between teams and companies, the adoption of advanced health and safety management systems, and the effective application of technology. However, the rate of safety improvement has slowed over the past few years. In response the industry has developed a framework for the collaborative improvement of health and safety, focussing on the areas where it is necessary for companies to work together to improve performance.

One risk area where companies have been collaborating to manage is freight train derailments where the cause of the derailment is a combination of the condition of the track and the condition/loading of the wagon. Bowtie has proved to be a very useful tool in understanding how this shared risk is managed across organizations. This has then led to a prioritized plan of work to improve aspects of these controls as well as a strategy for the ongoing monitoring of this risk.

Background information

Professional Process Hazard Analyst with over 30 years experience of Major Accident Hazard facilities and Design, Operating & Consulting roles in highly regulated industries including Oil & Gas, Pharmaceuticals, Energy & Chemicals.

Responsible for development, deployment & monitoring of Process Safety Management Systems.

Proven, experienced leader of Hazard Identification (HAZOP/HAZID) and Risk Assessment (LOPA/QRA) studies. Fully familiar with all process hazard analysis software tools (including PHA-Pro and BowTieXP)

Practical application of Functional Safety Management principles including SIS Specification & Design and SIL Verification in accordance with recognized international standards (IEC 61508/11)

Execution of Alarm Management projects, tools, techniques and standards/guidelines.Voting member of the ISA S18 committee participating in the development of the standard (18.02) for “Management of Alarm Systems for the Process Industries”

A member of the IChemE Safety & Loss Prevention Subject Group and a specialist in Process Automation, Hazard Analysis and Alarm Management; authoring and presenting papers on these key subjects.

Workshop

“Barrier Qualification & Quantification – using LOPA to evaluate risks and exploiting BowTieXL to perform numerical analysis”

Bowtie analysis provides a clear visual model of a scenario where the loss of control of a Hazard is caused by Threats and results in undesirable Consequences. The ‘line of sight’ between Threat(s) and Consequence(s) is obstructed (prevented or mitigated) by Barriers and, although we can categorize (color) barriers by their Effectiveness, the illusion of ‘defence in depth’ may not be sufficient to provide the necessary risk reduction. In order to more fully evaluate the potential risks (taking into account the frequency of Threats and the severity of Consequences) and the adequacy of the protection measures (Barrier performance), Layer of Protection Analysis (LOPA) is a simple but effective risk assessment method which can be performed to quantify the scenario. A plug-in is available for BowTieXP which provides an efficient but mathematically robust tool for conducting LOPA studies.

This workshop will demonstrate the conventional use of the LOPA plug-in as well as showcasing the power & flexibility of BowTieXL which allows users to use recognizable Excel functions to customize their analysis to perform sensitivity analysis e.g. what is the outcome range if the Threat frequencies or Barrier probabilities lie within upper & lower boundaries of uncertainty. Quantifying the bowties also provides a means to consistently evaluate the benefit (risk reduction) that barriers provide compared to the cost of installing (CAPEX) and maintaining (OPEX) them. With limited resources, it makes sound business sense to direct your efforts to sustain the barriers that provide the greatest return on investment.

Background information

Donatello Piras (1976) is chairman, presenter and debate leader with years of national and international experience.

He works as a television presenter for RTL-Z where he presents the Talkshow – Z in Business – and takes care of the weekly TV column in opinion show – Dunk. Donatello can be found on a stage almost every day. His energetic performances are characterized by professionalism, enthusiasm, and asperity.

Donatello Piras will be the chairman of the morning program on Thursday, September 27.

Background information

A leader in the provision of technological solutions for business improvement. Over eighteen years of experience developing and successfully deploying software-based solutions to the Oil and Gas, Maritime and Petrochemical sectors. The solutions range from incident investigation to risk analysis to workforce development and are currently in use across the globe. Edi currently runs a software and consultancy company focused on the increase of efficiency and reduction of risk for safety conscious, procedural driven industries.

Workshop

“Operationalizing the Bow-Tie: barrier ownership of frontline workers”

All companies commit significant investment in process safety and keeping their management systems up-to-date. However, these systems tend to stay in the office and fail to reach the frontlines where work is being executed and where the barriers really make a difference. During this workshop, Rider shows you how they operationalize their risk management approach to the next level and creates a cohesive story for the people who deliver the work and play a significant role in effective barrier management.

Panel discussion

Edi participates in the panel discussion during the plenary morning program on September 27.

Background information

In his capacity as Global Business Development Manager for Kelvin TOP-SET, George has worked with some of the world’s leading companies to improve the quality and consistency of their incident investigations and thus, improve operational performance.

As a qualified Kelvin TOP-SET Senior Investigator with an MBA and over 14 years of experience of working with clients to help them improve and streamline their approach to investigation, George is committed to promoting industry best practice with respect to incident investigation, preventing harm and organisational learning.

Workshop

“Making business and safety even better”

Learning from ‘Weak Signals’
Over the years it is undoubtedly clear that safety is improving and yet there are major gains to be achieved by digging even deeper. Identifying ‘Weak Signals and Indicators’ can help companies make further improvements to business and safety performance, and importantly, avoid incidents and accidents.

Examples
In this presentation, examples will be given from several industrial sectors on how identifying seemingly unimportant indicators can be the key to preventing failures, even disasters, while establishing the opportunities for significantly enhanced performance across the whole company.

Tools and Techniques
The application of straightforward tools and techniques, from visual risk assessment to investigation and barrier analysis methodologies, will be illustrated and illustrating how TOP-SET, Tripod, Bowtie, and CGE help companies through co-operation.

Background information

Hans Kerkkamp was trained as a Medical Doctor (1982) and specialized in anaesthesia and intensive care (1987) in the Netherlands (NL). During his work as an anaesthesiologist he was also a member of the board of the National Society of Anaesthesiologists (1991 – 2004). He was one of the founders for a system for quality performance and audit in anaesthetic practices in hospital care. He was chairman of several national guidelines committees (Peri-operative Nutrition, Pain relief in Obstetrics, Peri-operative management (patient safety related), Management of Intensive Care Departments). As a chairman of the National Society of Anaesthesiologists (NVA) he put Quality and Safety on the National agenda. He was responsible for setting up a general system for peri-operative complication registration. He developed, in collaboration with the National Society of Medical Specialists, a system for quality control by using performance indicators (2004) for health care delivery.

From 2002 to 2007 he was Professor in Anaesthesia at the University Medical Hospital in Utrecht (UMCU), The Netherlands. Besides his clinical work, he was involved in research, management and teaching. He introduced clinical pathways for major oncology diseases at the UMCU and showed by scientific studies the benefits of clinical pathways (reduction of length of stay at the ICU, reducing postoperative complications). Another part of his work was focused on the logistics of patient flow. He was chairman of a task force at the UMCU who developed a system for separating high volume low care versus low volume complicated care.

In 2007 Hans became a Board member of a General Top-Clinical Hospital (Atrium MC) in the Netherlands (> 1200 beds). He was responsible for clinical performance, medical education and teaching, quality and safety, innovation and research. He introduced many quality and safety systems at Atrium MC: clinical audits, a dashboard for quality control, a system for safety in surgery (business redesign), lean management at wards (productive ward), clinical pathways, etc. Many quality improvement activities were related to the concept of patient-centered care. He established a patient council which participated in the health strategy development of the hospital. Other activities he developed and implemented were decision making in oncology, care guarantees and online patient experience measurement systems. All these activities did result in an improvement in patient satisfaction.

In August 2014 he ended his work as a board member and started his own consultancy company. He developed a national clinical leadership program for medical doctors focussed on quality and patient safety improvement. This program was developed and executed in collaboration with IQ Healthcare (NL), CBO-TNO (NL) and IHI (USA).

From January 2015 until May 2018 he was appointed at the Hamad Medical Corporation (HMC) in Qatar. HMC provides hospital care services for more than 90% of Qatar’s population and has around 30.000 employees. Working as an executive director program development he was responsible for the development and implementation of quality and patient safety programs. Aligned with the Qatar National Health Strategy II he developed an HMC Employee Wellbeing strategy and operational program. The program is based on the identification of lifestyle health risks and offering of intervention and support programs for mitigation of these risks. In June 2018 he returned back to The Netherlands and is working as an (inter)national consultant for health care.

Workshop

“Workforce and Wellbeing Risks for Employees”

The purpose of the workshop is to share tools with participants to identify health and wellbeing risks for employees. These tools can be used to create awareness for employees and can support individuals as well as groups to change unhealthy lifestyle into a healthy lifestyle. Wellbeing risks are related to both physical (overweight) and mental health (stress, burn-out).

Background information

Iain is an internationally recognised railway safety risk professional with an understanding of legal, organisational, operational and engineering issues. His current role: Head of Safety and Sustainability at London North Eastern Railway (LNER).

In this position Iain leads a team of risk management professionals, tackling safety and sustainability in a highly dynamic organisation. He’s responsible for the creation and delivery of the Safety and Sustainability Strategy.

Workshop

“Big Data in your BowTie”

This workshop given together with Coen van Gulijk from Huddershield University.

This workshop discusses how data from different sources are linked-up with BowTieServer. A brief introduction makes the compelling case for the introduction of data analytics in BowTie software. Subsequently, some practical techniques on the GB railways are featured and the workshop closes with a sneak preview to the safety analyst of the future.

Background information

Captain Mignault joined Air Transat in 1998, following a 24-year career in the Canadian Forces as a military officer and pilot. While in the military, he held a number of staff and command assignments in addition to accumulating flying experience in training and transport type aircraft. He was Commanding Officer of a tactical transport (Hercules) squadron located in Trenton, Ontario, from 1993 to 1995, when Canada participated in United Nations operations in Bosnia and in Rwanda.

As an airline pilot, Captain Mignault has held instructor and check pilot positions on both the L-1011 and A-310 aircraft. He was responsible for the management of the Quality and Safety Management System at Air Transat until January 2016.

Career Summary:

1975-1996 – Canadian Air Force; Military Officer and Pilot

  • 1977-1980 Flight and Simulator Instructor, Check Pilot – Canadian Forces Flight Training School
  • 1980-1982 Captain – C130 Hercules
  • 1983-1985 Assistant to the Chief of the Defence Staff
  • 1985-1988 Captain, Flight and Simulator Instructor, Check Pilot and Squadron Chief Pilot – B707 (NATO-AWACS)
  • 1988-1993 Assistant to the Minister of National Defence
  • 1993-1995 Squadron Commanding Officer – C130 Hercules
  • 1995-1996 Staff Officer to the Vice-Chief of the Defence Staff

1996-1998 – Air Club International – Captain A310

April 1998 to present – Air Transat

  • 1998 First Officer – L1011
  • 1999 Captain – L1011
  • 2000 Check Pilot and Supervisor, Flight Operations
  • 2004 Manager, Training, Quality and Standards; Captain A310 and Check Pilot
  • 2008 Director Flight Safety and Operational Security; Captain A330 (2010)
  • 2013 Senior Director, Safety, Quality and Security
  • 2016 Project Lead – Quality and Safety Management Information System Replacement

Presentation

“Common Aviation Risk Models (CARM), the future of safety knowledge sharing”

The general theme of the presentation will be the “art of multiple ‘different but related’ organizations working collaboratively and sharing knowledge to build a single risk bow tie”. The Aloft Group, NavCanada, Air Transat and Japan Airlines will jointly share their perspective on building bowties and the importance of collaboration within the industry.

Background information

Jop Groeneweg gratuaded cum laude in Experimental Psychology in 1985 at Leiden University, The Netherlands. The subject of his master thesis was: “Human factors and accidents at sea”, later published in the International Journal of Man-Machine studies. His field of expertise shifted somewhat to the petrochemical industry when, in a joint contract with the Victoria University of Manchester, Shell International Petroleum – Department Exploration and Production, came with a proposal to do research into the problem of how to eliminate the human factor in the accident causation process. This project resulted in a report: “Tripod, a principled basis for accident prevention”, a PhD in 1992 and several publications. Part of the project required extensive research on a wide range of locations, from areas like offshore installations on the Dutch and U.K. Continental Shelf to the swamps of Gabon, the desert of Oman, the mountains in Canada and the jungle of Sarawak. He is Assistant Professor at the Unit of Cognitive Psychology and project manager Human Error at the Centre for Safety Research at Leiden University, the Netherlands. He is also part-time senior researcher at the Dutch research institute for applied science TNO.

As a part-time lecturer at The Netherlands School of Public Administration (NSOB) and the Dutch Academy for Occupational Health and Safety (TNO-PHOV) he presents safety-related courses to a wide range of companies and organizations. As a member of several committees of the Dutch National Health Council, he advises the Dutch government on safety and occupational health matters. Recent projects include the development of accident investigation tools for the Dutch Safety Board, research on critical success factors of Safety Management Systems for the Dutch Transport Department and implementing. Jop Groeneweg is associated to Advisafe Risk Management B.V. as a scientific consultant.

Jop Groeneweg is a professor of ‘Safety Assurance in Healthcare’ at Delft University of Technology in the Netherlands. His focus is on quantifying and modelling the factors contributing to a Just culture and its relation to organizational learning capabilities. Jop Groeneweg frequently gives presentations and lectures about human factors in safety and safety-related issues at international conferences and symposia.

Workshop

“‘Live’ Risk Expert Session: changing attitudes and risk perceptions”

In this session, the ‘Content Form Source model’ is up for discussion, and Jop raises the question of what content and form a safety message should have in order to communicate most effectively? And who should be the messenger?

At the end of this workshop you will understand the factors that influence risk perception, the important role of communication in shaping risk perception, and you will realize that focus on factual content of information is not sufficient to change peoples perception but the way it is communicated (Form) and the person (Source) who communicates the message is crucial for shaping risk perception. The workshop aims to provide you with insights in ways to manage this ‘Form’ and ‘Source’ effectively and it will help you to judge the effectiveness of your own safety campaigns using the ‘Content Form Source framework’.

Panel discussion

Jop participates in the panel discussion during the plenary morning program on September 27.

Background information

Mark has worked in the risk field since 1983 for organisations from a range of different markets sectors, including oil and gas, chemicals and petrochemicals, healthcare, pharmaceuticals, rail, aviation, medical devices and government organisations.

Mark has worked in a number of countries including the UK, USA, Norway, Hong Kong and Australia. He has held management positions for business development, consulting and software operations.

This work has included enterprise risk management, governance, technical risk assessments, risk management systems, patient safety, accident investigation, reliability studies, feasibility studies and other relates areas.

Mark is currently a Director at DNV GL in the UK.

Mark is also the Chairman of the Board for Grovewell Garden Centres and Honorary Member of the Governing Board for Greig City Academy (where he is representing the Tallow Chandler company’s benevolent fund which is supporting the academy in the STEM subject area).

Specialties: enterprise risk management, governance, technical risk assessments, risk management systems, patient safety, accident investigation, reliability studies, feasibility studies and other relates areas.

Workshop

“Introduction to upcoming Bow Ties in Risk Management Book”

DNV GL was the lead author of the Energy Institute and Center for Chemical Process Safety (CCPS) book on ‘Bow Ties Risk Management’ (due to being published in mid-2018). The book reviews the foundation of the method, provides instructions on how to draw a bow tie correctly and how to avoid common errors. Typical constructs for typical process threats/causes – corrosion, external impact, operating outside the design envelope, etc. are demonstrated. The risk management information associated with a barrier is explained, e.g. barrier owner, performance expectation, pending actions, related documents. The guideline would address how to convene a team to develop the bow tie diagram and how the review process should be done. Its use in ongoing facility operational management is discussed as well as how it links to ongoing incident investigations. Application useful for Chemical, Pharma, Refiners, Government Agencies, Oil & Gas particularly off-shore technology and many others.

DNV GL, together with representatives of other authors of the book, including CGE, will share with you an overview of the contents of this new book and how you can apply its guidelines.

Background information

Mark is a Senior Consultant specializing in Risk Management within the world renowned aviation safety consultancy Baines Simmons, having served previously in the British Army for 12 years as both an Infantry and Artillery Officer. Mark’s military service has given him a unique perspective on the topic of risk and risk management, and his experience is now being employed in the development and improvement of risk management capabilities in both civil and military aviation sectors. Mark delivers risk management training, advice and guidance to military aviation professionals across the three services at the UK Ministry of Defence’s International Defence Academy at Shrivenham as well as to civil operators, aircraft service providers, airport authorities and regulators worldwide.

Mark has worked with Bowties since 2013 when they were used to support the safety argument for the release to service of the first large remotely piloted aircraft (drone) to fly in non-restricted UK airspace. Since that first experience Mark has become a true convert to the communicative and collaborative benefits Bowties offer to organisations struggling with complex, multifarious and rapidly evolving risk portfolios.

Mark’s experience in military and civil risk management has taught him both how important it is and how difficult it can be to accurately and effectively explain risk to the critical stakeholders within an organisation’s hierarchy using only a single tool. It’s also taught him what can go wrong when risk communication breaks down. Using many of the innovative features within BowtieXP Mark has developed an approach to building and managing Bowties that aims to bring together the various perspectives on risk that exist in large, complex organizations whilst also keeping the scale of effort required to achieve this to a practical and manageable level. His approach is directly targeted at helping workforces communicate their issues, their challenges and their risk exposure up to the accountable management with all the detail and experience required whilst also enabling accountable management to absorb this information in a way they can act upon in a proactive, effective and efficient manner.

Panel discussion

Mark participates in the panel discussion during the plenary morning program on September 27.

Background information

Nine van Barneveld is Manager Process Safety at Tata Steel. Nine has a background in assetmanagement & engineering and is very strong in running improvement programs. Tata Steel IJmuiden has started with an ambitious roadmap Process Safety Management for all factories on the site IJmuiden. Nine is responsible for the development of the roadmap and the improvement of Process Safety Management on the site IJmuiden.

Presentation

“Improve process safety analysis and culture at TATA Steel with BowTie Server”

To further improve the process safety maturity in TATA Steel, they increase the focus on so called Major Hazard Scenarios at all levels in our organization. To achieve this TATA uses BowTieServer to support the risk communication. In addition to this, TATA developed BowTie templates to speak the same ‘Process Safety language’ in order to;

  • be consistent in barrier analysis;
  • determine Process Safety Critical equipment and tasks; and
  • determine the barrier independency and the reliability which TATA linked this to key Safety Management System elements like design performance, safe working procedures, maintenance, training and tests.

In this presentation Ruud & Nine show you the ‘Tata way’ in BowTie development for process safety scenario’s, to make the step towards barrier management, and share the recent implementation experiences of IJmuiden.

Background information

At CGE Paul works as a process safety specialist, supporting clients and partners with the intrductiong of barrier management. Before Paul joined CGE he worked for E.ON Global Fleet Management Centre, as a Process Safety Specialist in the Asset Risk team. Paul’s main role was the rollout of process safety management into the Generation Business Unit. Previously, he has spent four years as a Process Safety Specialist with ABB Global Consultancy delivering solutions to their clients in Petrochemical/Oil & Gas/Power and Speciality Chemical industries. Key focus was technical process safety – consequence modelling, ALARP assessment, SIL assessment and Hazard Study leadership.

Prior to being a process safety specialist, he worked for fourteen years on a number of petrochemical and speciality chemical production facilities. The bulk of his career time was spent working for ICI or divested ICI businesses in the north east of England, being employed in a number of technical support, project management roles and ultimately moving into plant management. Nearly all of the facilities he worked on were classified as COMAH upper tier sites by the HSE and fourteen years in operations on these types of site has given him a good understand of elements that are process safety and this naturally lead to specialising into process safety.

Workshop

“Introduction to upcoming Bow Ties in Risk Management Book”

DNV GL was the lead author of the Energy Institute and Center for Chemical Process Safety (CCPS) book on ‘Bow Ties Risk Management’ (due to being published in mid-2018). The book reviews the foundation of the method, provides instructions on how to draw a bow tie correctly and how to avoid common errors. Typical constructs for typical process threats/causes – corrosion, external impact, operating outside the design envelope, etc. are demonstrated. The risk management information associated with a barrier is explained, e.g. barrier owner, performance expectation, pending actions, related documents. The guideline would address how to convene a team to develop the bow tie diagram and how the review process should be done. Its use in ongoing facility operational management is discussed as well as how it links to ongoing incident investigations. Application useful for Chemical, Pharma, Refiners, Government Agencies, Oil & Gas particularly off-shore technology and many others.

DNV GL, together with representatives of other authors of the book, including CGE, will share with you an overview of the contents of this new book and how you can apply its guidelines.

Background information

Paul van Rossum is Technical Safety expert in the oil & gas. He has experience in many diverse areas, covering Risk Assessment, CFD modelling, facilitator for PHA studies and professional software development. Paul is specialised in CFD exceedance (gas explosion / dispersion / ventilation analyses) studies. Other fields of specialisation include QRAs, RAM and PHA studies. He acts as facilitator for HAZOP, HAZID, LOPA, SIMOPS, FMEA and BowTie.

Workshop

“Bowtie by numbers – quantifying bowtie diagrams for carbon capture”

This presentation will reference bowtie work carried out for CCS projects such as Goldeneye and Quest, and in particular will discuss Risktec’s latest collaboration with Shell, RWTH Aachen and Heriot Watt Universities as part of the EU-funded DETECT project.

CCS (Carbon Capture and Storage) is a technology that captures carbon dioxide (CO2) and transports it by either pipeline or ship for safe and permanent underground storage. The goal is to prevent CO2 from entering the atmosphere and contributing to climate change.
Bowtie analysis of the hazards associated with subsurface storage provides a rigorous, easy-to-communicate assessment of the risks associated with failing to contain the CO2, while identifying and examining the barriers in place to prevent leakage as well as the mitigation measures that minimize the consequences of any release. Quantifying the resulting bowties provides an additional dimension and generates useful inputs to project decisions and plans. This session will demonstrate how qualitative bowtie analysis with quantification of the bowtie can be applied to evaluate and assess the risks of CO2 leakage from CCS, whilst also aiding risk reduction decisions.

Background information

Peter has worked in the UK Civil Aviation Authority for 7 years, starting off in the Air Traffic Standards Division, primarily dealing with European Legislation relating to Air Traffic Management. He took a broadening job for 3 and ½ years working as the Executive Assistant to the Chief Executive and the Chair of the CAA Board where he was exposed to the full range of Safety, Security and Economic oversight that the Authority conducts, moving back into the safety focussed environment, in 2017 as the Authority’s Safety Assurance Lead. In this role, he has an internally focussed remit to assure the CAA Board that the organisation is doing the right thing, at the right time, with the right resource. In delivering this objective he has used the bow tie methodology to conduct analysis and to help drive cultural and safety improvement and whilst a relative newcomer to bow ties, is a committed convert.

During his time at the UK CAA, Peter has been involved in a significant amount of International work, including Chair of the European Commission’s Single European Sky ATM Research (SESAR) Working Group for National Authorities. Prior to joining the UK CAA, Peter was an Officer in the UK Royal Navy, where he was an Air Traffic Controller for 18 years. In this role, he worked at the UK’s En-Route Air Traffic Control Centres (ACC) and onboard Aircraft Carriers. He promoted and helped develop the concept of the Flexible Use of Airspace in the UK and latterly, was heavily involved in Defence equipment support and procurement before joining the UK CAA.

In his spare time, Peter is a keen gardener (probably to do with his surname) and enjoys science fiction (Star Trek etc) and online gaming, with friends scattered across the globe.

Presentation

“The use of the Bow Tie to help drive organisational and cultural change”

The CAA has developed two tools over the last couple of years. The first is a Safety Maturity Model (SMM) for regulators and the second is their Regulatory Bowtie. This session covers this Regulatory Bowtie tool, explains where their developed Safety Maturity Model fits in and how BowTieServer supports the CAA to drive process and cultural improvement.

Background information

In his role as Enterprise Risk Manager at Rolls-Royce Plc Peter supports the development and deployment of innovative toolsets that deliver tangible benefits to risk management within the company. As part of the company’s risk transformation programme Peter has introduced the bow tie method to Enterprise Risk Management (ERM), with a pan organisation approach to revitalise risk identification and treatment whilst focusing the company on managing the controls that matter.

In addition to this work, Peter supports day to day risk management activity in Rolls-Royce’s operating functions, which includes, HS&E, IT, business continuity and purchasing.

Presentation

“Using bowties to manage Operating Risks”

In his presentation, Peter will describe the journey that Rolls-Royce is on to enhance risk management using the bow tie method. Peter will focus on how the technique has been applied to principal and key operating risks and how this approach has been successfully managed in a large and complex organization.

Background information

Ruud has been responsible for safety within various positions at TATA: occupational Safety for Business Unit Packaging and Process Safety for site IJmuiden.

With his background in occupational safety, radiation and public safety, he’s currently managing Process Safety for TATA Steel Europe.
Ruud has introduced the bowtie method in TATA to improve the complexities around understanding and managing Major Hazard scenario at all levels in the organization.

Presentation

“Improve process safety analysis and culture at TATA Steel with BowTie Server”

To further improve the process safety maturity in TATA Steel, they increase the focus on so called Major Hazard Scenarios at all levels in our organization. To achieve this TATA uses BowTieServer to support the risk communication. In addition to this, TATA developed BowTie templates to speak the same ‘Process Safety language’ in order to;

  • be consistent in barrier analysis;
  • determine Process Safety Critical equipment and tasks; and
  • determine the barrier independency and the reliability which TATA linked this to key Safety Management System elements like design performance, safe working procedures, maintenance, training and tests.

In this presentation Ruud & Nine show you the ‘Tata way’ in BowTie development for process safety scenario’s, to make the step towards barrier management, and share the recent implementation experiences of IJmuiden.

Background information

Master of Science at the Polytechnic of Milan in Environmental Engineering. Post-graduate Master in QHSE Management.
Simone spent one year as a researcher for the Polytechnic dealing with wastewater treatment plants and two years in the business of industrial gases. He joined Saipem Health Safety and Environment department in 2005, supporting offshore assets construction and upgrading projects. He was in charge of HSE aspect for the pipe-lay vessel CASTORONE design and construction and for Saipem 7000 J-lay tower upgrade project.  Since 2014 he is Offshore Asset & Operations HSE Manager for Saipem E&C Offshore Division. Since May 2016 he leads the implementation of Offshore Construction Vessels Integrity Model in Saipem.

Panel discussion

Simone participates in the panel discussion during the plenary morning program on September 27.

Background information

Steve has worked for BAE Systems for 20 years across three continents and been involved in design, certification and sustainment of a number of complex defence systems. During his career he has worked on the design of the F-35 Joint Strike Fighter mission system, been responsible for system safety assessment and certification of the Eurofighter Typhoon aircraft avionics system and was the Independent Safety Assessor on the Royal Australian Navy Canberra Class amphibious assault ship. Steve has worked extensively on developing safety management systems across both the design and operational domains. In his current role of Enterprise Safety Risk Manager Steve is responsible for implementing a barrier-based risk management approach across the business. Steve has a Masters of Engineering in Mechatronics from the University of Lancaster and is a Chartered Engineer in the UK and a Chartered Professional Engineer in Australia.

Presentation

“Integrating our Safety Management System”

BAE Systems Australia has been on a journey to develop an Integrated Safety Management System across their entire business; this is the story of the goals they set themselves, the challenges they have faced and the successes achieved and how barrier based risk management has become a key enabler in reaching their objective.

Background information

Stuart Chia is the Director & Principal of Sherpa Consulting that is comprised of highly skilled team of risk management, environmental and technical safety professionals with extensive industry experience in the areas of critical infrastructure, government, energy & chemicals and transportation sectors. Stuart is a chemical and environmental engineer with over 24 years’ experience in the process safety, risk management and environmental engineering field. He has been involved in establishing and implementing barrier thinking culture across enterprises. Stuart facilitates bowtie workshops and conducts barrier thinking training.

Presentation

“Experiences in operationalizing bowties using BowTieServer”

Viva Energy is one of Australia’s leading energy companies operating a refinery and a nationwide network of more than twenty fuel import terminals supplying a quarter of the country’s total liquid fuel energy requirements. Viva Energy has been embedding and operationalizing major hazard bowties at their facilities. Viva Energy recently acquired Bowtie Server and this presentation will highlight experiences to date.

“Embedding Barrier Thinking into the ‘Day in a Life’ – An Offshore Production Platform Case Study”

In the current energy market environment where technical and financial resources are constrained, ensuring the safety and integrity of offshore assets continues to be part of the company business driver. The challenge for safety professionals is to assist management in optimizing the investment in risk control measures such as maintenance and inspection, production operations and training to minimize the potential for major accident events. In mid-2015, Hess Corporation embarked on a journey to improve overall risk management by integrating company-wide barrier based thinking though the application of bowties in the ‘day in the life’ operations. This presentation outlines this journey.

Background information

Tom Lintner is currently the Founder, President and CEO of The Aloft Group, LLC, as well as Managing Director of Aloft Aviation Consulting, Ltd., in Dalkey, Ireland. His 45 years in aviation includes experience in both government and the private sectors, the U.S. Federal Aviation Administration, air traffic control, flight operations, accident investigation, emergency management, safety and risk management. Tom is a citizen of Ireland and the United States and a safety auditor trained by EUROCONTROL and ICAO. He is also a member of the US DOT team supporting NATO in Brussels as a Civil Expert specializing in Emergency Operations, Air Traffic Control and Flight Operations. Tom holds U.S. Airline Transport Pilot, Flight Instructor, Aircraft Dispatcher, and Air Traffic Controller licenses. He is a member of the International Air and Transportation Safety Bar Association and the International Society of Air Safety Investigators.

Presentation

“Common Aviation Risk Models (CARM), the future of safety knowledge sharing”

The general theme of the presentation will be the “art of multiple ‘different but related’ organizations working collaboratively and sharing knowledge to build a single risk bow tie”. The Aloft Group, NavCanada, Air Transat and Japan Airlines will jointly share their perspective on building bowties and the importance of collaboration within the industry.

Background information

Toshiya Manabe has worked for Japan Airlines from 1981 as a Flight Engineer. He has over more than 13000 hours experience as a Flight Engineer of B747 classic (23 years). Additionally, Toshiya also has experience as a senior flight engineer for the Pacific route.

From 2010 onwards, Toshiya changed his position to safety analyst for flight operations. And as part of this position, he introduced BowtieXP to JAL in 2013. Japan Air Lines has built more than 100 Bowtie files.
Toshiya attended basic BowTieXP training from Across Safety Development, the Risk Management Master Class and eventually the “Train the trainer program” from CGE Risk Management Solutions. Furthermore, Toshiya spoke about his experience during an aviation workshop by CGE in Singapore (2016).  He had the training of HFACS from HFACS INC. as well and introduced HFACS (Human Factors Analysis Classification System) at Japan Air Lines. Toshiya customized the look up tables and started to analyzing events by using IncidentXP with HFACS.

Specialties: risk management with Bowtie, human factors analysis, safety management system, resilience studies and other related areas.

Presentation

“Common Aviation Risk Models (CARM), the future of safety knowledge sharing”

The general theme of the presentation will be the “art of multiple ‘different but related’ organizations working collaboratively and sharing knowledge to build a single risk bow tie”. The Aloft Group, NavCanada, Air Transat and Japan Airlines will jointly share their perspective on building bowties and the importance of collaboration within the industry.