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Copyright © 2016 IP Bank BV
The world leading provider of barrier based risk management solutions
www.cgerisk.com
Copyright © 2016 IP Bank BV
4
3
Software
Methods & Training
Development Projects
PartnersTrainingConsultancy
Capturing industry expertise
ResearchBuilding concepts
Standard toolsIndustry leading
2
1
CGE Risk Management Solutions
Copyright © 2016 IP Bank BV
Industries using bowtie
Oil & Gas
Energy
Chemical
Aviation
Mining
Healthcare
Financial
Government
IT
Copyright © 2016 IP Bank BV
4The world’s leading provider of barrier-based
risk management solutionswww.cgerisk.com
Copyright © 2016 IP Bank BV
Afriqiyah Airways
Air New Zealand
Air France
Airways New Zealand
Air Service Gabon
AirTanker Services Limited
American Airlines
Amsterdam Schiphol Airport
ArkeFly
Ascent Flight Training
Avinor
Belfast City Airport
Bizjet Aircraft and Helicopters Management
Boeing Defense UK
Bristow Helicopter
Britair France
British Airways
Canadian Base Operators
Civil Aviation Authority UK
Civil Aviation Authority Singapore
CASA - Civil Aviation Safety Authority
CHC Helicopter
Christchurch International Airport Civil Aviation Authority UK Corendon Dutch AirlinesDGAC ERA Helicopters FAAFinnair Afriqiyah Airways
Finnish Commuter Airlines Flair Air Flight Safety Foundation Freebird AirlinesHong Kong Civil Aviation Department HOP Brit AirItalflyIrish Aviation AuthorityJapan AirlinesJayrow HelicoptersJazeera Airways JetStar Kelowna Flightcraft KLM Royal Dutch AirlinesKLM UKLondon City AirportMalaysian AirlinesManchester Airport
MHS Aviation
Military Aviation Authority UK
Nayak Aircraft Services
Noordzee Helikopters Vlaanderen
Norwegian Air
Norwich Airport
Oman Air
Pegasus Airlines
Qantas
Royal Australian Air Force Australia
Royal Air Force UK
Royal Netherlands AeronauticalAssociation
Ryanair
SFS Aviation
Singapore Air Transport Training College
Shell Aircraft International
Skyline Helicopters
SkyWest Airlines
SmartLynx Airlines
Turkish Airlines
UK Air Accident Investigation Board
Vancouver Island Helicopters
Our Customers in the Aviation industry
Copyright © 2016 IP Bank BV
Barrier Management
Plan
DoCheck / Monitor
Barrier identification withBowTie Risk Analysis
Executing the processwith barriers in place
Barrier-basedIncident Analysis
Barrier-basedAuditing
Do we have information to assure us that our barriers are working effectively?
Reality Model of reality -comprehensible
BowTie and Barrier Based Risk Management
Copyright © 2016 IP Bank BV
BowTie in 8 steps
Copyright © 2016 IP Bank BV
Basic BowTie diagram
Effectiveness Job titles Criticalities
Actions
RAM scoresBarrier Type
ActivitiesDocuments
Systems
Management System
Copyright © 2016 IP Bank BV
Food Transport
Copyright © 2016 IP Bank BV
Barrier Management
Plan
DoCheck / Monitor
Barrier identification withBowTie Risk Analysis
Executing the processwith barriers in place
Barrier-basedIncident Analysis
Barrier-basedAuditing
Do we have information to assure us that our barriers are working effectively?
Copyright © 2016 IP Bank BV
Barrier based Incidents
Copyright © 2016 IP Bank BV
Barrier based Incidents
Copyright © 2016 IP Bank BV
Barrier based Incidents
Copyright © 2016 IP Bank BV
Barrier Based Audits
Traditional Barrier-based
Maintenance
Compliance
95%
Training
Compliance
90%
Copyright © 2016 IP Bank BV
Barrier Based Audits
Q01: (Stock keeping)
“Are the fall protection materials available at the site?”
Q02: (Training)
“Is the personnel competent in the use of the harness?”
Q03: (Procedures)
“Does the personnel know for which tasks the harness must be used?”
Copyright © 2016 IP Bank BV
Visual results• Easy to spot weak spots
• Intuitive display
Copyright © 2016 IP Bank BV
Advantages of barrier-based risk management
Doing a bowtieworkshop
Finishedbowtiediagram
Communicatebowtiediagram
Audit yourbarriers / bowties
Link incidentsto barriers / bowties
Improvedsafety culture (bottum-up instead of top-down)
Find the gaps: where do we need more barriers?
Easy tounderstandpicture / not+100 pages text
Givesmeaning toyour audit result
How are yourbarriersperforming?
Spread safetyknowledgebetweendepartments
Find the gaps: where is information lacking?
How are yourbarriersperforming?
Gives trends over multiple incidents
Copyright © 2016 IP Bank BVCopyright © 2012 IP Bank BVCopyright © 2012 IP Bank BV
4 very specific advantages of a BowTie
Copyright © 2016 IP Bank BV
VS.
1 Visualisation / communication
Copyright © 2016 IP Bank BV
Risk based decision making2
Do you have enough barriers to be (enough) in control?
!
Copyright © 2016 IP Bank BV
Risk based decision making:taking additional info into account
What if the Engineering Manageris fatigued?Or when you have a power blackout?
! ! !
3
Copyright © 2016 IP Bank BV
Monitoring & Review
How are your barriers performing?
4
Copyright © 2016 IP Bank BV
Monitoring & Review4
Copyright © 2016 IP Bank BVCopyright © 2012 IP Bank BVCopyright © 2012 IP Bank BV
Barrier Based Risk Assessmet and Assurance
Copyright © 2016 IP Bank BV
Barrier Management in Aviation
CAA UK Significant 7
Air France Application of the Sig. 7
MAA Learning from incidents on barriers
CARM Aviation user group
CGE Library project
…
Copyright © 2016 IP Bank BVCopyright © 2012 IP Bank BVCopyright © 2012 IP Bank BV
Thank You
Geert van LoopikCGE Risk Management Solutions
www.cgerisk.com