Root Cause Analysis for Incident Investigation
CLICK HERE to dowload, email or print the product brocure.
IncidentXP is our incident analysis software product which uses the same software framework as BowTieXP. This makes it possible to link incident analysis information to risk assessment information. However, IncidentXP can also be used as full-fledged stand-alone incident analysis tool.
The software is designed to learn from all incidents that have occurred in your company. The type of incidents may range from process deviations, to near misses, to small incidents, to major accidents. And the incidents can relate to both Process Safety and Personal Safety.
Learning from incidents is a challenge for most organizations. One of the biggest reasons for this is that the analysis performed on the incident does not provide an adequate basis for high quality recommendations which will change the organization for the better while still being realistic. IncidentXP will assist you in making recommendation focused on a specific barrier or on the organizational level (basic risk factor level).
Only using incident analysis is not enough. Bowtie risk assessment can be used to check if the investigation covered everything that was supposed to be done before we finalize an incident analysis. Additional, the incident analysis results should link back to the risk assessment to aggregate and detect trends across incidents. By providing both risk assessment (BowTieXP) and risk monitoring (IncidentXP) we close the circle of Deming (plan-do-check-act) within 1 software framework.
Root Cause Analysis is an add-on module to the BowTieXP software or can be used as a standalone module using IncidentXP.
The Root Cause Analysis method is a simple and straightforward incident analysis technique. It starts with an incident and drills down into the chain of events that led to that incident until the root causes are identified. This method is widely used throughout the world, and the idea of drilling down to the root cause is also present in all of our other incident analysis methods.
It provides a lot of freedom in explaining the causality of the incident: what caused what? The Root Cause method aims to get to the bottom of your incident. RCA practice tries to solve problems by attempting to identify and correct the root causes of events, as opposed to simply addressing their symptoms. By focusing on correction of root causes, problem recurrence can be prevented.
RCA diagrams are similar to BSCAT diagrams without barriers, rotated 90 degrees / in top-down direction instead of in left-right direction. In technical terms they are a directed acyclic graph rooted at the top.
However, a traditional root cause analysis has the potential to turn into a jumble of elements. We felt this could be improved, so we did two things. First, we added some more subtle categorisations so you can see at a glance where the real problem areas are. You don't need to use them, but if you do, we think you will create better analyses, and it will be easier for your audience to see what you're trying to communicate. Second, you can cut up a large diagram into smaller pieces, and link them together. Separating the main diagram from sub-diagrams avoids a situation where the diagram becomes so large you lose overview. We hope these changes to RCA will help you create better analyses.
RCA will include all the features you expect like reports, case file overviews, import/export options, easy manipulation of the diagram, scrap book support, find and replace, spell checking, undo/redo, auto-save, and many others
The main difference between RCA and our other incident analysis methods, is that RCA is not barrier based. Everything in RCA is an event, including those things that would be considered barriers in BSCAT, Tripod or BFA. This doesn't matter if you just want to use RCA, but there is one important caveat. Whereas the barrier based incident analysis methods like BSCAT and Tripod can be mapped back onto the bowtie because their structure is similar, RCA cannot be linked back to a bowtie, because the bowtie structure depends heavily on identifying barriers, which RCA does not do. The other possibilities are being examined for the future development of this Add-on module, like classifying events. But we will base that development on real world feedback.
Barrier Failure Analysis Software for Incident Investigations
CLICK HERE to dowload, email or print the product brocure.
IncidentXP is our incident analysis software product which uses the same software framework as BowTieXP. This makes it possible to link incident analysis information to risk assessment information. However, IncidentXP can also be used as full-fledged stand-alone incident analysis tool.
The software is designed to learn from all incidents that have occurred in your company. The type of incidents may range from process deviations, to near misses, to small incidents, to major accidents. And the incidents can relate to both Process Safety and Personal Safety.
Learning from incidents is a challenge for most organizations. One of the biggest reasons for this is that the analysis performed on the incident does not provide an adequate basis for high quality recommendations which will change the organization for the better while still being realistic. IncidentXP will assist you in making recommendation focused on a specific barrier or on the organizational level (basic risk factor level).
Only using incident analysis is not enough. Bowtie risk assessment can be used to check if the investigation covered everything that was supposed to be done before we finalize an incident analysis. Additional, the incident analysis results should link back to the risk assessment to aggregate and detect trends across incidents. By providing both risk assessment (BowTieXP) and risk monitoring (IncidentXP) we close the circle of Deming (plan-do-check-act) within 1 software framework.
Barrier Failure Analysis (BFA) is integrated in IncidentXP software.
Barrier Failure Analysis (BFA) is a brand new incident analysis software methodology. The methodology does what it says: with BFA you can analyze which and why barriers failed during an incident or near miss.
Barrier Failure Analysis is one of the various analysis methods available in IncidentXP. IncidentXP uses the same software framework as BowTieXP. This makes it possible to link incident analysis information to risk assessment information. BFA can also be used as a full-fledged stand-alone incident analysis tool.
To be able to do trend analysis, BFA allows the user to determine and apply causation categories. Companies can integrate their own causation categories, which makes the software easy to customize to your companies standards and/or needs.
There are several reasons to choose for Barrier Failure Analysis:
Barrier based analysis methodology
Map incidents onto the proactive bowtie risk assessment diagrams
Bowtie risk assessment can be used to check if the incident analysis covered everything
Customizable causation categories
Generate actions to improve your current risk situation (short term) and risk analysis (long term)
Barrier Systematic Causation Analysis Technique
CLICK HERE to dowload, email or print the product brocure.
IncidentXP is our incident analysis software product which uses the same software framework as BowTieXP. This makes it possible to link incident analysis information to risk assessment information. However, IncidentXP can also be used as full-fledged stand-alone incident analysis tool.
The software is designed to learn from all incidents that have occurred in your company. The type of incidents may range from process deviations, to near misses, to small incidents, to major accidents. And the incidents can relate to both Process Safety and Personal Safety.
Learning from incidents is a challenge for most organizations. One of the biggest reasons for this is that the analysis performed on the incident does not provide an adequate basis for high quality recommendations which will change the organization for the better while still being realistic. IncidentXP will assist you in making recommendation focused on a specific barrier or on the organizational level (basic risk factor level).
Only using incident analysis is not enough. Bowtie risk assessment can be used to check if the investigation covered everything that was supposed to be done before we finalize an incident analysis. Additional, the incident analysis results should link back to the risk assessment to aggregate and detect trends across incidents. By providing both risk assessment (BowTieXP) and risk monitoring (IncidentXP) we close the circle of Deming (plan-do-check-act) within 1 software framework.
BSCAT is a next generation incident analysis tool that uses barrier thinking to clarify and structure your incident analysis. The BSCAT method can utilise pre-existing BowTies or be used on its own. It is the first method to complete the circle and link risk assessments with incident analysis. BSCAT is built on top of the BowTieXP platform.
Recent insights reveal that improved safety management performance can be obtained if a more focused approach on barrier performance is followed. Advanced Barrier Management is a relatively new concept that addresses the effectiveness of specific barriers that aim to prevent undesired top events from happening and/or that aim to limit the extend of the undesired consequences.
The Bowtie-concept provides a clear visual presentation of several high risk scenarios and how these scenarios can be managed. When applying the bowtie-approach one is triggered to think of available and/or potential barriers that keep control of the hazard scenarios and their effectiveness. Bowtie-based risk analysis is part of mature risk based safety management framework and should be applied by all organisations that aim to have a better understanding and control of their key risks. Allocation of accountabilities and document links can be part of the bowtie-thinking when the software program BowtieXP is applied.
BSCAT links the bowtie-concept to DNV’s classical concept for incident investigation (SCAT), which is already used by many organisations. The Systematic Cause Analysis Technique provides a framework with predefined categories of direct and basic causes that have proven to be important contributions for incidents in a variety of market sectors. By applying this SCAT technique on barrier performance, one can assess the performance of barriers during an incident investigation and come up with specific improvement actions that address the basic causes of failure. The BSCAT-concept supports in particular (complex) incident investigations that are characterised by a variety of events that went wrong. BSCAT is now supported by a software tool – branded as DNV BSCAT – that allows for smart generation of incident diagrams. DNV BSCAT operates under the proven BowtieXP platform.
With the LOPA plug-in module added to the BowTieXP software, it is now possible to perform the semi-quantitative risk analysis called LOPA, on your bowtie. The results can be shown directly on the BowTie diagram or in one of the LOPA reports.
Layers of Protection Analysis (LOPA) is a semi-quantitative risk analysis in which the frequency of a negative event is calculated according to the risk reduction by the independent protection layers (IPLs). In bowtie-based LOPA, you calculate the frequency of a consequence, given the threats and IPLs in play. The LOPA plug-in allows you to fill in the initial frequencies of the threats and the probability of failure on demand (PFD) for the barriers. You can also add target frequencies for the consequences and the top event. The software then automatically calculates the relevant numbers, like the consequence frequency, and displays them on the bowtie if required.
The plug-in is very easy to use. When you double click on a Threat, Barrier, Consequence or the Hazard/Top-event, you will see an additional tab on top of the edit screen called ‘Lopa’. You can use this tab to fill in the relevant parameters. The software will perform the calculations and indicate whether the Target Frequencies are met or not. If you adjust the parameters, the software will automatically update the calculations.
The LOPA can be done in a more traditional way with just a left sided bowtie, or using the full bowtie to extend the method itself. There are also reports available for both the more traditional LOPA and the bowtie-based LOPA.
Webviewer brochure (download, print or email PDF brochure)
Risk communication has always been difficult to accomplish. Often, the conclusions of safety studies end up on a shelf, instead of being tailored and delivered to the employee. The BowTieXP WebViewer allows organizations to distribute relevant information to the right places in the organization to ensure safe operations.
The BowTieXP WebViewer allows you to view your BowTies anytime, any place through the web. Combine the power of BowTie visualisation with the power of the web.
The BowTies are available throughout the whole organization.
The BowTieXP WebViewer simply needs an internet browser and internet or intranet access, and the Microsoft Silverlight plugin.
The BowTieXP WebViewer can be deployed to SharePoint or it can be embedded into your intranet. This means that employees, whether they’re in HSE, Operations or Management, get exactly the information that they require. Deployment is simple: SharePoint deployment can be done by anyone who can edit pages; deployment to your intranet requires mimimal effort from your intranet's support staff.
With the BowTieXP WebViewer you can create a central location for all your BowTies, making sure no valuable BowTie knowledge is lost.
View additional information for all hazards, controls and escalation factors, providing viewers with more contextual and in-depth information, making the BowTie easier to understand.
Re-uses display profiles you created in your BowTieXP case files - color coding and display of extra information are fully supported.
Link to relevant documentation in your Document Management System, allowing viewers to deepen their insights into the BowTie.
The Webviewer is a concurrent user licence model and does not require any software installation on the users device.
BowTieServer Product Brochure (to download, print or email).
BowTieServer unites different risk disciplines in a single, central repository with BowTies and related information. It combines all the powerful tools we already have, like BowTieXP, IncidentXP and AuditXP, and unifies them across the organisation. It's also the foundation for an innovative approach to barrier management with a modern take on existing ideas, and an exploration of new concepts.
BowTieServer maintains consistent company standards and advanced access control, enabling transparent line of sight and peer learning at the same time. To see the bigger picture, you need a consistent approach to risk management across the organisation.
BowTieServer can monitor barrier performance over time. This is done through an integrated approach with audits, incidents and other data sources. Monitoring barrier degradation and emergent risk trends over time are now possible With previous software releases such as AuditXP and IncidentXP, BowTies moved from a static picture to a live framework that is updated with new information to provide an up-to-date view on the status of your barriers. BowTieServer extends this functionality to the whole organisation. Benchmark barriers against each other, pick out potential outliers or analyse average performance across the organisation.
One of the best applications of Bowties is to use them as a framework for audits and surveys. We have built AuditXP as a tool to create risk based audits using the BowTies. Managing the audits that you generate using this tool can be challenging though. BowTieServer will include an integrated audit workflow to manage your audits and make sure questions are answered. It's simple, straightforward and you'll be surprised at the depth of insight you’ll get by combining audits and Bowties together.
One of the information sources for monitoring barrier performance are incidents. BowTieServer includes an innovative module called SIR (Scenario-based Incidnent Registration), which complements the desktop functionality of IncidentXP. SIR uses special Incident BowTies to aid structured data collection from incident reports. It is designed to be used by anyone and guides the user through the process of reporting an incident.
BowTieServer also includes a module to integrate with SAP to determine the status of equipment and what it means for the level of risk. Each component from SAP is linked to a larger barrier system. Includes not only creating structure, but also determining overall status from specific pieces of equipment
Risk aggregation is done in two major ways. First, average performance overviews are created. This allows us to see if there is a general weakness in the organisation which is not location specific. Second, individual outliers are highlighted. This information is then presented to the relevant parties.
With all this information, it can be a challenge to get relevant information to the right person. BowTieServer has dashboards which can truly support decisions in a meaningful way. This is done by focusing on the type of decisions each level of the organisation needs to make, and tailoring the information to aid that decision making. Each dashboard was meticulously considered and designed. We use context to determine which information to display when. To present the right information for the person, place, time, and decision. This context can be role based with a personal safety portfolio (what am I responsible for and what is it's status) or activity based (which barriers should I use now? what are the risks in this activity?)
BowTieServer can be installed on premise (in your network environment) or as a cloud service (a hosted solution).
The cloud service can be used as temporary solution during the starting and implementation phase, to keep the momentum when introducing BowTieServer in the organization. Existing installations of the desktop products BowTieXP, IncidentXP and AuditXP can be linked to BowTieServer with a simple software upgrade.
Off the-shelve solutions of Microsoft Azure are used to offer hosted solutions for clients and end users.
SharePoint gives organisations a central location to store and manage their BowTies. Searching for the latest version in an e-mail is a thing of the past. The BowTieXP SharePoint Enterprise Add-on allows for a consistent approach to building BowTies
Authorisation and security
BowTieXP follows the authorisation settings from Microsoft SharePoint, allowing you to determine precisely which BowTies are visible to different users in different locations. This pertains to file access rights, file version visibility and modification rights.
BowTieXP allows Check in / Check out functionality, which ensures that no BowTie has conflicting copies. There will always be one correct version.
SharePoint can also start a content approval process in which content is first saved as a draft. After approval this draft can be promoted to a normal version. This ensures the integrity of the information in the BowTie while still allowing a large team to work on the same file.
A version history is automatically created, to ensure that changes can always be undone, and detailed comparisons can be made between versions.
Comprises of the following modules:
Comprises of the following modules:
Comprises of the following modules:
Comprises of the following modules:
For custom bundling of the various products please contact us.
BowTieXP Advanced + Audits is an identical version of the BowTieXP-Advanced software but has the Audit module as an add-on. It enables all the controls to be audited, measured, and displayed on the BowTie. The features and capablity of the Audit module is listed below.
BowTieXP Audits is an add-on for the BowTieXP software package. It is used to generate barrier related audit questionnaires. The add-on allows users to easily generate questions concerning barriers and management systems. These single questions can then be compiled into questionnaires, which can be exported as easy Excel audit fill-out lists. After importing the audit findings, the results can be visualized in the diagram.
Auditing is a valuable way of gaining insight into barrier quality/effectiveness, to get early warnings before incidents will occur. With the BowTieXP Audits add-on, CGE Risk Management Solutions provides a tool to close the Deming circle. After defining the barriers in your safety management system (i.e. the plan stage) and implementing them (i.e. the do stage), a check is required to ensure the quality of the barriers. Relying on barriers that are in reality inadequate can be dangerous. Also, a thorough examination of the barriers during the check stage facilitates the generation of relevant recommendations later on (i.e. act stage).
We selected 3 main advantages of using BowTieXP Audits: create questions on different ‘bowtie levels’, generating easy Excel audit fill-out lists and visualizing audit results.
Because the audits can be linked to barriers that are defined in the BowTie diagram, the results can be represented on them as well. This provides the user with a quick graphic overview of the barrier status, based on the audit results. The visual representation facilitates expert judgments on overall barrier quality. It also provides an up-to-date feedback on the current barrier quality status.
CLICK HERE to download PDF brochure.
Investigator 3 structures your incident investigation by following the steps of the TOP-SET® methodology. This method guides you through the three most important steps during an investigation: Planning, Storyboarding and Analysis.The software helps you to gather all the relevant information and records the collection of evidence. TOP-SET® will uncover more relevant facts during an investigation by pointing out every factor that could have played a role in your incident, making sure no detail is overlooked.
There are two incident analysis methods in Investigator 3: Root Cause analysis and Tripod Beta analysis. Both are well-known methods to find the most important and underlying causes of an incident.The software is very user-friendly in building your analysis tree(‘s) in an efficient way. There are various layout and design options in the software to personalize your tree.
All the information that is collected during the investigation and analysis can be generated in a report, including pictures and an extensive findings section.This report is fully adjustable to fit your company standards and can be exported to a perfectly editable word document.
This page will be removed
Contact us for more details or other options.
CLICK HERE to dowload, email or print the product brocure.
IncidentXP is our incident analysis software product which uses the same software framework as BowTieXP. This makes it possible to link incident analysis information to risk assessment information. However, IncidentXP can also be used as full-fledged stand-alone incident analysis tool.
The software is designed to learn from all incidents that have occurred in your company. The type of incidents may range from process deviations, to near misses, to small incidents, to major accidents. And the incidents can relate to both Process Safety and Personal Safety.
Learning from incidents is a challenge for most organizations. One of the biggest reasons for this is that the analysis performed on the incident does not provide an adequate basis for high quality recommendations which will change the organization for the better while still being realistic. IncidentXP will assist you in making recommendation focused on a specific barrier or on the organizational level (basic risk factor level).
Only using incident analysis is not enough. Bowtie risk assessment can be used to check if the investigation covered everything that was supposed to be done before we finalize an incident analysis. Additional, the incident analysis results should link back to the risk assessment to aggregate and detect trends across incidents. By providing both risk assessment (BowTieXP) and risk monitoring (IncidentXP) we close the circle of Deming (plan-do-check-act) within 1 software framework.
The tripod method is a way of conducting incident analysis. It is mostly used for high risk, complex incidents, since it is a very extensive and detailed method. Training is highly recommended when using the tripod method.
A Tripod Beta tree is built in three steps. The first step is to ask the question: ‘what happened?’. All the events that happened in the incident are listed as a chain of events. The next step is to identify the barriers that failed to stop this chain of events. The question that is asked in this step is: ‘How did it happen?’. When all the events and the failed barriers in between are identified, the reason for failure of these barriers is analyzed. The last question for this step is: ‘Why did it happen?’. For each of the failed barriers a causation path is identified.
The tripod method is a way of conducting incident analysis. It is mostly used for high risk, complex incidents, since it is a very extensive and detailed method. Training is highly recommended when using the tripod method.
A Tripod Beta tree is built in three steps. The first step is to ask the question: ‘what happened?’. All the events that happened in the incident are listed as a chain of events. The next step is to identify the barriers that failed to stop this chain of events. The question that is asked in this step is: ‘How did it happen?’. When all the events and the failed barriers in between are identified, the reason for failure of these barriers is analyzed. The last question for this step is: ‘Why did it happen?’. For each of the failed barriers a causation path is identified.
All the items that appear in the Tripod Beta method are explained in more detail below.
First it needs to be identified what happened during the incident; what events occurred. This is the core of the tripod diagram and is represented with three shapes, the head ‘trio’. These three elements are:
The trio can be explained as an AND gate, both the Hazard and the Object need to be present for the Event to occur. The Hazard acts on the Object to change its state or condition that is described as the Event. In a tripod tree there can be multiple trios. Hazards and Objects can form new Events.
In the tripod theory an Event is a happening, a ‘change of state’, whereby an object is affected by a Hazard. All events may cause potential injury, damage or loss. Examples of events are:
A Hazard is an entity with the potential to change, harm or damage an object upon which it is acting. Hazards can be a physical energy source or can have a more abstract nature. Examples of a Hazard are:
The Object is the item that is changed by the Hazard. The Object can be someone or something that is harmed, changed or damaged. Examples of Objects are:
The second step in the tripod analysis is to analyze how the incident could have happened by identifying the failed barriers. The barriers can be placed between the Hazard and the Event and between the Object and the Event. To identify these two types of barriers two questions are asked:
What Barriers should have prevented the exposure to the Hazard?
What Barriers should have protected the Object from the Hazard?
A Barrier is something that should prevented the meeting of an Object and a Hazard. It protects people, assets, environment from the negative consequences of a Hazard. Barriers can have their effect on the Hazard (e.g. insulation) or the Object (e.g. PPE). In a Tripod analysis a Barrier can be qualified as failed, missing or effective.
The last step is to identify why the incident happened; what caused the Barriers to fail. To analyze this we follow a certain pathway, called the ‘Causation Path’. The causation path consists of three items:
The Immediate Cause explains the human act that directly caused the Barrier to break. The Tripod method is based on the Human Error theory. This theory states that incidents happen when people make errors and fail to keep the barriers functional or in place. These errors are Immediate Causes. Examples of Immediate causes are:
The Precondition is the environmental, situational or psychological ‘state’ in which the Active Failure takes place. It explains the context of the human error and it provides the control breaching capacity of the Active Failure. This can be related to supervision, training, instructions, procedures, etc. Examples of Preconditions are:
Underlying Causes are the organizational or systemic deficiencies that create Preconditions. The Underlying Cause acts on a system level, it always involves the organization. A Underlying Cause is not incidental, but is present for a longer time; it is an underlying failure. Examples of Underlying Causes are:
BowTieXL is a platform that allows you to create your own ideas and methods of analysing risks. Using Microsoft Excel-compatible spreadsheets, this unique software has broken all the rules, giving you the freedom and flexibility to build and manipulate data in BowTie diagrams almost as freely as Excel will allow. Initially developed as a tool to allow quantification of BowTies, the capabilities of BowTieXL has surprised even its developers; early adopters have already used BowTieXL to create actual risk pictures, map multiple incidents and audits, link a hazard register, simply add or modify data fields and of course find a host of ways to quantify the BowTie.
Scoring controls
The effectiveness rating of a control used to be a stand-alone value, with no real way to combine the effectiveness of multiple controls. Now, BowTieXL makes it possible to aggregate values across multiple controls to ascertain the overall effectiveness. The applications for such calculations are far reaching, for instance in determining your ALARP level.
One thing that BowTieXL can be useful for is building questionnaires that link to BowTies, such as questions relating to an incident. Such a questionnaire is filled in after an incident has occurred, to enable a quick assessment of which controls failed. This can be easily viewed in a BowTie to provide context.Another type of questionnaire is that used in audits. Answers that are provided during an audit will update controls and adjust the effectiveness based on
Navigator Advanced Brochure (download, print or email the PDF brochure).
Navigator - Advanced is an identical version of the BowTieXP -Advanced with read-only functionality. It does not allow the user to edit or modify any of the content.
Benefits:
Click on the download button to trial the Navigator-Advanced version.
Navigator Brochure (Download, print or email the PDF brochure)
Navigator-Standard is an identical version of the BowTieXP-Standard with read-only functionality. It does not allow the user to edit or modify any of the content.
Benefits:
Click on the download button to trial the Navigator-Standard version.
BowTieXP Advanced has all the features of the Standard version of the software and includes many additional features and functions for the power user.
Some of the advanced features include:
Next to all the functionality that you will get with BowTieXP Standard, BowTieXP Advanced offers a range of powerful features that will help you gain full control over your data. It is aimed at the BowTie power user who has to work with the software intensively. Many of these additional features enable the user to perform tasks more efficiently, such as mass importing data and simultaneously editing multiple data entries. BowTieXP Advanced can be a big time saver, especially when establishing your corporate BowTie templates. Although there are many features, four highlights are discussed below. For an overview of all Advanced features, please download our BowTieXP Advanced Brochure.
Contact us for a comprehensive feature overview of BowTieXP Advanced, Standard and Navigator.
1. Import tools
The Advanced edition of BowTieXP contains a range of powerful import tools that will help you import any existing data that may already be available in your organization. This can be especially helpful when lists of job titles or activities need to be imported on a large scale. With the “import external data” functionality, data in the form of MS Excel spreadsheets or .csv files can be imported automatically.
Another powerful and versatile import tool is the Scrapbook. It can be used to copy specific elements of existing BowTies so they can be reused as building blocks for new BowTies (see figure 1). Alternatively, it can also be used to import BowTie elements such as hazards, threats and barriers (e.g.from a HAZID sheet) from MS Excel.
2. Display profiles
When adding information onto barriers such as job titles and effectiveness values, it can become necessary to hide/unhide information. In BowTieXP Standard this is done by adjusting the display settings, where types of information can be toggled on or off. In BowTieXP Advanced, these settings can be stored as customized display profiles. That way you can store your favorite display settings and access them from the dropdown menu (see figure 2). It provides a quick overview of all the data you find relevant but can also be beneficial when demonstrating the diagram.
3. Group edit
While constructing your BowTie, it is likely that you will encounter barriers that can appear on multiple threat lines. Because those similar barriers are instances of the same barrier, it could be that you want to change all of them at once when making adjustments. With BowTieXP Advanced’s group edit, similar instances of the same barrier will be identified with a group icon and can be edited simultaneously by clicking it (see figure 3). Alternatively, barriers that are otherwise unrelated can also be multi-edited by selecting all relevant barriers (ctrl + click) and then accessing the right-click menu. This can be a big timesaver when small adjustments need to be made on already existing diagrams
4. Templated reports
In BowTieXP Advanced it is possible to run reports based off your own customized templates. For example, a template can be made for a standardized quarterly report on all barriers. Using Microsoft Word, links can be added into a regular Word document where BowTieXP Advanced will insert the requested data. This can be in the form of tables, pictures or other forms of data. The result can be an automatically generated report including title page, company logos, chaptering, table of contents and much more. A great way of standardizing information that gives you an overview of all BowTie related elements that are relevant to you.
CLICK HERE to download, print or email the PDF brochure.
BlackBox is a software tool that guides you through all phases of incident investigation and analysis. It is a fixed workflow which leads you through an accelerated investigation process, starting with basic investigation information, an investigation diagram, to recommendations and an automatically generated report. It is a very useful tool for low risk incidents and near misses. BlackBox is based on the TOP-SET® incident investigation methodology.It follows the structure of the TOP-SET® method by guiding you through a wizard. This wizard takes you through the investigation process step by step by asking the right questions at the right time, providing you with tips and instructions. BlackBox has been designed to speed up the investigation process, making it possible to do a full investigation in less than an hour. The software automatically and quickly creates: a cause tree, recommendations and SMART-actions and a detailed report. BlackBox does most of the legwork for you, leaving you able to focus on the critical thinking that goes into an investigation.
Because of BlackBox its simplicity and ease of use, people with any level of computer experience can use it. In this way, the investigation of low risk incidents is made much more straightforward and more productive.
BowTieXP is a next generation risk assessment tool that uses the Bowtie Method to assess risks. BowTieXP is unique in its ability to visualise complex risks in a way that is understandable, yet also allows for detailed risk based improvement plans.
BowTieXP standard will get you started to identify and manage your risks in 6 simple steps.
Risk Matrices.
The software will allow you to customise your risk matrices very easily. The software has options to create up to 8 custom risk matrices for use. It only requires to be done once and can be used perpetually for all your risk assessments.
Summarise existing safety studies
It can be a challenge to see the bigger picture through the maze of safety studies that are conducted. BowTies provide a summary of all of them, getting the key pieces of information out and giving a good overview. In the process, gaps in original safety studies float to the surface which can be answered in a BowTie workshop.
Uncover new operational issues
Often, new insights will emerge from BowTie workshops that were not identified with other methods. The highly visual and interactive nature of BowTie building ensures maximum involvement from operational staff. Because BowTies are created by operational staff, relevant information is included and the staff has a sense of ownership and acceptance of the BowTies.
Visualise your Safety Management System on a BowTie
You can build a Safety Management System that is rooted in a Bowtie risk analysis. Each activity can be traced back to the reasons for doing it. The SMS exists primarily in identifying safety critical activities undertaken to assure the on-going integrity of risk barriers. Everyone can see the riskcontext in the Bowtie, together with the activities.
