Session: Learning from Experience

One of the four foundational pillars in the Risk Based Process Safety structure is Learning from Experience. A thorough investigation of all serious incidents and near misses to determine systemic key factors and root causes can lead to continuous improvements in process safety. This session solicits papers that describe approaches to establish or improve management systems for Learning from Experience, including effective methods of Incident Investigations (both internal and external), sharing learnings across organizations and industries, identifying and investigating near misses, gaining insight from Measurements and Metrics, and implementing lessons learned from Auditing.