Session 14. Oral Presentation for: Insights from meta-analyses of incidents

Presented on 28 May 2025: Session 14 Across the world, process safety incidents continue to occur at an unacceptably high rate. This paper explores the application of bowtie and AcciMap analyses to perform meta-analyses of these incidents. Bowties are used to investigate what insights can be derived about causes, consequences and barrier performance. AcciMap analysis is used to investigate what insights can be derived about organisational contributions to barrier performance during incidents. Based on the findings from these analyses, recommendations are made about future directions to develop more timely and effective learning from incident systems. To access the Oral Presentation click the link below. To read the full paper click here