Emphasize proactive safety as "presence of defenses," aligning with the continuous improvement commitment of BW Offshore.

There exist variables that cannot be predicted when creating it. / In a complex system we can't predict everything X Causuality.

1. Complex Systems and Variability: Focus on understanding how systems work in reality, beyond the idealized versions presented in procedures.

2. Learning from Events and not blaming (opportunities to identify vulnerabilities and improve system performance.)

3. Multiple Forms of Defense: (safety relies on multiple layers of defense, including people, processes, and equipment. / Avoid relying solely on a single layer of defense to prevent failures.)

4.Just and Fair Culture (reporting and learning)

5. Understanding Human Performance: (fatigue, stress, and cognitive biases / Design systems that accommodate the limitations and strengths of human performance.)

6. Risk Tolerance and Decision-Making

7. Continuous Learning and Improvement

8. Leadership and Accountability (who set the tone for safety culture and accountability)

9. Resilience Engineering (the ability to anticipate, adapt, and recover from unexpected events)

To separate what is in our control to chance X Human nature

We cannot predict everything, but we can prepare for anything.

Risk Perception

Segurança Consciente

Notion that procedures should be co-designed, engage these teams in the scrutiny of existing procedures, identifying areas for improvement.

Embrace the wisdom of harmonizing variability for operational success. Tailor procedures to accommodate changing dynamics, thereby ensuring resilience.

Eliminate inefficiencies through streamlined procedures. Embed error traps for comprehensive risk identification, enhancing safety measures.

Extract valuable insights from these incidents to drive continuous improvement.

Perpetually adapt procedures to changing circumstances, ensuring operational agility.

Generating interest in HOP philosophy

Building fluency and understanding of HOP fundamentals

Utilizing methods for operational learning

Continuously reviewing and ensuring critical controls are in place

Emphasizing differentiating serious injuries and fatalities from minor incidents

Aligning organizational processes and systems with HOP philosophy