All Petrogenium courses can be tailored for awareness/inexperienced staff, for intermediate and for
experienced personnel. Furthermore, the course can be customized for a specific refinery, plant or
unit. The option for post-course consultancy/help-desk support is also available.
Understanding accident causation and human factors
Obtain investigation and analysis skills
Enable sustainable learning in your organization
Day 1: Accident Theory
Why investigate accidents?
Investigation as part of a Safety Management System
Accident Causation
“The Impossible Accident”
Human Behaviour Model
Error types: Slips, Lapses, Mistakes and Violations
When to use Tripod Beta?
Investigation Management: Process, Terms or Reference, Team
(Exercises throughout)
Day 2: Fact Finding and Timeline
Investigation Plan
Fact Finding: Persons, Positions, Parts and Papers
Interview: theory, practice and exercises
Establishing the Timeline/Sequence Time Events Plot (STEP)
Introduction to BowTieXP/IncidentXP
Tripod Trios, Controls and Barriers
(Exercises throughout)
Day 3: Day-to-day operational aspects
Tripod Beta Core Diagram: Event-Object-Agent
Causation Path: Immediate Cause, Precondition, Underlying Cause
Basic Risk Factors
Case Work
Day 4: Recommendations and Report; Case Work
Case Work
Recommendations and Remedial Actions
The Investigation Report
Bronze, Silver and Gold accreditation
Knowledge assessment
Delivery Options & Upcoming Dates
In-House / On-Site Training
Tailored to Your Team
This course can be tailored and delivered at your own facility — adapted to your specific units, equipment, and team experience level. We come to you, wherever you are in the world.
All content can be customised for awareness, intermediate, or experienced staff. Post-course consultancy and help-desk support is also available.