A Bowtie Diagram Can’t Quietly Confuse Its Own Scope — Here’s Why That Matters
This series has traced one investigation backward, from a fall at a processing plant through six failed barriers, five preconditions, […]
Practical safety guides and articles by Cikgu Barrier.
This series has traced one investigation backward, from a fall at a processing plant through six failed barriers, five preconditions, […]
Ask five people on a typical Malaysian worksite whether a Risk Assessment or a Job Hazard Analysis governs a specific
Pull ten Job Hazard Analyses from almost any Malaysian worksite and a pattern shows up quickly: a meaningful number of
An investigation report is written for accuracy. Getting it right — establishing the timeline, tracing the causation chain, confirming findings
A Bowtie diagram at a Malaysian major hazard facility can pass its annual audit three years running — barriers listed,
Four separate cases, four separate facilities, and one recurring pattern: the same investigation process, applied to four different situations, produced
Bowtie methodology’s independence test is usually applied to equipment: does one barrier share a component, a power source, or a
A HIRARC that passes every audit is not the same thing as a HIRARC that accurately describes the hazards on
Ask most HSE practitioners why their last incident investigation happened, and the honest answer rarely has anything to do with
The residual risk column in a HIRARC document records one thing: the risk level after controls are applied. Low, Medium,