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RCP Additio ns: I nc ide nt I nve stig a tio n, Ne a r Miss Re po rting , Co rre c tive Ac tio ns Aug ust 4, 2015 Ba c kg ro und Mike We ise nd, AE P Rive r Ope ra tio ns I nvo lve d in c o mpa ny s sa fe ty pro g ra m fo r 26


  1. RCP Additio ns: I nc ide nt I nve stig a tio n, Ne a r Miss Re po rting , Co rre c tive Ac tio ns Aug ust 4, 2015

  2. Ba c kg ro und  Mike We ise nd, AE P Rive r Ope ra tio ns  I nvo lve d in c o mpa ny’ s sa fe ty pro g ra m fo r 26 ye a rs  Me mb e r o f the RCP Ga p Ana lysis Wo rking Gro up a nd RCP Sta nda rds Bo a rd fo r 10+ ye a rs  Wo rke d with AWO o n ve ry first re q uire me nts e a rly 90’ s  Ag e nda - Ne w RCP re q uire me nts  I nc ide nt I nve stig a tio n Pro c e dure  Ne a r Miss Pro c e dure s  Co rre c tive a nd Pre ve ntive Ac tio ns Pro c e dure

  3. I nc ide nt I nve stig a tio n Pro c e dure s “I nc ide nt re po rting and investigation pro c e dure s, to inc lude : a ) Pe rso na l injury b ) Oil o r ha za rdo us sub sta nc e spill c ) Ve sse l a c c ide nt d) Bridg e , lo c k, o r do c k a llisio n e ) Gro unding f) Other company-specific r epor ting pr ocedur es”

  4. I nc ide nt I nve stig a tio n Pro c e dure s  Re q uire d I nve stig a tio n E le me nts fo r e a c h type inc ide nt  Writte n pro c e dure s to de sc rib e inve stig a tio n pro c e ss  Re spo nsib ilitie s fo r inc ide nt inve stig a tio ns a ssig ne d  Pro c e dure s fo r inve stig a tio ns a nd re vie w e sta b lishe d  Amo unt o f time a llo we d fo r initia ting inve stig a tio ns  Co mpa ny’ s e xpe c ta tio ns fo r c o mmunic a ting le sso ns le a rne d  De ta ile d inve stig a tio n re po rt o n inc ide nts

  5. I nc ide nt I nve stig a tio n Pro c e dure s  E xa mple s o f ‘ Othe r Co mpa ny-Spe c ific Pro c e dure s’ tha t ma y re q uire re po rting and inve stig a tio n ma y inc lude :  E q uipme nt F a ilure s  Suspic io us Ac tivity  Unide ntifie d Ca rg o e s  Dry Ca rg o Spilla g e  Pe rso nne l I ssue s  L o ss o f Ste e ring

  6. I nc ide nt I nve stig a tio n Pro c e dure s  Othe r I nve stig a tio n Pro c e dure s Co nside ra tio ns  Pro c e sse s / Pro c e dure s F a ilure s  Ro o t Ca use Ana lysis  Pre ve ntive a nd Co rre c tive Ac tio ns  T ime ly No tific a tio ns  Bre a c he s o f Re g ula tio ns I de ntifie d  T ra ining a nd Qua lific a tio ns o f I nve stig a to rs  I nve stig a tive T e a m I de ntifie d

  7. Ne a r Miss Pro c e dure  “Ne a r Miss po lic y a nd pro c e dure s, to inc lude re po rting , inve stig a tio n a nd c o rre c tive a nd pre ve ntive a c tio n.”  De finitio n: A ne a r miss is a n unpla nne d e ve nt tha t did no t re sult in injury o r da ma g e , b ut ha d the po te ntia l to do so .  Be ne fit: Ne a r misse s pro vide a n o ppo rtunity to le a rn witho ut c o nse q ue nc e s.

  8. Ne a r Miss Pro c e dure  Re q uire d e le me nts o f a Ne a r Miss Po lic y a nd Pro c e dure s inc lude :  Writte n po lic ie s a nd/ o r pro c e dure s fo r a ddre ssing ne a r miss re po rting  Pro c e dure s fo r ne a r miss inve stig a tio ns (a ll ne a r miss re po rts ma y no t re q uire inve stig a tio n)  Pro c e dure s to a ddre ss ne a r miss c o rre c tive a nd pre ve ntive a c tio ns  Ne a r miss re po rt info rma tio n inc o rpo ra te d into future risk a sse ssme nts

  9. Ne a r Miss Pro c e dure  Othe r Ne a r Miss Po lic y & Pro c e dure s Co nside ra tio ns  Re spo nsib ilitie s fo r ne a r miss inve stig a tio ns  Ro o t c a use a na lysis  L e sso ns L e a rne d re po rts a nd c o mmunic a tio ns  T ime line s e sta b lishe d fo r a c tio ns a nd c o mple tio n  T ime ly no tific a tio ns  T ra ining fo r e mplo ye e s a nd inve stig a to rs  Bra c he s o f po lic y vio la tio ns ide ntifie d  I nspe c tio ns fo llo wing ne a r miss inc ide nts

  10. Co rre c tive a nd Pre ve ntive Ac tio ns Pro c e dure “Co rre c tive a nd pr eventive action policy and pr ocedur es that apply to findings fr om inter nal and exter nal incident investigations and audits, employee and customer suggestions, and management r eview, to include: a ) Me tho d fo r ide ntifying no n-c o nfo rmitie s b ) F o llo w-up time fra me for initiating c o rre c tive a c tio n c ) Me tho d o f tra c king initiation and completion of c o rre c tive a c tio n, inc luding a ssig ne d re spo nsib ility es , to inc lude d) L essons L ear ned policy and pr ocedur c o mmunic a tio n pro c e dure s fo r disse mina ting le sso ns le a rne d”

  11. Co rre c tive a nd Pre ve ntive Ac tio ns Pro c e dure  Re q uire d Co rre c tive a nd Pre ve ntive Po lic y a nd Pro c e dure s E le me nts  Wr itten cor r ective actions for deficiencies identified dur ing exter nal & inter nal incident investigations, and audits  Me tho d o f tra c king c o rre c tive a c tio ns inc lude a ssig ning re spo nsib ility  Me tho d o f tra c king c o rre c tive a c tio ns inc lude ma na g e me nt re vie w  Me tho d o f tra c king inc lude time fra me fo r fo llo w-up fo r initia ting c o rre c tive a c tio ns  Method of tr acking include initiation and completion of cor r ective actions  Me tho d o f ide ntifying no n-c o nfo rmitie s  Writte n pro c e dure s fo r a ddre ssing a nd c o mmunic a ting le sso ns le a rne d  Wr itten cor r ective actions for deficiencies identified dur ing maintenance  Wr itten cor r ective actions for deficiencies identified dur ing employee and customer suggestions  Wr itten cor r ective actions for deficiencies identified dur ing management r eview

  12. Co rre c tive a nd Pre ve ntive Ac tio ns Pro c e dure  Othe r Co rre c tive a nd Pre ve ntive Po lic y & Pro c e dure s Co nside ra tio ns  Risk Asse ssme nts  Ma na g e me nt o f Cha ng e pro c e ss  I nspe c tio n o f No n-Co nfo rmitie s  K e y Pe rfo rma nc e I ndic a to rs (K PI ) T re nding  Be st Pra c tic e Disc o ve ry  Ne a r Miss I nc ide nt I nve stig a tio ns

  13. o rm Sa mple F

  14. Re so urc e s  Mike We ise nd, AE P  304-674-1130, ma we ise nd@ a e prive ro ps.c o m  Ho lly Rie ste r, AWO  703-841-9300, hrie ste r@ a me ric a nwa te rwa ys.c o m  AWO we b site – RCP T ra nsitio n  www.a me ric a nwa te rwa ys.c o m, pro mine nt link o n Ho me pa g e  T VI B we b site – Ma na g e me nt Audit Wo rkshe e t a nd o the r a udit do c ume nts  www.tvib .o rg

  15. We b ina r a nd Me e ting Sc he dule  F uture We b ina rs  Aug ust 14 a t 3:00 p.m. E DT – I de ntific a tio n o f Critic a l o r E sse ntia l E q uipme nt/ Syste ms  Se pte mb e r 10 a t 3:00 p.m. E DT – Additio na l re q uire me nts re la te d to o rg a niza tio na l a utho rity, do c ume nt c o ntro l, a nd tra c king o f spills.  AWO Sa fe ty Co mmitte e Me e ting  Aug ust 18-19, Me mphis  Que stio ns?

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