1. Lessons-learned Add Title
December
January
March
February
April
Presenter / Date
May
This slide, which has images representing the themes is only for viewing – not for publication.
June
September
August
July

2. Lessons-learned Add Title
Presenter / Date

3. Event Description Describe what happened
Use images where this adds clarity

4. Event Significance
For the activity that was underway when the Event occurred, evaluate the hazard exposure using the risk matrix:
Estimate the Likelihood of the unplanned Event happening again, if no further action is taken
Estimate the most likely Impact if the Event happens again (without additional safeguards applied)
Plot the risk by dragging the black box onto the matrix:
Is the risk ALARP? (yes / no)
Is the risk acceptable? (yes / no)

5. Event Cause(s)

6. Event Prevention
Indicate the control(s) that were / could be used to prevent the event recurring
Use the Hierarchy of Controls (right) to indicate the type(s) of control
Evaluate control effectiveness to indicate whether risk has been made acceptable
Highlight any residual risks.

7. Event Significance
For the activity that was underway when the Event occurred, evaluate the hazard exposure using the risk matrix:
Estimate the Likelihood of the unplanned Event happening again, after the prevention measures have been applied
Estimate the most likely Impact if the Event happens again (with additional safeguards applied)
Plot the risk by dragging the black box onto the matrix:
Now is the risk ALARP? (yes / no)
Is the risk acceptable? (yes / no)

8. Summary Consider including: Description Significance Cause(s)
Prevention
What we have learned.

9. 2016-17 Topics December 2016: Confined Space
January 2017: Chemical Safety
February: Working at Heights
March: Dropped Objects
April: Electrical Safety
May: Energy Isolations
June: Layers of protection (design)
July: Loss of Containment
August: Fire Safety
September: Lifting Operations
October: Permit-to-Work.