Following a major incident, investigation reports are written to formally record the circumstances of the event and identify potential Corrective (to avoid the same occurrence) and Preventive (to avoid a similar occurrence) Actions.
These reports may run to hundreds of pages and several volumes, and although they may include executive summaries and graphical representations, they are rarely memorable and only understandable by a small community of Subject Matter Experts.
Incident Infographics have been created to summarise incidents on a single page to provide clear, concise overviews that act as communication aids and/or reminders without having to read detailed report or watch long (but nonetheless informative) videos.
Each component is explained in the following video for the Piper Alpha incident:
Barrier Failure Analysis (BFA) is used to visualise the escalation of an incident from a specific Initiating Event (that actually occurred), through absent or ineffective Prevention measures (Barriers) to the Top Event (Loss of Control or Containment) and onwards through absent or ineffective Mitigation or Recovery measures (also Barriers) to the Final Event (realisation of Consequences or Effects).
The following example summarises the Flixborough disaster of 1st June 1974:
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