Inflection Point Engineering Process Safety Management Curriculum

Incident Inv

Module from the Process Safety Management Curriculum curriculum.

Module 8 - Incident Investigation (Element 12) · Learning Objectives · 1. Investigate any incident that could have resulted in catastrophic release · 2. Apply RCA methods: 5-Why, Fishbone, Apollo, TapRoot, Causal Tree · 3. Identify causes: physical (immediate), human, organizational · 4. Drive corrective actions to closure; track recurrence · 5. Report per API RP 754 for industry learning · Incident Investigation Method Comparison

Method Complexity Time Req Best For Notes Ref
5-Why Simple < 1 day Routine incidents Can miss multi-cause Toyota
Fishbone (Ishikawa) Moderate 1-2 days Brainstorming Visual Ishikawa
Fault Tree Analysis Complex Days-weeks Quantitative Can be probabilistic CCPS
TapRoot Moderate Days Multi-factor Structured TapRoot
Apollo RCA Moderate Days Evidence-based Cause-and-effect chain Apollo
CCPS CASE HIStory Structured Days-weeks PSM-specific Industry standard CCPS

Source: Process_Safety_Management_Curriculum_v1.xlsx · Sheet: Incident Inv