The occurrence of an unexpected, significant event has immediate as well as long-term impacts on an organization.
Such events might include:
A serious injury
A forced outage of a power plant
An unexpected plant trip
A critical equipment failure with significant financial impact
A project failure – budget overrun, schedule slips, etc.
A structure failure
An electrical system blackout
These and similar events signal breakdowns at many levels – human performance, equipment reliability, organizations and programs, and/or management failures. To assess the event’s cause, and more importantly, to prevent the recurrence of similar events, breakdowns at all levels need to be investigated. PII’s comprehensive approach determines the weaknesses at each level, and prescribes cost-effective methods to prevent recurrence.