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EPEX 3 day Tripod Beta root cause analysis - course overview

Summary
The Tripod Beta methodology incorporates several commonly used root cause analysis tools.
However, it does it in a structured way that: a) directs the investigators line of enquiry, and b)
results in a thorough analysis. These processes include:

1. Timeline the initial facts of the incident are drawn on a timeline. This timeline, moving
left to right, is maintained as more information is revealed.
2. Fault tree analysis events are taken from the timeline and incorporated into a type of
horizontal, fault tree analysis. The fault tree only comprises of: events, agents of change and
things being changed.
3. Hazard register hazards and effects management procedures (bow tie).
4. Swiss Cheese Model and barriers analysis barriers are added to the horizontal fault tree
i.e. the controls preventing unwanted events.
5. Human behaviour analysis i.e. the reason why people acted in a way that led to all of
the barriers failing. - skill based errors, mistakes, and violations.

6. Performance influencing factors i.e. grouped under the headings: software, hardware,
environment, live-ware, and leadership (SHELL).
7. Systems analysis the systems a company has in place to: a) identify risks, b) identify
controls, and c) implement and maintain the barriers. e.g. OHSAS 18001.
8. HFACS - the overall process is very similar to the US Navy's Human Factors Accident
Classification System (HFACS); which is not surprising since both HFACS and Tripod Beta
are based on James Reason's Swiss Cheese Model.
Remedial actions - having been told what the flaws are in your management system there is
still a lot of work to be done in: a) deciding on what to do about the flaws, and b) changing
the way the organisation operates.

The sessions are ordered in the same sequence that you would expect to follow in an
actual investigation i.e. deciding on WHAT happened, HOW it happened, and finally
WHY?

A case study runs throughout the course to consolidate the theory and place each
session into context.

The course is primarily about the analysis of the information revealed during the
investigation rather than the investigative process itself.

An end of course exam reveals how well the core knowledge has been delivered.

EPEX Tripod Beta course - ratio between lecture and practice

This is very much a hands-on course.

More than 60% of the time is spent on student participation.

And, much of the practical work is done in syndicate groups.

EPEX Tripod Beta course - accreditation

The Energy Institute (EI) has accredited the: trainer, course material, and end of
course exam. Only trainers accredited by the Stichting Tripod Foundation are allowed
to include the exam in their course.

At the end of the course, participants are given the opportunity to take the Energy
Institutes examination.

The multi choice type of exam takes about 45 minutes. Successful candidates are
awarded an Associate Practitioners certificate.

Fees payable to the EI for the Associate Practitioner knowledge exam are included
within the course fees. Note: there is an additional fees to pay to the Energy Institute
if you wish to progress to full Practitioner.

Passing the examination is a part requirement to becoming a full Tripod Beta


Practitioner.

EPEX Tripod Beta course - topics not included.

The course is primarily about analysis and does not cover gathering information such
as interviewing techniques.