March 3, 2024 | Anne Roberts

The High Cost of Non-Conservative Decisions: Lessons from a Tragic Refinery Fire

There are many (in)famous examples related to this topic—from my nuclear background, Chernobyl comes to mind first, but even Fukushima had a long history of theirs. A 1970s version of an Environmental Impact Study noted that a tsunami was possible, but the decision was made that it was unlikely due to it being once every 400 years. An event without considering the potential consequences and (in hindsight) relatively “cost-effective” mitigation, such as placing the emergency diesel generators on higher ground.  In addition, I had many “opportunities to fail” from my Navy days, particularly when I was CO, where the backup you have from your team is really dependent on the organization’s culture.

In this breakout session, we delve into the critical difference between conservative and non-conservative decision-making. Through the lens of a tragic incident at the BP Refinery in Oregon, Ohio, where two lives were lost in a devastating fire, we uncover the repercussions of non-conservative decisions and explore the core principles of conservative decision-making, which prioritize safety over production goals.

If you are looking for ways to improve decision-making and make safety a priority, this session is right for you! Join us at the 2024 Global TapRooT® Summit May 1 – 3. This session occurs on Thursday, May 2, 2024, at 10:10 AM. Make sure you schedule your return flights home after the Summit ends on Friday at noon. You won’t want to miss everything the Summit has to offer.

Attend the Summit

Learn this new technique and help test it at the 2024 Global TapRooT® Summit being held on May 1-3 at the Horseshoe Bay Resort near Austin, Texas.

This session is in the Better Improvement Programs & CAPA Track. But you can customize your schedule and attend this session when you sign up for any of the seven tracks.

What are the seven Best Practice Tracks at the 2024 Global Summit? CLICK HERE to review them.

Get more Summit information by CLICKING HERE.

See the seven Keynote Speakers topics HERE.

Keynote Speakers

Download the eight-page Summit brochure by CLICKING HERE.

See the complete Summit schedule at THIS LINK.

Learn about the 11 special Pre-Summit Courses being held on April 29-30 (just before the Summit) by CLICKING HERE.

SAVE when you attend both the Summit and a Pre-Summit Course. Save even more when you bring a team (up to $800 per person).

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REGISTER for a Pre-Summit Course and the Summit by CLICKING HERE. Select the “Learning From Success to Improve Future Performance Using TapRooT® RCA” session if you are customizing your schedule.

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