Incident investigations often end up as paperwork exercises. But in high-hazard industries like oil and gas, they are essential tools for preventing recurrence, improving contractor safety performance, and fostering a strong safety culture.
IOGP Report 423 promotes a shared learning approach between operators and contractors — one that goes beyond fixing blame and focuses on systemic improvement. At PLC Group Malaysia, we help you implement robust learning systems that actually change behavior and reduce risk — from offshore platforms to onshore chemical plants.
Why Learning from Incidents is Critical in Contractor Management
- 60–70% of high-risk activities are contractor-executed, making them vulnerable to repeat incidents.
- Contractors often work across multiple sites, carrying lessons from one project to another — both good and bad.
- Operators who share incident insights create a safer, more cohesive supply chain.
Key IOGP 423 Recommendations for Incident Learning
1. Establish Shared Learning Protocols
- Ensure all incidents (including near-misses) are logged using a common reporting format
- Define clear roles for both operator and contractor HSE teams in investigations
2. Use Structured Root Cause Analysis (RCA)
- Go beyond immediate causes — identify latent conditions like training gaps or cultural misalignment
- Use tools such as the 5 Whys, Fishbone Diagrams, or TapRoot®
3. Create Actionable Lessons Learned
- Translate investigation findings into site-level toolboxes, visual campaigns, or training modules
- Periodically review whether these lessons are understood and applied
4. Encourage a No-Blame Culture
- Foster a climate where both operator and contractor personnel feel safe reporting incidents without fear of reprisal
- Recognize and reward openness in reporting and follow-up actions
Common Pitfalls to Avoid
- Investigations led only by operators without contractor involvement
- Findings that are too vague to act on (“Lack of attention” or “Human error”)
- Failure to integrate learnings into management systems and audits
How PLC Group Malaysia Can Help
Our services include:
- Independent HSE Incident Investigations with certified RCA specialists
- Contractor Safety Review & Learning Systems Audits
- Customized Training Programs for both operator and contractor teams on learning from incidents
🛠️ Don’t let lessons go unlearned.
Contact PLC Group Malaysia to build an HSE culture that continuously evolves through shared learning and improvement.
