Factors that Optimize Learning to Assure Reliability. Is it just Process Safety?

Can the factors that optimize learning be defined and then can they be part of a metrics evaluation process? What is the role of culture, language and care (intrinsic Vs. extrinsic) with regard to alertness to bad practice and in the process of learning itself.

Possibly we all should review the Powerpoint presentation online. Indicators of Process Safety through the lens of Macondo. It is stated “Macondo Incident Summary” as:

Process Safety Management Concepts
Safety Culture
Process Safety
Indicators
Macondo Process Safety Deficiencies
Consequent Process Safety Indicators

Nowhere is it mentioned about complexity, the use of Sim Ops to save time, the culture of the project to do what one is told and just report the outcome and wait for the next instruction.

What is it in the culture of “leaders” who are dominating organizational thinking wanting to go forward with just “Process Safety” when the term risk perception and managing risk has a diverse meaning. There is commercial risk and process risk. Defined standards now exist for all aspects of operational (process) risk. The standards of ISO, API and Norsk Hydro, for example, address health, environment, safety and quality (reliability and benefit through supply sustainability).

There are online tools to collaborate “systematically and diversely” using a matrix management process that is transparent and interactive with multimedia and digital filtering capability.

Is it not timely for regulator and operator to cooperate with a facilitator of learning. This goes beyond the Montara and Macondo blowouts but the diversity of situations, spatially and culturally, of these two events can be used to show how an archetype has evolved in the commercial risk management culture that is preventing the observation that well control and well integrity reliability was missed because the process risk perception strategy has missed the geological hazard that prevents the production casing designs used from being reliable.

The outcome of an evaluation would be the creation of a time and process indexed log that shows deviation from the standards of best practice and of individual competence from the front end of management to the back end of operations.