Successfully Learning from Failures: A Mahakam Legacy

Diah Kusumawati, W. Puspa, Nandi Kurniawan
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Abstract

Incidents can incur damage on people, environment, asset and even on Company's reputation. Therefore, effective learning from incidents plays a critical role in Company's HSE management system. Effective learning from incidents can also be one of predictors of an effective HSE management system and positive safety culture (Reason, 2016). This study was undertaken to discuss Mahakam's (now operated by PT. X) experience in the implementation of learning from incidents and its contribution to improve Company's safety performance. Learning cycle from Jacobsson is used as main reference to assess the effectiveness of learning from incidents system in the company (Jacobsson et al., 2011).
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从失败中成功学习:马哈康的遗产
事故会对人员、环境、资产甚至公司声誉造成损害。因此,有效地从事件中学习对公司的HSE管理体系至关重要。从事故中有效学习也可以成为有效的HSE管理体系和积极的安全文化的预测因素之一(Reason, 2016)。本研究旨在讨论Mahakam(现由PT. X运营)在从事故中学习的实施经验及其对提高公司安全绩效的贡献。Jacobsson的学习周期是评估公司事件学习系统有效性的主要参考(Jacobsson et al., 2011)。
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