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By R Grogan

Nautilus Minerals Inc is a sea floor resource exploration and development company focused on developing the Solwara 1 Project, a copper-gold sea floor massive sulfide deposit in the territorial waters of Papua New Guinea, for which it holds a mining lease and associated environment permit.Economies depend upon four key types of capital: built, natural, financial and human. Natural capital consists of the ‘minerals, energy, plants, animals, ecosystems (climatic processes, nutrient cycles and other natural structures and systems) found on Earth that provide a flow of natural goods and services’ (Daly and Farley, 2004). Many ecosystem goods such as fish, fruit and water are already valued and sold in markets; however, some ecosystem services are not amenable to markets and have remained unvalued in traditional accounting methods, even though they provide significant value (such as flood protection, climate stability etc; Batker and Schmidt, 2015).There are now economic methods available to quantify and value natural capital and many non-market ecosystem services. When valued in dollars, these services can be incorporated into a number of economic tools, including benefit-cost analysis, accounting, environmental impact statements, asset management plans and rate of return on investment calculations. Their inclusion ultimately strengthens decision-making. When natural capital assets and ecosystem services are not considered in economic analysis, they are effectively valued at zero. This omission can lead to poor decisions, inefficient capital investments, higher incurred costs and losses due to unexpected events (Batker and Schmidt, 2015).In 2015 Earth Economics was commissioned by Nautilus Minerals Inc to conduct an independent, objective environmental and social benchmarking analysis of the proposed deep seabed Solwara 1 mine with terrestrial copper mines (referred to as ‘the report’). The report represents the first ever natural capital accounting and ecosystem goods and services framework for seabed mining.The report compares the proposed Solwara 1 mine with three terrestrial mines: Bingham Canyon (Utah, USA), Prominent Hill (South Australia, Australia), and Intag (a proposed mine in Intag Province, Ecuador), and provides a natural capital accounting assessment for all four operations.CITATION:Grogan, R, 2016. Natural capital accounting – a sea floor mining application, in Proceedings Life-of-Mine 2016 Conference, pp 2–4 (The Australasian Institute of Mining and Metallurgy: Melbourne).

Jun 28, 2016

By S J. Henderson

Over much of Australia, rainfall is highly seasonal and storm-driven. Consequently, operational mines often need extensive earthworks – drains, dams and levees – for protection during the occasional large floods and for water storage against the dry times; however, it has not been appreciated that many of these earthworks will need to function after mining has finished, sometimes, beyond a normal design life for engineered structures.While a mine is operating, standards for design and maintenance are dictated by regulation and risk assessment. For dams and levees – regulated structures – the standards imposed mainly relate to life-of-mine. The levels of risk and maintenance accepted by the mine operator may not be acceptable to another landholder in perpetuity. However, the Environmental Authority cannot be surrendered unless the landholder has accepted responsibility for any unrehabilitated regulated structures (Department of Environment and Heritage Protection (DEHP), 2016).In order for a future landholder to be willing to take responsibility for a dam or levee, the structure should be of value to the business of the property. In addition, its management needs must be consistent with that business; for example, it should be maintainable using skills, equipment and materials normally available to the business.CITATION:Henderson, S J, 2016. Earthworks or landforms? Designing for lease surrender, in Proceedings Life-of-Mine 2016 Conference , pp 151–153 (The Australasian Institute of Mining and Metallurgy: Melbourne).

Jun 28, 2016

By A Stradling

For a geometallurgical program to be successful, linkage must be made between the geologists and geostaticians who understand and model the orebody, the metallurgists who determine the value that can be extracted from the different geometallurgical units, and the mine planners who develop and optimise the plan to extract maximum economic value from the resource. One of the primary purposes of geometallurgical models is in the determination of the economic cut-off between ore and waste. Recognition of the level of confidence required in the estimation of grade, throughput and recovery is critical to the planning of a successful geometallurgical program. It also helps clarify the scope of work needed to mitigate risk at each stage in the development of a new mine projectThis presentation provides some of the author’s experience with development and application of geometallurgical models for existing base metal operations. It discusses how geological units defined by lithology, structure, alteration etc, can be translated into geometallurgical ore types defined by mineralogy, ore hardness, and flotation behaviour. Examples of how these characteristics have been used to estimate key economic parameters such as mill throughput and flotation recovery at two brown-field operations are provided. The first example relates to the modelling of metallurgical performance at Teck’s Red Dog zinc-lead mine in Alaska. Prior to 2000, zinc, lead and silver recoveries from a block of ore at Red Dog were either assumed constant, or were varied according to simplistic models. Throughput was not thought to vary substantially between blocks, so an average value was used for each blended stockpile. It is quite possible that some ore-value blocks were classified as waste, and some waste-value blocks treated as ore, as a result of poor understanding of the true economic cut off across the wide range of ore types observed at Red Dog. After an extensive flotation test program, the first assay-based zinc recovery model was developed for the Main pit reserve in 2003.**This is an abstract only. No paper was prepared for this abstract**

Sep 5, 2011

By D Trembath

"One of the key risks to the success of a mining operation is the accuracy of the estimates of both the economic mineral and any accompanying contaminants contained within the ore reserve. Misrepresenting the mineralogical characteristics of the ore reserve can result in considerable financial investment in an operation that is in fact uneconomic and/or carries a significant environmental risk. This in turn can result in an unplanned closure of the operation with associated financial, environmental and social legacy. One way to minimise this risk is to undertake high density resource sampling to gain a better understanding of the resource characteristics. However, such an approach is expensive, time-consuming and often impractical. The risk of not having an accurate model is typically assessed during a feasibility study utilising a Monte Carlo simulation method or some form of sensitivity analysis. Importantly, the error margins used in these types of analyses are often based on subjective or very general criteria such as ‘professional judgement’ or an ‘industry standard’. This presentation introduces a conditional simulation method for developing a range of mineralogical distribution models. Based broadly on the method outlined in Journel and Kyriakidis (2004) the proposed approach develops this work further. It combines a geostatistical analysis of the available data with automated mine design software to provide a rigorous method for assessing the confidence in the mineralogical characterisation of the ore reserve. The process is based on simulating possible mine plans based on the statistical characteristics of the available resource sample data. These plans are then assessed against high resolution resource models generated using a Sequential Gaussian Simulation method. The outcome is confidence intervals for important characteristics of the ore reserve estimate relative to the actual resource. These confidence intervals are an objective and transparent measure important for assessing closure risks and represent an improvement over common practice.CITATION:Trembath, D, 2016. A simulation approach for improving the assessment of closure risks, in Proceedings Life-of-Mine 2016 Conference , pp 36–38 (The Australasian Institute of Mining and Metallurgy: Melbourne)."

Jun 28, 2016

THIS excellent volumetric method commends itself as a means of estimating the fineness of silver firstly, owing to the large number of possible impurities which do not affect its accuracy (these impurities include Cu-up to 70 % Au, Ph, Zn, Bi, Cd, Fe, Mn, Sb, and As); secondly, the method combines accuracy with speed. The above impurities are the only ones likely to be present in the B. H. A. S. Pty. Ltd. refined silver, and, with the exception of Cu and Au, the others, if present at all, would be well under 0.1 parts per 1000.Briefly stated, the method consists in the solution of the refined silver in HN03 , addition of ferric alum (indicator), and titration with an alkaline (either ammonium or potassium) thiocyanate solution until the brown ferric thiocyanate is formed, and gives a definite tint to the solution. The method is used at the Port Pirie smelters, and the outstanding feature in the method as there applied is the type of burette employed. This burette enables the operator to read 0.01 of a cc. with ease, whereas, with the ordinary burette fitted with a float, 0.05 of a cc., when a number of readings have to be taken, becomes very straining to the eyes. Moreover, waiting for the float to rise, and dislodging air bubbles from it, hinders rapid working.A description of the burette and fittings is appended with fig. 2. DETAILS OF THE METHODSolutions required are:a) Stock Solutions:(1) Ammonium thiocyanate, 40 grm. per litre of water; 30 litres are prepared and placed in a carboy with glass syphon attached.(2) Ferric alum, 250 grnl. per litre; two litres are prepared.

Jan 1, 1922

By J Stiefenhofer

"*This is an abstract only*Construction of geological models for kimberlites has historically largely been based on visual volcanic textures and features, with chemical data only collected on an ad-hoc basis depending on the level of perceived complexity observed in the geological data. The focus of this paper is a high-level view of the impact an initial absence (or lack) of relevant chemical data had on two kimberlite resource models as well as how the magnitude of the problem increased once the resource estimation process commenced (Stiefenhofer, 2013). The impact of ignoring chemical data on a project assessment where micro-diamond estimation techniques are employed, is also discussed. Resource estimates based on micro-diamond data are critically dependent on the use of the correct geological model since stationarity of the size frequency distribution is key to the generation of correct grade estimates. A multilevel approach is advocated where the volcanological/visual model is verified using chemical data and both are in turn verified by the diamond data.CITATION:Stiefenhofer, J, 2013. The use of chemical and metallurgical parameters to enhance the economic value of kimberlite resource models, in Proceedings The Second AusIMM International Geometallurgy Conference (GeoMet) 2013, pp 101-104 (The Australasian Institute of Mining and Metallurgy: Melbourne)."

Sep 29, 2013

Hindered settling devices (teeter bed, up-current) are widely used in the mining industry to classify mineral streams into various size fractions and to separate minerals. In the coal industry these devices are extremely successful in separating coal of low densities from shale and pyrite. In the beach sand and in the iron ore industry, this equipment is used to beneficiate minerals either as stand alone units or lately as classifiers in spiral circuits. The challenge that these applications give to metallurgists is to be able to simulate the equipment by using mathematical models with or without the aid of small bench scale tests. In any green fields and many brownfields projects, limited amounts of samples make pilot plant tests difficult. Although there are mathematical approaches available, the accuracy is of such a nature that it can not be used for design purposes. This refers to the use of StrokeÆs law, NewtonÆs and the so called intermediate law as is widely published. Research done by the author indicates that in most applications none of the above laws apply. Using the original data as published by Perry and Chilton (Chemical Engineering Handbook, pp 5-64, 1973) and re-plotting it indicates that the settling velocity of particles is a function of (particle diameter)n where n varies between 1.2 and 1.6 which is different from that predicted by the intermediate law that suggests that n = 1.18. Another way of describing the relationship between the drag force and the Reynolds number is done by iterating between settling velocity and the Reynolds number. This needs more computer time but the accuracy obtained from this does add value to simulations. A small but simple test is suggested to determine the settling velocity of particles to enable metallurgists to determine variations from the theoretical calculations to determine the influence of viscosity and particle shape.

Jan 1, 2008

By P Duuring

Late-Archean banded iron formation (BIF)-hosted deposits in the Yilgarn Craton of Western Australia are less well understood compared to the larger Paleoproterozoic, Superior-type BIFhosted deposits of the Hamersley Province. The Weld Range greenstone belt, in the Murchison Domain of the Yilgarn Craton, hosts two Archean, high-grade deposits, Madoonga (68 Mt resource at 57.7 wt per cent Fe) and Beebyn (62 Mt resource at 59.6 wt per cent Fe, ASX announcement 2008). Five main types of high-grade (>55 wt per cent Fe) iron mineralisation at Weld Range each display characteristic grades, tonnage, and contaminant levels, which affect exploration strategies and beneficiation methods:1. ‘Residual’ ore formed as a result of two generations of hypogene alteration of BIF. The first alteration phase replaced silica-rich bands with siderite and/or Fe-rich dolomite; the second phase involved the removal of carbonate gangue minerals and the concentration of residual Fe oxide-rich bands in the BIF via volume reduction. The product is a high-grade, high-tonnage Fe orebody, with minor contaminants.2. Magnetite-bearing shear and fault zones cut BIF along lithological contacts. These zones of secondary magnetite formed as a result of the addition of hypogene magnetite via the circulation of Fe-rich, hypogene hydrothermal fluids through BIF. This type of mineralisation produces narrow (low-tonnage), high-grade magnetite-rich ore zones with high levels of contaminants (eg SiO2, Al2O3) due to the difficulty in mining these zones.3. Specular haematite ± quartz-bearing shear and fault zones cut residual orebodies and magnetite bearing structures. They share similar characteristics to magnetite-bearing structures.4. Goethite-haematite supergene ore zones are controlled by brittle faults that cut BIF. These faults promoted the flow of supergene fluids through BIF and resulted in large ore zones with variable Fe grades and contaminants.5. Detrital deposits comprise transported BIF fragments and are intensely goethite-haematite supergene-altered. These orebodies are locally extensive, with moderate Fe grades.

Jul 11, 2011

By S Pontual

The use of spectral data has traditionally been for obtaining mineral information and for mapping out alteration systems. The output from these data is typically in the form of mineral assemblages and data on relative proportions of minerals. However there is much more than just mineral information in the spectral data. Most importantly, the data allow the user to obtain vital information on mineral chemistry for some key alteration minerals. The mineral chemistry data allow the users to evaluate multiple phases of alteration of the same key mineral species, and to assess which phase is related to mineralisation. Mineral indices can be extracted from the spectral data and plotted to represent variations in the chemistry and relative proportions of key mineral phases as downhole, section and three-dimensional (3D) plots. These data can also be compared with the spatial distribution of the mineralisation by integration with geochemical and logging data. Through spatial and statistical evaluation the mineral information obtained using spectral analysis can provide vital information to assist in building alteration models and therefore improve targeting for further drilling and exploration.

Aug 22, 2011

By B Murphy

Seeking to reduce the likelihood of uncontrolled personnel entry into the operating footprint of a dragline, Coronado Global Resources initiated a review of proximity detection systems currently available and equipment interactions in and around dragline operational areas. At the time of the assessment, there were no established personnel proximity detection systems in compliance with functional safety standards for large machinery in Australia. Our primary objective was to guarantee a functionally safe outcome, particularly by implementing a performance-level-rated system in accordance with AS4024 (Safety of Machinery series of Australian Standards). Applying appropriate detection technologies, the goal was to reduce the residual operating risk for machine-to-machine and machine-to-personnel interactions. A comprehensive analysis of available or in-development technologies was conducted, and a layered approach (demonstrated in Figure 1) was adopted to achieve the desired risk reduction by segregating the sensing zones into distinct areas using diverse and disparate technologies consisting of radar (short); light detection and ranging (LiDAR) (medium); and optical (long). To address the potential limitations of each technology, overlapping layered sensing zones were designed. With LIDAR and optical using two distinct artificial intelligence (AI) systems to classify detections, these were specifically trained to handle the unique environments of a mining operation.

Sep 1, 2024

Batch centrifugal gravity concentrators have become standard equipment in gold grinding circuits for recovery of gravity recoverable gold (GRG). The downstream benefits of installing a gravity circuit are well understood, and in general, if there is a reasonable amount of GRG in the ore, a gravity circuit is usually installed. The benefits of gold gravity recovery have also been well documented, with a large database of successful case studies. As well, predicting production scale gravity recovery results ahead of installing gravity has become a common practice. The missing link between lab and full scale has always been the ability to predict the recovery benefit of installing gravity ahead of actually doing so. Being able to predict the recovery benefit in advance would help an operation in assessing the economic benefit and help justify the capital costs of the gravity circuit with much less uncertainty.

Aug 1, 2010

By M Tayebi-Khorami

There is an increasing trend in the extraction and development of copper resources from complex deposits. The complex deposits pose mineral processing challenges, as they often contain low grade copper ore, relatively large quantity of clay minerals, complex texture, very fine disseminated ore, high amount of pyrite, and high level of impurity elements such as arsenic. With the amount of arsenic in concentrates increasing and with environment, occupational health and safety regulations becoming more restrict, there is a need for a processing method that results in no arsenic emissions and captures all arsenic while immobilizing it in a compound that is stable under a wide range of conditions, so it is suitable for long-term disposal. Some development work has been undertaken to examine the most effective arsenic treatment option for complex orebodies that contain arsenic, but a technically robust and economically viable option has not yet been developed. Previous research has demonstrated the possibility of separating arsenic-copper sulphides from other copper minerals by controlling the potential of the flotation pulp in the single mineral systems. The selective flotation of enargite from copper sulphides in a real complex ore system was studied by Tayebi-Khorami (2016), which is summarised in this paper. CITATION: Tayebi-Khorami, M, 2018. Arsenic in complex orebodies, in Proceedings Complex Orebodies Conference 2018, pp 132–134 (The Australasian Institute of Mining and Metallurgy: Melbourne).

Nov 21, 2018

By D J. Black

The process of excavating and mining coal causes fractures in the overlying and underlying strata. The fractures provide pathways for gas released from coal seams and other gas-bearing strata to flow into the mine workings. Coal seam gas typically contains high concentrations of methane with lesser concentrations of carbon dioxide. Low concentrations of other gases such as nitrogen, hydrogen sulfide and ethane may also be present in some coal seams. In certain geological settings, particularly in close proximity to geological structures, such as faults and dykes, the concentration of gases contained in a coal seam can vary significantly between methane-rich to carbon dioxide-rich.In mine design and planning it is vital that mining engineers gather sufficient information to accurately determine the content and composition of the gas present in the coal seam and develop an understanding of changes in these parameters within the planned mining area.The longwall method of mining coal causes fracturing of the overlying and underlying strata behind the retreating longwall face. Where coal seams and other gas-bearing strata are present within the caving zone, gas will be released from the strata leading to contamination of the mine workings. If the rate of gas emission exceeds the diluting capacity of the mine ventilation, the concentration of gas in the mine may exceed the statutory limit, resulting in production delays and potentially unsafe conditions.CITATION:Black, D J, 2016. Planning effective management of gas emissions in an underground coalmine, in Proceedings Life-of-Mine 2016 Conference, pp 44–47 (The Australasian Institute of Mining and Metallurgy: Melbourne).

Jun 28, 2016

This presentation is a 20 minute snippet of my professional career, and my progression in the mining industry, from a lazy uni student to an up-and-coming blast engineer in the middle of a mining boom.My name is Daniel Hepburn and I am a blasting engineer for Orica Mining Services. I graduated from Royal Melbourne Institute of Technology (RMIT), in Melbourne in 2003. I completed both of my final year projects with Orica Quarry Services and was offered an assistant shotfiring job, which I accepted and worked for eight months. Having missed the cut-off date for the Orica graduate program, I planned to work with Quarry Services until the following year where I hoped my marks and the experiences I had gained would secure a graduate position. I didnÆt have to wait long, as in August of that year, I was offered (and I accepted) a graduate position in Perth as a technical services engineer for Orica Mining Services. The Orica graduate program is based over two years, and consists of real roles from day one; however, there is also opportunity to fast track the program for high performers. There is a structured rotation, from site to site, interstate or even international if you are so inclined. This includes the backpacker program, which allows graduates to experience the Orica culture in countries of their choice. There are also opportunities to try cross-functional roles in the different Market segments within Orica. I was lucky in that I knew what I wanted to do and where I wanted to work, so I stayed in Perth for my entire graduate program. I was also lucky enough to be fast tracked and finished my graduate program in 15 months. At the end of 2005 I accepted a position as an open cut blasting engineer based in Perth and even in such a short period of time I have already completed a number of major accomplishments. Some of these accomplishments are described below. This paper is available as a PowerPoint presentation only.

Jan 1, 2006

By J Meikle

A projected image is not always a true representation of a situation, or indeed an industry. This is often the case of the mining and minerals industry, which has frequently been portrayed in a negative light with a male dominance stigma attached. However, these issues can be combated for both the industry and its future, current undergraduate students, through undergraduate industry experience. In particular, vacation work enables female students to dispel many myths surrounding the industry and realise that the mining and minerals field offers career development for both genders. This paper will discuss how vacation work enables students to make important career decisions even before they have graduated. Industry experience provides undergraduates with the opportunity to gain practical knowledge relevant to their field of study. Additionally it allows students to observe the nature of the industry and the sacrifices necessary to advance careers. The prior insights into an industry are relevant to all students, but particularly female students, who might otherwise be dissuaded from a career in mining. This paper is written from the perspective of two female undergraduate students studying Mining and Minerals Processing Engineering.

Jan 1, 2006

Thank you for the opportunity to speak at this important conference attended by aspiring mining professionals, some of whom will become the leaders of the mineral resources industry that forms the solid foundation of AustraliaÆs past and that will fuel the exciting growth of AustraliaÆs future.I want to briefly touch on the history of our business, then look at the opportunities that exist in the contract mining industry and finally comment on what the educators need to consider in their curriculum to meet the needs of our business. Byrnecut started out as an idea in early-1987 developed by a group of four mining people. At the time the industry was on the high end of a mining boom, the era of the Bonds, Connels, Skases and so on. Riding on this wave of euphoria we borrowed $600 000 from the National Australia Bank and, without having enough knowledge to lose sleep over the potential risks, started business in mid-1987. The euphoria quickly evaporated with the 1987 October stock market crash. The bank pulled our overdraft, equipment finance rates increased to over 20 per cent per annum and my house was mortgagedseveral times over. The business learning curve was extreme for a young mining engineer who had developed his trade in the relatively sheltered environment of a large public mining house, namely WMC. We were somewhat bitter that the banks had done a runner. We were a private company, backing the business with personal assets with our shoulders to the wheel, whilst the Bonds of the world had theirnoses in the trough ripping off mum and dad shareholders. All of this had a sobering effect, namely keep your feet on the ground, stick to the knitting, work hard and worship cash flow. Since that stressful but adrenaline pumping beginning the company now employs over 600 people and is now working for major mining houses at over a dozen locations in Australia, east Africa and WesternEurope and the National bank is again our banker. On this basis I consider myself qualified for the subject of this speech.

Jan 1, 2002

By R L. Grogan

Mining is currently undergoing a progressive expansion into novel environments (such as the deep ocean), commodities (such as tantalum, rare earths, and other ‘green economy minerals’), and new methods (such as the autonomous underwater cutting machines required to operate in the deep ocean environment, or the use of expanding grouts to deliver a blast-free mining method). The advent of novel mining, environments and commodities heralds an era that will undoubtedly start with much discomfort on the part of regulators and stakeholders, due to a feeling of overwhelming uncertainty. These proposed mining scenarios have few precedents, few examples of successful implementation, short baseline monitoring periods, and few examples of legacy sites that may assist with understanding long term risk and exposure. The evolution of the environmental and social impact assessment (ESIA) process in many regulatory environments recognises stakeholder engagement in a formal and facilitated manner. This is a positive step, and allows stakeholders to be much more meaningfully involved in the permitting process than they historically were. However, with this advance comes the challenge of identifying and communicating with stakeholders; sharing information in a meaningful way, fostering relationships with what can be an extremely large group, and delivering on commitments that inspire confidence to permit operations that have never been permitted before. In order to meet this challenge, it is suggested that changes to collection of data, communication of data, the nature of commitments, and the reporting of performance need to be made in order to effectively communicate management of new technologies, and the impacts that mining may have in new environments (such as the deep ocean). The communication challenge is necessarily greater when describing technology that has never been used, or environments that have never previously been accessed by humans on an industrial scale. CITATION:Grogan, R L, 2018. Permitting in the face of uncertainty – how to deliver confidence to regulators and investors, in Proceedings Life-of-Mine 2018, pp 46–48 (The Australasian Institute of Mining and Metallurgy: Melbourne).

Jul 25, 2018

By I Mason, M van de Werken, B Zhou, J Hargreaves, W Stasinowsky

A critical step in open cut coal mining is clean removal of the overburden. This is usually achieved by drilling, blasting and digging. A key part of this process being successful is to stop drilling at the correct blast ‘stand-off distance’. The stand-off distance is the distance between the base of the drilled blasthole and the top of the coal horizon to be mined. Having this correct provides a protective cap of rock above the coal horizon so that the blast will fracture all the overburden without damaging the coal horizon or mixing it with the overburden. Drilling beyond the correct stand-off distance causes the blast to continue into the coal horizon, damaging it and mixing it with the overburden, leading to significant losses of coal product. Conversely, drilling short of the correct stand-off distance results in additional work to remove the intact overburden.

Sep 1, 2024

This paper discusses the implementation and potential limitations of the method for estimating sampling and analytical errors of multiple source mine output blended into a shipping product, described by Everett and Ziegelaar (2010). The practice of quality measurement varies between iron ore miners. The common objective is to monitor effective resource utilisation and control of product quality to customers. A flow diagram is given presenting the various options used by iron ore mine operators and the merits of the different options are discussed.

Mar 1, 2010

By M Alston

Many organisations struggle to yield meaningful outcomes from incident investigations. This paper will demonstrate that we can discover systemic issues by rethinking the ‘Why’ and ‘How’ of investigations, fostering genuine risk reduction. Key points: 1. Shift from ‘prevent recurrence’ to ‘learn and reduce risk’: conventional investigations focus narrowly on recurrence prevention, resulting in narrowly focused investigations with limited ability to identify and reduce organisational risk. Redirecting our objective to learning and improvement opens avenues for broader risk mitigation. 2. Understanding daily work for risk insights: recognise that work is not always completed in full compliance with procedures. Workers will adapt how they complete tasks influenced by the conditions and management systems that exist every day. Understanding the conditions and systems affecting everyday work is vital for uncovering systemic risks. 3. Unearth systemic issues through in-depth exploration: many investigations address surface concerns such as lack of training, incorrect procedures, equipment not being maintained, and missing overarching organisational risks. Systemic, organisation-wide risks are not identified. To discover these systemic issues and create shared learnings, investigators must question management systems, including resourcing, planning and risk management. 4. Design actions for safe failure: common actions like discipline and training fall short and do not reduce risk. Resilience emerges from well-designed controls. Incorporate planning, better resources, interlocks, and guarding to bridge the gap between task execution and risk. 5. Investigation Reports as a Business Case: Investigation reports should not simply state historical information regarding an incident. They are to facilitate decision-making and be presented as a business case to drive change. Organisations can move beyond localised risk and ineffective administrative actions by changing investigation objectives and methods. They can facilitate learning, understand daily work intricacies, identify systemic issues, and enhance the capacity for safety, driving lasting risk reduction.

Apr 16, 2024