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                              36        Serious Incident Prevention




                                               Management Commitment
                                                    and Leadership



                                                   Involve Employees



                                                  Understand the Risks




                                                Identify Critical Work for
                                                  Controlling the Risks


                                                 Establish Performance
                                                      Standards


                                               Maintain Measurement and
                                                   Feedback Systems



                                                Reinforce and Implement
                                                   Corrective Action



                                                Improve and Update the
                                                       Process


                              FIGURE 3-3. Serious incident prevention process.


                                  Figure 3-3 is a simplified diagram illustrating the relationship between
                              each element of the serious incident prevention process model. The chap-
                              ters that follow provide an in-depth discussion of the actions required to
                              successfully develop and implement each process element.  Together, these
                              eight elements form a proactive, team-based process for effectively sustain-
                              ing serious incident-free operations.


                              References


                               1. B. O. Paul, “How Eastman  Won the Malcolm Baldrige  Award—One
                                  Company’s Quality Journey,” Chemical Processing, January 1994, 38–43.
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