1. Project Phases and Key Milestones Key milestones Completed by 1Q 2013 2Q 2014 Learning objectives finalized18 Jan Breakout design recommendations complete22 Feb Breakout materials reviewed, approved and sent to printer18 Apr Breakout facilitators rehearsed and prepared to deliver breakout11 May Deliver final breakout materials29 May 1 Nov. Dec. Jan.Feb.Mar.Apr.MayJun.Jul. 2013201320142014 Scope/PlanningScope/Planning AnalysisAnalysis DesignDesign DevelopmentDevelopment PreparePrepare DeliverDeliver EvaluateEvaluate

2. Risk Assessment 2

3. Swiss Cheese Model 3 Fire Barrier 1Barrier 2Barrier 3Barrier 4Barrier 5Barrier 6Barrier 7Barrier 8 ExplosionHazardousSituation

4. Bowties Sequence Event Prevention Barrier Mitigation Barrier Mitigation Barrier Mitigation Barrier Mitigation Barrier Cause Consequenc e Hazard What happens when the hazard is released? What happens when control is lost? 2 What are my hazards? 1 What causes the hazard to be released? How can control be lost? 3 How can the event develop? What are the potential outcomes? 4 How do we prevent the hazard from being released? How do we keep control? 5 How do we stop the event from leading to a specific consequence? 6

5. Building Quality Projects 5  One Team  One Way Standardization Management Defect elimination Defect free projects Quality Build