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B             Determine






                          Critical Controls




          Each P.U.E. has been assessed to determine the       can lead directly to the event taking place. On the
          ‘Critical Controls’. This step starts with the completion   far right are consequences of the unwanted event.
          of a bowtie analysis involving a cross functional team   Serious injury or fatality is included as one of the
          of experts from different segments, functions and    ultimate consequences.
          geographies. In completing this analysis, the P.U.E.   Controls added on the left side are preventative,
          and related Critical Risk area form the basis for what   which are analogous to a barrier between the cause
          is being assessed.
                                                               and the event itself. On the right side, the controls are
          Information on the various controls (existing and    mitigating which are barriers between the unwanted
          possible) is identified for the P.U.E. being analysed.   event and the ultimate consequence. They can also
          Existing controls are found in Standards, policies,   reduce the severity once an event has occurred.
          procedures and practices.                            Relevant controls from the bowtie are further
                                                               evaluated for CRITICALITY. Since Critical Control
               A control is defined as an act, object          Management is control-focused, this is an important
             (engineered) or system (combination of            step. The absence or failure of a critical control will
              act and object) intended to prevent or           significantly increase the likelihood of the P.U.E.
                   mitigate an unwanted event.                 occurring. There are typically between 3-5 critical
                                                               controls for each P.U.E..
          Once identified, controls are then used to develop
          a bowtie diagram for the P.U.E.. A bowtie diagram
          is a method to illustrate the linkages between
          the potential cause of an incident, or risk, and the                   Bowties were done –
          relevant controls.                                                     one for each Priority
                                                                                 Unwanted Event
          The centre of the bowtie is typically the P.U.E. or                    (P.U.E.)
          when loss of control occurs related to the event. The
          far left side of the bowtie illustrates the causes that





                               Preventive                                   Mitigating
                                                       Hazard






              Cause                                                                               Consequence
                             Control    Control                          Control     Control
                                                      Unwanted
                                                         event


              Cause                                                                               Consequence
                             Control    Control                          Control     Control









           6  Holcim Group HSE • Critical Control Management - Program Guide
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