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CONCEPTS AND LEARNINGS 
1 
RISK MANAGEMENT 
- 
Dr. Vanita Ahuja 
Associate Professor, Program Director, School of Construction, 
RICS School of Built Environment, Amity University
2 
What is Risk? 
Risk is the potential variance from expected 
returns 
Risk is experienced due to 
• uniqueness of a project 
• Project working environment 
• Experience of the project team 
Risk = f (likelihood, impact)
Project Variables/Uncertainties 
• Events ‘known’ 
 Risk events which occur frequently and are an 
inevitable feature of similar projects 
• Events ‘known – unknown’ 
 Risk events whose occurrence is foreseeable, and 
their probability of happening is unknown 
• Events ‘unknown – unknown’ 
 Risk events whose probabilities of occurrence and 
effect are not foreseeable, including force-majeure 
events 
3
4 
INHERENT 
RISK 
OWNER’S RISK 
EXECUTION RISK
Risks During the Project 
• Risk and the associated cost to address the risk, 
varies over the project life cycle 
 For initial phase there is high chance of risk events, 
but low cost impact 
 For final phase there is low chance of risk events, but 
cost impact is high 
5 
Figure from 
“Project 
Management” by 
Gray and Larson
6 
Risk Management 
• Risk management planning 
• Risk identification 
• Risk Assessment 
 Qualitative risk analysis 
 Quantitative risk analysis 
• Risk response planning 
• Risk monitoring and control
7 
Risk Management Planning 
•Risk management team 
•Risk identification techniques 
•Methods of allocating time and funds from Risk 
reserve 
Expecting the Unexpected is often better preparation for 
coping with risk than preparing extensive plans and 
believing that the unexpected has been eliminated
8 
Risk Identification – Risk Source 
Any factor with an uncertain probability of 
occurring that can influence the outcome of the 
project. 
Risk of Failure 
Risk of Opportunity
9 
Risk Identification – Types of Risk 
• Internal 
 Market risk (Design/Specifications Risk) 
Risk of not fulfilling either market needs or the requirements of 
particular customers. 
Technical Risk 
Risk of not meeting time, cost or performance requirements due 
to technical problems with the project activities 
 Organizational Risks 
 HR Risks 
• External 
Project managers and stakeholders have no control over these 
risks
Some Types of External Risks 
• Material Risk 
• Consequential Risk 
• Loss of production 
• Loss of profit 
• Loss of market 
• Loss of Good will. 
• Social Risk 
• Legal Risk 
• Product liability 
• Public liability. 
• Political/Govt. Risks 
• Subsidies,Sanctions etc.
Risk Breakdown Structure 
• Technical 
 Requirements 
 Technology 
 Complexity 
 Quality 
• External 
 Suppliers 
 Regulations 
 Market Customers 
11
• Organisational 
 Resources 
 Funding 
 Prioritisation 
• Project Management (List and validate all 
assumptions) 
 Estimating 
 Planning 
 Communicating 
12
13 
Risk Identification Techniques 
• Documentation of previous similar projects 
 Leads to preparation of a ‘Risk Checklist’ 
• WBS 
 Each work package is studied separately 
• Flowcharts 
 Illustrates steps, procedures and flows between 
tasks and activities
14 
Risk Identification Techniques 
• Cause-and-effect-diagram 
 By brainstorming 
EFFECT 
Delay 
CAUSE 1 
Staff 
CAUSE 2 
Funds 
CAUSE 3 
Technology 
Source 1 
Sponsors have internal problems 
CAUSE 4 
Govt. Regulations 
Source 2 
Source 1 
Insufficient Technical Skills 
Source 2 
Source 2 Source 2 
Source 1 Source 1
15 
Risk Assessment – Risk Likelihood 
• Risk Likelihood 
 Probability that a hazard/risk factor would 
materialise 
Qualitative Rating Quantitative value 
Low 0 – 0.20 
Medium 0.21 – 0.5 
High 0.51 – 1.00
16 
Risk Assessment – Risk Impact 
• Normally specified in terms of time, cost and 
performance measures 
 Qualitative: Low, medium, high 
 Quantitative: 0 – 1.0
17 
• As an expected value 
For example : 
Likelihood of a Risk = 0.4 
If it occurs: Project delay = 4 months 
Cost escalation = Rs. 10,00,000 
Risk = f (likelihood, impact) 
Risk Consequence (time) = 0.4 X 4 = 1.6 months 
Risk Consequence (cost) 
= 0.4 X 10,00,000 = Rs. 400,000
18 
Risk Assessment – Project Time and Cost 
WBS BC 
(Rs.) 
BT 
(Months) 
Corrective Likelihood EC ET 
Cost Time 
A 2,00,000 4 1,000 0.2 0.2 2,00,200 4.04 
B 4,00,000 6 4,000 0.25 0.4 4,01,600 6.01 
C 3,00,000 7 4,000 0.5 0.3 3,01,200 7.15 
D 2,00,000 6 3,000 0.25 0.4 2,01,200 6.01 
E 1,00,000 2 1,000 0.2 0.4 1,00,400 2.08 
TOTAL 12,00,000 25 12,04,600 25.29
19 
Risk Assessment – Risk Priority 
• It is decided on Risk consequence value 
 Likelihood 
 Impact 
 (Likelihood + Impact)/2 
 Likelihood of various risks occurring together 
 Impact if various risks occur together 
 Likelihood of one risk leading to other
Risk Assessment – Risk Severity 
• Likelihood * Impact 
20
Risk Register 
• Risk Item 
 description 
• Probability 
 1 – 100 (100 representing greatest probability) 
• Impact 
 1 – 100 (100 representing greatest impact) 
• Priority 
 Higher priority risks need to be addressed 
immediately 
21
Risk Register 
• Risk Severity 
• Preventive Action 
 What can be done now? 
• Owner 
 Who is responsible for the Preventive action? 
• Contingent/Response Action 
 If the event is realised, what is the plan? 
• Owner 
 Who is responsible for the Contingent/Response 
action? 
22
Qualitative Assessment – Probability/Impact Matrix - 
23 
Sample 
Impact 
E: Extreme risk - detailed action/plan required 
H: High risk - needs senior management attention 
M: Moderate risk - specify management responsibility 
L: Low risk - manage by routine procedures
24 
Qualitative Assessment – 
Top Ten Risk Item Tracking 
• Top Ten Risk Item Tracking is a qualitative risk 
analysis tool that helps to identify risks and 
maintain an awareness of risks throughout the 
life of a project. 
• Establish a periodic review of the top ten project 
risk items. 
• List the current ranking, previous ranking, 
number of times the risk appears on the list over 
a period of time, and a summary of progress 
made in resolving the risk item.
25 
Monthly Ranking 
Risk Item This 
Month 
Last 
Month 
Number 
of Months 
Risk Resolution 
Progress 
Inadequate 
planning 
1 2 4 Working on revising the 
entire project plan 
Poor definition 
of scope 
2 3 3 Holding meetings with 
project customer and 
sponsor to clarify scope 
Absence of 
leadership 
3 1 2 Just assigned a new 
project manager to lead 
the project after old one 
quit 
Poor cost 
estimates 
4 4 3 Revising cost estimates 
Poor time 
estimates 
5 5 3 Revising schedule 
estimates
Qualitative Assessment – Expert Judgement 
• Relying on the intuitive feelings and past 
experience of experts to help identify potential 
project risks. 
• Experts can categorize risks as high, medium, or 
low with or without more sophisticated 
techniques. 
• Can also help create and monitor a watch list, a 
list of risks that are low priority, but are still 
identified as potential risks. 
26
Quantitative Assessment 
• Often follows qualitative risk analysis, but both 
can be done together. 
• Large, complex projects involving leading edge 
technologies often require extensive quantitative 
risk analysis. 
• Main techniques include: 
27 
 Decision tree analysis 
 Simulation 
 Sensitivity analysis
Risk – Human Factor - Stakeholders 
• Risk and Human behavior looks into 
psychology of risk. 
 How others look at the risk? 
 How they behave in the face of risk? 
 How they behave in groups? 
• Perception of Risk.
29 
Risk Response Planning 
• Risk transfer 
 Sub-contractors 
 Insurance companies 
• Risk avoidance 
• Risk reduction 
• Risk Retention 
• Losses charged against normal operation cost. 
• Contingency fund. 
• Risk acceptance
Response Strategies for Positive Risks 
• Risk exploitation 
• Risk sharing 
• Risk enhancement 
• Risk acceptance 
30
Residual and Secondary Risks 
• It’s also important to identify residual and secondary 
risks. 
• Residual risks are risks that remain after all of the 
response strategies have been implemented. 
• Secondary risks are a direct result of implementing a 
risk response. 
31
32 
Risk Monitoring and Control 
• Identification of new risks 
• Monitoring of previously identified risks 
• Risk management plan updation 
• Maintaining communication between the project 
team and Risk management team 
• Comprehensive project documentation
Good Project Risk Management 
• Unlike crisis management, good project risk 
management often goes unnoticed. 
• Well-run projects appear to be almost effortless, 
but a lot of work goes into running a project well. 
• Project managers should strive to make their jobs 
look easy to reflect the results of well-run projects. 
33
Risk Management Issues Learnt from Natural 
Disasters 
• Risk Management should be a Portfolio Level job 
 Labour issues 
• Diversify the project team 
 Local work force for critical roles even if at a higher 
cost 
 Diversify the talent pool 
 Do not depend on one specific town or region for the 
entire team
• Contingency Planning 
• Create a culture of safety 
 Commonwealth Games 
 Worst monsoon rains in 20 years 
 Collpase of a pedestrian bridge
• Quality Control saves lives 
• Don’t deliver an inferior Product/Project in a hurry 
• Choose the leaders wisely and train them how to 
react to disasters
37 
TITANIC 
RISK MANAGEMENT STUDY
Timeline - 1912 
• 10 April 12:00 
 departure Titanic from Southampton on maiden 
voyage to New York (via Cherbourg and 
Queenstown) 
• 12 April 
 reports of ice fields on course coming in 
• 14 April 
 increasing ice field reports, course altered to south, 
speed maintained at 22 knots 
• 14 April, night 
 moonless, calm seas, temperatures just below 
freezing
Timeline - 2012 
• 14 April, 23:00 
 Californian radioed more ice and mentioned Titanic 
stopped for the night because of pack ice, answer from 
Marconi radio operator ”shut up, shut up, I’m busy” 
 Californian’s radio operator turned off radio and went to 
bed 
• 14 April, 23:40 
 “iceberg directly ahead” alarm from crows nest to bridge 
 First Officer Murdoch ordered helm hard to starboard 
and engines stopped 
 to prevent stern hitting iceberg, he then ordered helm 
hard to port, this manoeuvre came too early and ship’s 
bow hit undersea shelf of ice, causing damage to riveted 
seams
Timeline - 2012 
• 14 April, 23:52 
 decision to restart engines by Ismay, increasing leak, 
with rivets popped open below water line over length 
of 90 m, allowing increasing amounts of water to 
enter damaged compartments, causing bow to sink, 
and water eventually to rise above watertight 
bulkheads terminating at E deck
Timeline 
• 15 April, 00:10 
 distress calls started (SOS) 
• 15 April, 00:19 
 engines stopped for last time 
• 15 April, 00:27 
 first lifeboat lowered (with capacity for 65 people, 
carrying 27) 
• 15 April, 00:35 
 distress rockets launched 
 Californian crew saw distress rockets but 
misunderstood and concluded ship had stopped 
for night and was having a party..
Timeline 
• 15 April, 02:20 
 Titanic sinks 
• 15 April, 04:10 
 Carpathia arrived on scene
Project Manage4m3 ent - Session 7
Project Manage4m4 ent - Session 7
RISK MANAGEMENT ANALYSIS 
45
Staff selection and learning from previous 
incidents 
 Regarded as very experienced 
but….. 
 27th Jan 1889 - Ran The 
Republic aground in New York 
 1st Dec 1890 - Ran The Coptic 
aground in Rio de Janerio 
 4th Nov 1909 - Ran The Adriatic 
aground outside New York 
History of running ships too 
fast through narrow 
passages.. and of not 
adequately training his officers 
Captain Smith was commissioned to command the Titanic
Leadership 
• Ismay overshadowed Captain Smith’s 
leadership 
47
Quality Control and Material Identification 
• Asset integrity (rivets of best rather than best-best 
quality with high concentration of slags) 
• Shortage of skilled riveters 
• Rivets popping contributed to speed of sinking
Management of Change and Safety Culture 
• Lowering watertight bulkheads to allow ease of 
movement of people 
 As the bow sank, water came above deck, accelerating 
the sinking as there were no bulkheads to limit the 
ingress. 
 Hazard evaluation (requirement to be unsinkable relies 
on integrity of watertight compartments)
50
51
52
Management of Change and Safety Culture 
• Was the decision to change the rivets a conscious 
one? 
• Lifeboats had been reduced for 64 to 22 in favour 
of more expansive promenade decks of Olympic 
design 
 Insufficient to take the passengers and crew
Communication Management 
• Disaster assessment took 20 minutes, and 65 minutes 
before captain ordered lifeboats filled. 
• Poor communication impeded passengers & crew from 
reacting, possibly deliberate to avoid panic. 
• Hierarchical organizational structure and physical 
segregation controlled information flow. 
• Many passengers got up and went back to bed. 
• First life-boat left half full. 
• Crew skeptical that anything was serious. Any recovery 
plan would have been poorly executed. 
54
Emergency Planning 
• Major accident potential (worst case scenario 
sinking) was discounted. 
• Emergency response arrangements 
 Original design had just about enough lifeboats 
• The officers on board The Titanic had not trained 
with the lifeboats and were unsure of their holding 
capacity. 
• Smith often claimed to have never faced a “near 
disaster” 
 Reportedly his performance deteriorated in the last 
two hours.
• It wasn’t until 45 minutes after the collision that 
officers commenced preparing the lifeboats 
• Twenty lifeboats were launched 
• Officers feared that the ship’s davits & winches 
would not hold the weight of the recommended 65 
people 
• All but the last few lifeboats floated were half-filled 
• It is a fact that had the Officers filled the lifeboats as 
per their specification an additional 600+ people 
could have been saved. 
56
Emergency Planning 
• Many people could not read the English signs 
• There was not a standing safety-response plan.. 
the ‘Women and Children first’ response was a 
(commendable) reaction more than a previously-agreed 
plan. 
• Lives Saved: 705 
• Lives Lost: 1500 
• Total passengers 2,205 
• Max Lifeboat Capacity 1,600
58
Does learning have a shelf life? 
• The lessons from Titanic are still relevant today 
• There are good lessons which cross between 
industries 
• “Can we learn from the past”….the Risk 
Engineering team would say yes!
QUESTIONS 
AND 
DISCUSSION 
Reference: 
• Could Disaster have been prevented? Case Study –Second set of lessons from 
Titanic, Multimedia publications 
• EFU Risk Management Presentation 
60

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Risk management concepts and learning

  • 1. CONCEPTS AND LEARNINGS 1 RISK MANAGEMENT - Dr. Vanita Ahuja Associate Professor, Program Director, School of Construction, RICS School of Built Environment, Amity University
  • 2. 2 What is Risk? Risk is the potential variance from expected returns Risk is experienced due to • uniqueness of a project • Project working environment • Experience of the project team Risk = f (likelihood, impact)
  • 3. Project Variables/Uncertainties • Events ‘known’  Risk events which occur frequently and are an inevitable feature of similar projects • Events ‘known – unknown’  Risk events whose occurrence is foreseeable, and their probability of happening is unknown • Events ‘unknown – unknown’  Risk events whose probabilities of occurrence and effect are not foreseeable, including force-majeure events 3
  • 4. 4 INHERENT RISK OWNER’S RISK EXECUTION RISK
  • 5. Risks During the Project • Risk and the associated cost to address the risk, varies over the project life cycle  For initial phase there is high chance of risk events, but low cost impact  For final phase there is low chance of risk events, but cost impact is high 5 Figure from “Project Management” by Gray and Larson
  • 6. 6 Risk Management • Risk management planning • Risk identification • Risk Assessment  Qualitative risk analysis  Quantitative risk analysis • Risk response planning • Risk monitoring and control
  • 7. 7 Risk Management Planning •Risk management team •Risk identification techniques •Methods of allocating time and funds from Risk reserve Expecting the Unexpected is often better preparation for coping with risk than preparing extensive plans and believing that the unexpected has been eliminated
  • 8. 8 Risk Identification – Risk Source Any factor with an uncertain probability of occurring that can influence the outcome of the project. Risk of Failure Risk of Opportunity
  • 9. 9 Risk Identification – Types of Risk • Internal  Market risk (Design/Specifications Risk) Risk of not fulfilling either market needs or the requirements of particular customers. Technical Risk Risk of not meeting time, cost or performance requirements due to technical problems with the project activities  Organizational Risks  HR Risks • External Project managers and stakeholders have no control over these risks
  • 10. Some Types of External Risks • Material Risk • Consequential Risk • Loss of production • Loss of profit • Loss of market • Loss of Good will. • Social Risk • Legal Risk • Product liability • Public liability. • Political/Govt. Risks • Subsidies,Sanctions etc.
  • 11. Risk Breakdown Structure • Technical  Requirements  Technology  Complexity  Quality • External  Suppliers  Regulations  Market Customers 11
  • 12. • Organisational  Resources  Funding  Prioritisation • Project Management (List and validate all assumptions)  Estimating  Planning  Communicating 12
  • 13. 13 Risk Identification Techniques • Documentation of previous similar projects  Leads to preparation of a ‘Risk Checklist’ • WBS  Each work package is studied separately • Flowcharts  Illustrates steps, procedures and flows between tasks and activities
  • 14. 14 Risk Identification Techniques • Cause-and-effect-diagram  By brainstorming EFFECT Delay CAUSE 1 Staff CAUSE 2 Funds CAUSE 3 Technology Source 1 Sponsors have internal problems CAUSE 4 Govt. Regulations Source 2 Source 1 Insufficient Technical Skills Source 2 Source 2 Source 2 Source 1 Source 1
  • 15. 15 Risk Assessment – Risk Likelihood • Risk Likelihood  Probability that a hazard/risk factor would materialise Qualitative Rating Quantitative value Low 0 – 0.20 Medium 0.21 – 0.5 High 0.51 – 1.00
  • 16. 16 Risk Assessment – Risk Impact • Normally specified in terms of time, cost and performance measures  Qualitative: Low, medium, high  Quantitative: 0 – 1.0
  • 17. 17 • As an expected value For example : Likelihood of a Risk = 0.4 If it occurs: Project delay = 4 months Cost escalation = Rs. 10,00,000 Risk = f (likelihood, impact) Risk Consequence (time) = 0.4 X 4 = 1.6 months Risk Consequence (cost) = 0.4 X 10,00,000 = Rs. 400,000
  • 18. 18 Risk Assessment – Project Time and Cost WBS BC (Rs.) BT (Months) Corrective Likelihood EC ET Cost Time A 2,00,000 4 1,000 0.2 0.2 2,00,200 4.04 B 4,00,000 6 4,000 0.25 0.4 4,01,600 6.01 C 3,00,000 7 4,000 0.5 0.3 3,01,200 7.15 D 2,00,000 6 3,000 0.25 0.4 2,01,200 6.01 E 1,00,000 2 1,000 0.2 0.4 1,00,400 2.08 TOTAL 12,00,000 25 12,04,600 25.29
  • 19. 19 Risk Assessment – Risk Priority • It is decided on Risk consequence value  Likelihood  Impact  (Likelihood + Impact)/2  Likelihood of various risks occurring together  Impact if various risks occur together  Likelihood of one risk leading to other
  • 20. Risk Assessment – Risk Severity • Likelihood * Impact 20
  • 21. Risk Register • Risk Item  description • Probability  1 – 100 (100 representing greatest probability) • Impact  1 – 100 (100 representing greatest impact) • Priority  Higher priority risks need to be addressed immediately 21
  • 22. Risk Register • Risk Severity • Preventive Action  What can be done now? • Owner  Who is responsible for the Preventive action? • Contingent/Response Action  If the event is realised, what is the plan? • Owner  Who is responsible for the Contingent/Response action? 22
  • 23. Qualitative Assessment – Probability/Impact Matrix - 23 Sample Impact E: Extreme risk - detailed action/plan required H: High risk - needs senior management attention M: Moderate risk - specify management responsibility L: Low risk - manage by routine procedures
  • 24. 24 Qualitative Assessment – Top Ten Risk Item Tracking • Top Ten Risk Item Tracking is a qualitative risk analysis tool that helps to identify risks and maintain an awareness of risks throughout the life of a project. • Establish a periodic review of the top ten project risk items. • List the current ranking, previous ranking, number of times the risk appears on the list over a period of time, and a summary of progress made in resolving the risk item.
  • 25. 25 Monthly Ranking Risk Item This Month Last Month Number of Months Risk Resolution Progress Inadequate planning 1 2 4 Working on revising the entire project plan Poor definition of scope 2 3 3 Holding meetings with project customer and sponsor to clarify scope Absence of leadership 3 1 2 Just assigned a new project manager to lead the project after old one quit Poor cost estimates 4 4 3 Revising cost estimates Poor time estimates 5 5 3 Revising schedule estimates
  • 26. Qualitative Assessment – Expert Judgement • Relying on the intuitive feelings and past experience of experts to help identify potential project risks. • Experts can categorize risks as high, medium, or low with or without more sophisticated techniques. • Can also help create and monitor a watch list, a list of risks that are low priority, but are still identified as potential risks. 26
  • 27. Quantitative Assessment • Often follows qualitative risk analysis, but both can be done together. • Large, complex projects involving leading edge technologies often require extensive quantitative risk analysis. • Main techniques include: 27  Decision tree analysis  Simulation  Sensitivity analysis
  • 28. Risk – Human Factor - Stakeholders • Risk and Human behavior looks into psychology of risk.  How others look at the risk?  How they behave in the face of risk?  How they behave in groups? • Perception of Risk.
  • 29. 29 Risk Response Planning • Risk transfer  Sub-contractors  Insurance companies • Risk avoidance • Risk reduction • Risk Retention • Losses charged against normal operation cost. • Contingency fund. • Risk acceptance
  • 30. Response Strategies for Positive Risks • Risk exploitation • Risk sharing • Risk enhancement • Risk acceptance 30
  • 31. Residual and Secondary Risks • It’s also important to identify residual and secondary risks. • Residual risks are risks that remain after all of the response strategies have been implemented. • Secondary risks are a direct result of implementing a risk response. 31
  • 32. 32 Risk Monitoring and Control • Identification of new risks • Monitoring of previously identified risks • Risk management plan updation • Maintaining communication between the project team and Risk management team • Comprehensive project documentation
  • 33. Good Project Risk Management • Unlike crisis management, good project risk management often goes unnoticed. • Well-run projects appear to be almost effortless, but a lot of work goes into running a project well. • Project managers should strive to make their jobs look easy to reflect the results of well-run projects. 33
  • 34. Risk Management Issues Learnt from Natural Disasters • Risk Management should be a Portfolio Level job  Labour issues • Diversify the project team  Local work force for critical roles even if at a higher cost  Diversify the talent pool  Do not depend on one specific town or region for the entire team
  • 35. • Contingency Planning • Create a culture of safety  Commonwealth Games  Worst monsoon rains in 20 years  Collpase of a pedestrian bridge
  • 36. • Quality Control saves lives • Don’t deliver an inferior Product/Project in a hurry • Choose the leaders wisely and train them how to react to disasters
  • 37. 37 TITANIC RISK MANAGEMENT STUDY
  • 38. Timeline - 1912 • 10 April 12:00  departure Titanic from Southampton on maiden voyage to New York (via Cherbourg and Queenstown) • 12 April  reports of ice fields on course coming in • 14 April  increasing ice field reports, course altered to south, speed maintained at 22 knots • 14 April, night  moonless, calm seas, temperatures just below freezing
  • 39. Timeline - 2012 • 14 April, 23:00  Californian radioed more ice and mentioned Titanic stopped for the night because of pack ice, answer from Marconi radio operator ”shut up, shut up, I’m busy”  Californian’s radio operator turned off radio and went to bed • 14 April, 23:40  “iceberg directly ahead” alarm from crows nest to bridge  First Officer Murdoch ordered helm hard to starboard and engines stopped  to prevent stern hitting iceberg, he then ordered helm hard to port, this manoeuvre came too early and ship’s bow hit undersea shelf of ice, causing damage to riveted seams
  • 40. Timeline - 2012 • 14 April, 23:52  decision to restart engines by Ismay, increasing leak, with rivets popped open below water line over length of 90 m, allowing increasing amounts of water to enter damaged compartments, causing bow to sink, and water eventually to rise above watertight bulkheads terminating at E deck
  • 41. Timeline • 15 April, 00:10  distress calls started (SOS) • 15 April, 00:19  engines stopped for last time • 15 April, 00:27  first lifeboat lowered (with capacity for 65 people, carrying 27) • 15 April, 00:35  distress rockets launched  Californian crew saw distress rockets but misunderstood and concluded ship had stopped for night and was having a party..
  • 42. Timeline • 15 April, 02:20  Titanic sinks • 15 April, 04:10  Carpathia arrived on scene
  • 43. Project Manage4m3 ent - Session 7
  • 44. Project Manage4m4 ent - Session 7
  • 46. Staff selection and learning from previous incidents  Regarded as very experienced but…..  27th Jan 1889 - Ran The Republic aground in New York  1st Dec 1890 - Ran The Coptic aground in Rio de Janerio  4th Nov 1909 - Ran The Adriatic aground outside New York History of running ships too fast through narrow passages.. and of not adequately training his officers Captain Smith was commissioned to command the Titanic
  • 47. Leadership • Ismay overshadowed Captain Smith’s leadership 47
  • 48. Quality Control and Material Identification • Asset integrity (rivets of best rather than best-best quality with high concentration of slags) • Shortage of skilled riveters • Rivets popping contributed to speed of sinking
  • 49. Management of Change and Safety Culture • Lowering watertight bulkheads to allow ease of movement of people  As the bow sank, water came above deck, accelerating the sinking as there were no bulkheads to limit the ingress.  Hazard evaluation (requirement to be unsinkable relies on integrity of watertight compartments)
  • 50. 50
  • 51. 51
  • 52. 52
  • 53. Management of Change and Safety Culture • Was the decision to change the rivets a conscious one? • Lifeboats had been reduced for 64 to 22 in favour of more expansive promenade decks of Olympic design  Insufficient to take the passengers and crew
  • 54. Communication Management • Disaster assessment took 20 minutes, and 65 minutes before captain ordered lifeboats filled. • Poor communication impeded passengers & crew from reacting, possibly deliberate to avoid panic. • Hierarchical organizational structure and physical segregation controlled information flow. • Many passengers got up and went back to bed. • First life-boat left half full. • Crew skeptical that anything was serious. Any recovery plan would have been poorly executed. 54
  • 55. Emergency Planning • Major accident potential (worst case scenario sinking) was discounted. • Emergency response arrangements  Original design had just about enough lifeboats • The officers on board The Titanic had not trained with the lifeboats and were unsure of their holding capacity. • Smith often claimed to have never faced a “near disaster”  Reportedly his performance deteriorated in the last two hours.
  • 56. • It wasn’t until 45 minutes after the collision that officers commenced preparing the lifeboats • Twenty lifeboats were launched • Officers feared that the ship’s davits & winches would not hold the weight of the recommended 65 people • All but the last few lifeboats floated were half-filled • It is a fact that had the Officers filled the lifeboats as per their specification an additional 600+ people could have been saved. 56
  • 57. Emergency Planning • Many people could not read the English signs • There was not a standing safety-response plan.. the ‘Women and Children first’ response was a (commendable) reaction more than a previously-agreed plan. • Lives Saved: 705 • Lives Lost: 1500 • Total passengers 2,205 • Max Lifeboat Capacity 1,600
  • 58. 58
  • 59. Does learning have a shelf life? • The lessons from Titanic are still relevant today • There are good lessons which cross between industries • “Can we learn from the past”….the Risk Engineering team would say yes!
  • 60. QUESTIONS AND DISCUSSION Reference: • Could Disaster have been prevented? Case Study –Second set of lessons from Titanic, Multimedia publications • EFU Risk Management Presentation 60