The Golden Beach Oil Spill - Lessons Learned Outline
The Golden Beach Oil Spill - Lessons Learned Outline
The Golden Beach Oil Spill - Lessons Learned Outline
• Victorian Government
• Commonwealth Government
• Local Government
• Private Sector
1
11/05/2016
Attorney General’s Department 2014 Hand Book 8 Lessons Management (pp. 6-7).
Results Implementation
• 296 Observations • Corrective Action Plan
• 13 Insights • Decision on priority
• Three themes: • Assigned responsibility
• Command and Control 1 insight • Implementation Review
• Operations 1 insight
• Resources 11 insights
• 13 Lessons based on insights
• Competing evens
• Lesson exportability
LESSONS ON LESSONS
• Process
• Just culture
• National Handbook 8
• Lesson team experience
• Marine Pollution
• Lessons
• Peer review of process and documentation
• Careful stakeholder planning and engagement.
Thank you!
Questions?
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