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As a consequence of the Deepwater Horizon blowout and explosion, Bhopal and Piper Alpha, we have the PSM standard and SEMS rule. This helps ensure companies, at a minimum, document incidents of consequence. Most organizations take this further and conduct root cause analysis, document lessons learned and create corrective action. Even if there are lessons learned, collected at a local level, large companies struggle to spread learnings across the organization. Even when they share in a passive manner, organizational value is not always realized. When sharing is not enough to ensure we don't repeat missteps organizationally, you need a process like HUAA (Heard, Understood, Acknowledged and Actioned). Holding sr. managers accountable is the only way to ensure that painful learnings are leveraged for improved process safety performance.