This presentation, from the 4th CCPS Middle East Process Safety Conference in September 2022, will provides case studies with insights and lessons learned based on AcuTech's global consulting practice. The review includes a comparison of both qualitative (e.g., PHAs) and quantitative risk assessments (QRAs) projects, focusing on why some studies are successful - leading to action, while others flounder - never gaining traction. While all companies have good intentions when they start the risk assessment process, some can lose sight when the process moves from study completion to action and follow-up. Real-world examples of the obstacles and pitfalls are assessed to determine why good studies can fail.