Accident tools

Eault tree analysis (ETA) is a widely used computer-aided tool for plant and process safety analysis (69). One of the primary strengths of the method is the systematic, logical development of the many contributing factors that might result ia an accident. This type of analysis requires that the analyst have a complete understanding of the system and plant operations and the various equipment failure modes. 

The development of MORT was initiated by the U.S. Atomic Energy Commission, and is described in Johnson (1980). MORT is a comprehensive analytical procedure that provides a disciplined method for detennining the causes and contributing factors of major accidents. It also serves as a tool to evaluate the quality of an existing safety program. 

Three major themes have been emphasized in this chapter. The first is that an effective data collection system is one of the most powerful tools available to minimize human error. Second, data collection systems must adequately address underlying causes. Merely tabulating accidents in terms of their surface similarities, or using inadequate causal descriptions such as "process worker failed to follow procedures" is not sufficient to develop effective remedial strategies. Finally, a successful data collection and incident investigation system requires an enlightened, systems oriented view of human error to be held by management, and participation and commitment from the workforce. 

In a more quantitative sense, cause-consequence analysis may be viewed as a blend of fault tree end event tree analysis (discussed in tlie two preceding cliapters) for evaluating potential accidents. A major strengtli of cause-consequence analysis is its use as a communication tool. For example, a cause-consequence diagram displays the interrelationships between tlie accident outcomes (consequences) and Uieir basic causes. The method can be used to quantify the expected frequency of occurrence of the consequences if the appropriate chita are available. 

Remarkable for someone so talented in the arts, Fulton was able to use his accomplished drawing skills to express his designs. As a now noted draftsman, he invented numerous pieces of equipment such as tools to saw marble, spin flax, make rope and excavate earth. Sadly, he once lost many of his original manuscripts during a shipping accident. 

Good housekeeping can play a major part in maintaining a safe and environmentally sound place of work. Tripping over material not tidied away causes many accidents. Another source of potential injury is in the lack of secure storage of cleaning equipment, tools, etc. 

The accident investigation report is written using the principles of technical documentation. Items 1-4 are objective and should not include the authors opinions. Items 5-7 appropriately contain the opinions of the authors (investigation team). This technical style allows readers to develop their own independent conclusions and recommendations. As a result of these criteria, the accident investigation report is a learning tool, which is the major purpose of the investigation. 

Policy makers, practitioners, and scholars from a variety of disciplines have recently embraced a new approach to risk reduction in health care—a "systems approach"—without proposing any specific reforms of medical liability law. The Institute of Medicine (IOM) placed its imprimatur on this approach in its recent reports (Kohn et al., 2000 IOM, 2001). In its simplest form, a systems approach to risk reduction in health care posits that an injury to a patient is often the manifestation of a latent error in the system of providing care. In other words, a medical mishap is the proverbial "accident waiting to happen" because the injury-preventing tools currently deployed, including medical liability law, are aimed at finding the individuals at fault rather than the systemic causes of error. Coexistence of a systems approach to error reduction and medical liability law as a conceptual framework for policy makers implies that the latter is likely to evolve in an incremental fashion as the former makes more visible different aspects of the medical error problem. 

Logic Model Methods The following tools are most commonly used in quantitative risk analysis, but can also be useful qualitatively to understand the combinations of events which can cause an accident. The logic models can also be useful in understanding how protective systems impact various potential accident scenarios. These methods will be thoroughly discussed in the Risk Analysis subsection. Also, hazard identification and evaluation tools discussed in this section are valuable precursors to a quantitative risk analysis (QRA). Generally a QRA quantifies the risk of hazard scenarios which have been identified by using tools such as those discussed above. 

To analyse the problem posed in Chapter 1 an overview of current literature on tools, methods, and standards concerning safety indicators will be presented in Chapter 3. With this overview a better understanding of the signs currently used to indicate safety will be obtained. These signs will be compared with the signs present prior to recent accidents (1995-2002). From both literature and case histories a hypothesis will be derived that will be especially tested in Chapter 6. Moreover, in Chapter 4, the conclusions will be used to develop some generic concepts and a conceptual practical approach. The approach will consist of several steps and models derived from organizational science and safety literature. 

From Chapter 1 it appeared that all the existing safety management systems and tools cannot prevent accidents with hazardous substances in the chemical process industry. In this Chapter, the most commonly used safety indicators will be analysed to derive the set of deviations used for indicating. These deviations are then compared with deviations present in an accident trajectory prior to recent accidents. The differences between the two sets of deviations are then discussed to indicate why accidents still occur. These differences show shortcomings in current safety indicators and are used to set the criteria for a new safety indicator. 

The definition of risk from Chapter 1 is used to set up an analysis tool to find a possible link between Sis and recent accidents. The following sub-Section will therefore introduce this analysis tool before analysing current safety indicators and accidents. 

The safety handbook, procedures, standards, etc. are based upon historical knowledge from real accidents (i.e. high consequences). The rules in these safety handbooks, procedures, standards, only prescribe certain measures without considering the likelihood. The PHA tools analyse very unlikely scenario s that lead to serious accidents if they happen (high consequence). The PHA tools identify possible initiating events (events enabling the occurrence of such a scenario) to eliminate the consequences, regardless of their likelihood. 

Reason J., 1991. Too little and too late a commentary on accident and incident reporting systems, in Schaaf van der, et al. (Eds.), Near miss reporting as a safety tool, Butterworth Heinemann, Oxford. 

Simple switches that can be manually activated can be considered a fire alarm device. Models are used which normally require the use of positive force, i.e., to avoid accident and fraudulent trips. Fire alarm switches normally can only be reset by special tools in order to trace the source of the alarm, however sophisticated data reporting systems with addressable data collection may make this requirement obsolete. 

This second edition features in-depth coverage of actual response techniques and new approaches for coping with critical situations caused by criminal activity, industrial accidents, or even mini-epidemics. Augmenting its coverage of field first aid for response personnel, this edition contains up-to-date tools such as checklists and streamlined procedures for on-scene coordination. It incorporates the latest detection devices, cost/recovery and hazard analyses, diagnostic methods, pretreatments, vaccines, decontamination techniques, antidotes, and medical treatments available. This edition also adds a focused review of the progress and projected developments for military protocols and procedures. 

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