Gathering the Facts

The accident investigation will now get the facts as to which people were involved, what equipment was involved, what were the environmental conditions concerning the lighting, noise and work situation, and also what procedures and policies were there that could have prevented the accident. These procedures could be the safety induction training, the staff selection process, the observation of critical tasks being carried out, or the written safe work procedures, among others. 

Once aU the facts have been obtained from the witnesses, the environment, and the positioning of equipment and machinery, the facts are then all recorded on the accident investigation form. Where necessary, wimesses testimonies are recorded separately and cross-referenced to the form. 

When determining the causes of an accident, don t jump to conclusions. Don t be predictive. Rather, deduct the facts by a systematic identification of immediate causes from which the root causes can be derived. 

The root causes are categorized as personal and job factors. Only once the root causes have been identified can remedial measures be taken. Fixing the immediate cause is treating the symptom rather than the cause. 

Once the facts have identified the immediate and root canses of the accident, we now need to initiate remedial steps or preventative action to prevent recurrence. An accident will not wait for these steps to be taken therefore, nrgency is of the essence. 

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Employers must develop in-house capability to investigate incidents that occur in their facilities. A team should be assembled by the employer and trained in the techniques of investigation, including how to conduct interviews of witnesses, assemble needed documentation, and write reports. A multidisciplinary team is better able to gather the facts of the event and to analyze them and develop plausible scenarios as to what happened and why. Team members should be selected on the basis of their training, knowledge, and ability to contribute to a team effort to fully investigate the incident. 

Gathering the facts is of paramount importance before any action. There are many proverbs and sayings - look before you leap, a stitch in time, and so on which have made this point. What looks like a problem may not be that... 

We advise chemical companies to take a sequential approach to implementing a strong performance ethic. First, gather the facts about the current performance ethic and identify any gaps compared to the five must do s and the levers. Then fill in any gaps in the must do s , and work to achieve at least average performance with all of the levers. It is much more important here to do a few things really well than to try to boil the performance ocean . 

Immediate actions Gathering the facts Determining the canses Taking remedial action Following np... 

To gather the facts and to establish the connections between them these are two very arduous tasks and so philosophers have chosen to divide them up. Thus, some of them spend their lives collecting material, work that is both laborious and useful. The others, proud architects, rush to apply these facts, although until now, time has overthrown practically all of these edifices of rational philosophy. The sooty labourer, as he tunnels on unguided, will sooner or later raise up from under the ground the element that will demolish the architecture formed by the mind alone, and the... 

According to Gatos, the needs of solid-state electronics, not least in connection with various compound semiconductors, were a prime catalyst for the evolution of the techniques needed for a detailed study of surface structure, an evolution which gathered pace in the late 1950s and early 1960s. This analysis is confirmed by the fact that Gatos, who had become a semiconductor specialist in the materials science and engineering department at was invited in 1962 to edit a new journal to be... 

In the first of the following subsections, the data coDection approaches adopted in most CPI incident reporting systems will be described. The fact that these systems provide little support for systematically gathering data on underlying causes will provide an introduction to the later sections which emphasize causal analysis techniques. 

The fact that the model connecting error types with their causes may change as a result of gaining further experience with the data collection system means that the informahon gathered on the PIFs in a situation may also change. For example, if incident data indicates the neglect of safety procedures because of production pressures, then the questions relating to this area wUl need to be extended. 

As of now such semiconductor oxides as ZnO, Sn02 and Ti02 are most widely used as operational sensor elements. This is initially explained by the vast amount of experimental data gathered for above compounds and on the other hand by the importance of their being used as catalysts in various reactions. Finally, this can be explained by the fact that they are most suitable from the stand-point of requirements... 

A further fact must be taken into account, which for obvious reasons did not appear in Haslam s article. As a consequence of our contracts with the Americans, we received from them above and beyond the agreement many very valuable contributions for the synthesis and improvement of motor fuels and lubrication oils, which just now during the war are most useful to us. It need not be especially mentioned that without lead-tetraethyl the present method of warfare would be unthinkable. The fact that since the beginning of the war we could produce lead-tetraethyl is entirely due to the circumstances that, shortly before, the Americans had presented us with the production plans, complete with experimental knowledge. Thus the difficult work of development (one need only recall the poisonous property of lead-tetraethyl, which caused many deaths in the U.S.A.) was spared us, since we could take up the manufacture of this product together with ail the experience that the Americans had gathered over long years. 

Another result that is not evident in Fig. 33 concerns the computational times required for gathering the statistical steady-state values of various quantities (such as the slip velocity shown in Fig. 33) at comparable grid resolutions, the computational time required to solve the filtered equations is much smaller than that for the microscopic equations. This can be attributed to the fact that the structures obtained in the solution of the filtered equations are comparatively coarser than those for the microscopic TFM equations. 

The solution given by the program (that is most likely correct) contradicts the expectations of the user gathered by practical experience (quite often due to the fact that the user has additional fuzzy constraints at the back of their minds that are not known to the program). 

I find it truly amazing that someone would want to live in a transparent house at any time, but especially in an age when individual privacy is becoming increasingly difficult to maintain and defend (against those who argue that information must be gathered for the social (60) good). Or perhaps this man s house is an attempt to call our attention to the fact that the panopticon is already here, and that we are all just as exposed as he is. 

Dated sediment layers (1939-1991) of a small German river were studied for their LAS concentrations and the gathered data were related to political, economic and technical developments in Germany [14]. As expected the sediments corresponding to the period 1939-1945 contained no LAS, since at that time soap was the most important surfactant used for laundry washing. A significantly different picture was obtained in sediments from 1949 to 1951 when a particular LAS was used along with soap. The values determined in the two core samples amounted to 1.4 and 1.3 mg kg-1, respectively. In the sediment horizons from 1954 to 1956 no LASs were detected, which is in accordance with the fact that the less expensive branched alkylbenzene sulfonate (ABS) had replaced the linear one. In the years from 1959 to... 

A comprehensive study was undertaken by the EPA in 1987 to gather additional facts about releases from USTs. This study resulted in the following findings ... 

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