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Incident investigation definitions

Consider having one incident reporting system with one approach for teaching employees the definition of a near miss and with one approach for doing incident investigations including one approach for root cause analysis. [Pg.73]

Words and phrases such as incident, accident, and near miss tend to be used quite loosely in general conversation. They also tend to have different connotations in English, American, and Canadian usage. However, in the context of formal incident investigation and analysis such words need to be tightly defined. The definitions used for these terms in this chapter are provided below. [Pg.456]

The definition of the word incident covers not just safety and environmental harm but also economic loss. Most of the literature to do with incident investigation and analysis focuses on safety-related events. But there is no reason why the techniques developed to investigate and understand such events could not also be used to address lost production, reduced efficiency, and unexpected equipment failure. [Pg.457]

Terms such as basic cause, contributory cause, immediate cause, and management cause appear in the forms. Definitions on the forms were understandably brief. Some were confusing. I was not always certain of their meanings. Entries on the forms indicate that supervisors, who may complete one, two, or three incident investigation reports a year, do not understand what the terms mean. [Pg.206]

However, for an incident investigation practitioner the definition of root causes is not as important as procedure how to obtain them. The guideline CCPS... [Pg.33]

Gather incident investigation and injury data related to the serious injury definition chosen, for at least a 3-year period. [Pg.60]

Do your definitions include examples from your incident investigations ... [Pg.82]

Given the fact that incident investigation is a process at least as complex as auditing, and given the very limited reliability of auditing (see Chapter 7), we believe that extreme care is necessary in order to ensure a reliable investigation process, hi order to maximize reliability, it is necessary to have a very clearly defined process. This definition should include who should investigate and how. [Pg.100]

For the purposes of this investigation-rather than adopting any single definition of a reactive chemicaT-CSB focuses on the broadest range of practices to identify reactive hazards and to manage the risk of reactive incidents. A reactive chemical may include any pure substance or mixture that has the capability to create a reactive incident. CSB defines a reactive incident as a sudden event involving an uncontrolled chemical reaction-with significant increases in temperature, pressure, or gas evolution-that has caused, or has the potential to cause, serious harm to people, property, or the environment. [Pg.296]

Uncovering and analyzing the precursors to incidents is more cost effective than only investigating losses. Chapter 5 discusses the definition of a near miss and how to get these precursors reported and investigated. [Pg.43]

From the view of both actual and potential impact, the cyclohexane release affects all business aspects. The incident is a near miss for safety, and a minor-major incident for other aspects of the business. Performing six or more investigations would be fruitless. Performing one investigation that meets the needs of all business aspeas is ideal and simpler. The near miss definition and related training will need to explain the potential impact of an... [Pg.72]

Establishment of definable end-points for the investigation of specific differences between normal and abnormal responders poses another problem. Consider the evaluation of drug treatment of hypertension as a case in point. In this instance, the definitive end-point would be measured by the difference in the incidence of strokes and cardiovascular disease between normal and abnormal drug responders, but this would probably occur years after the trait is recognized and modifying treatment undertaken. Another example of pharmacogenetic interest... [Pg.5]

Investigators n Patients Clopidogrel dose Definition of clopidogrel Time Incidences (96)... [Pg.148]

A review of 139 methadone-related deaths between 1998 and 2002 in Palm Beach County supported those of previous investigations and suggested that it is not possible to establish a definitive lethal methadone blood concentration range. Methadone-related death is usually associated with the use of other drugs and toxicological analysis in such cases should be contextualized by the clinical circumstances surrounding the event and even a few months before the incident occurred (50). [Pg.548]

These studies offer a reformulation of our present knowledge of zinc deficiency in a traditional, clinical manner. This reformulation is similar to that used by most other investigators dealing with other clinical problems. This reformulation or redefinition on the basis of acute, chronic and subacute zinc deficiency, has allowed for the classification of zinc deficiency syndromes with respect to etiology, incidence, onset, symptomatology and diagnostic procedures. This reformulation has also allowed for the development of hypotheses by which to test the usefulness of the definitions and to describe the characteristics which define each of the subcategories. [Pg.100]

The terms root cause or multiple root causes appear several times without a clear definition. When Jack Philley teaches the Investigating Process Safety Incidents course for the AIChE, he offers several clear definitions. He describes a root cause as a prime reason, underlying cause, and most often associated with breakdowns or flaws in the management systems. Furthermore, Philley s class notes point out definitions from the Department of Energy Guidelines in his handout, which states ... [Pg.259]


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See also in sourсe #XX -- [ Pg.2 ]




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