Root cause analysis of JCO accident based on decision-making model[A].Frontiers,Science Series,2000.1-4.KOHDA T,NOJIRI Y,INOUE K. Root cause analysis of JCO accident based on decision-making model[A].2000.Kohda T,Nojiri Y,Inoue K.Root cause analysis of JCO accident based on decision-...
This paper discusses root causes of the JCO accident by considering the reasons why the workers made their decision to choose the illegal actions leading to a criticality accident. Analyzing their decision process compared with the normal decision process, the direct cause of their incorrect decision...
This study is focussed on identifying the root cause of a BRV related accident which happened along the airport road, close to jet fuel storage depots, creating a potential for huge fire disaster. Using the fishbone diagram and a detailed root cause analysis, the study revealed that driving ...
accident analysis and preventiAccident analysis and prevention involves identifying the root causes of accidents or incidents, assessing the risks associated with those causes, and implementing measures to prevent similar accidents from occurring in the future. This process typically involves a systematic ...
提出了人因事故预防和减少的综合体系。—— 给力词典精选 2. Incident prevention and incident root cause analysis, reporting, action following up. 事故预防和事故源分析 、 报告和改进措施的跟进。—— 给力词典精选 3. Achieve effective change in the prevention of traffic accidents Yingkou City adverse...
The Arbitrariness of Accident Analysis Determining the cause of an accident is a psychological (social) rather than logical (rational) process. One of the many myths of industrial safety is that accident analysis / accident investigation is a rational search for (root) causes. The purpose of the...
Accident/Incident Analysis 8. Root Cause Analysis 9. Causal Factor Analysis 10. Change Analysis 11. Barrier Analysis. Section 4: Accident Prevention Techniques 12. Job Safety/Hazard Analysis 13. Safe Operating Procedures 14. Job Safety Observations 15. Workplace Audits 16. Fleet Safety 17. ...
root cause analysiserrors taxonomyvideo analysisInvestigations on several real life accidents have revealed the increasing causal role played by humans, and the importance of the context of human actions. Accident analyses should therefore concentrate not only on system failures but also on what we ...
The domino theory developed by Heinrich (1931) is one of the earliest sequential accident models, and Fault Tree Analysis (FTA), Root Cause Analysis (RCA), and Bow-tie methods are examples of the associated methods based on these models. In the 1980s, the sequential simple linear models ...
A new tool for hazard analysis and force-field analysis: The Lovebug diagram Background Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a num... Card,J A. - 《Clinical Risk》 被引量: 21发表: 201...