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In the aftermath of catastrophes, it is common to find prior indicators, missed signals, and dismissed alerts that, had they been recognized and appropriately managed before the event, could have resulted in the undesired event being averted. These indicators are typically called "precursors." Accident Precursor Analysis and Management: Reducing Technological Risk Through Diligence documents various industrial and academic approaches to detecting, analyzing, and benefiting from accident precursors and examines public-sector and private-sector roles in the collection and use of precursor information. The book includes the analysis, findings and recommendations of the authoring NAE committee as well as eleven individually authored background papers on the opportunity of precursor analysis and management, risk assessment, risk management, and linking risk assessment and management.
In the aftermath of catastrophes, it is common to find prior indicators, missed signals, and dismissed alerts that, had they been recognized and appropriately managed before the event, could have resulted in the undesired event being averted. These indicators are typically called "precursors." Accident Precursor Analysis and Management: Reducing Technological Risk Through Diligence documents various industrial and academic approaches to detecting, analyzing, and benefiting from accident precursors and examines public-sector and private-sector roles in the collection and use of precursor information. The book includes the analysis, findings and recommendations of the authoring NAE committee as well as eleven individually authored background papers on the opportunity of precursor analysis and management, risk assessment, risk management, and linking risk assessment and management.
Close calls, narrow escapes, or near hits. History has shown repeatedly that these "near-miss" incidents often precede loss producing events, but are largely ignored or go unreported because nothing (no injury, damage or loss) happened. Thus, many opportunities to prevent the accidents that the organization has not yet had are lost. Recognizing and reporting "near-miss" incidents can make a major difference to the safety of workers within organizations. Supported by more than 30 years of international safety experience and research, Safety Management: Near Miss Identification, Recognition, and Investigation discusses the safety philosophy behind "near-miss" incidents and clearly demonstrates the accident sequence showing the Three Luck Factors that determine the outcome of the event. The author highlights the fortuity of the event and how a simple risk assessment can be used to identify the causes of the event and rectify them. He also explains the management functions of safety and how they relate to "near-miss" incidents. Explains and reaffirms safety philosophies first proposed more than 80 years ago Applies the technique of risk assessment on "near-miss" incidents to identify high potential loss events Includes real-life examples of "near-miss" incidents to support the importance of "near-miss" recognition and investigation Provides examples of reporting forms, report tracking and "near-miss" incident awareness training on www.crcpress.com "Near-miss" incidents are truly the foundation of major injuries, the building blocks of accidents, and warning signs that loss is imminent. They can also form the impetus for proactive, preventative actions. This book explores how to implement a "near-miss" incident identification, recognition, investigation, and rectification program.
System safety is the application of engineering and management principles, criteria, and techniques to optimize safety within the constraints of operational effectiveness, time, and cost throughout all phases of the system life cycle. System safety is to safety as systems engineering is to engineering. When performing appropriate analysis, the evaluation is performed holistically by tying into systems engineering practices and ensuring that system safety has an integrated system-level perspective.The NASA System Safety Handbook presents the overall framework for System Safety and provides the general concepts needed to implement the framework. The treatment addresses activities throughout the system life cycle to assure that the system meets safety performance requirements and is as safe as reasonably practicable.This handbook is intended for project management and engineering teams and for those with review and oversight responsibilities. It can be used both in a forward-thinking mode to promote the development of safe systems, and in a retrospective mode to determine whether desired safety objectives have been achieved.The topics covered in this volume include general approaches for formulating a hierarchy of safety objectives, generating a corresponding hierarchical set of safety claims, characterizing the system safety activities needed to provide supporting evidence, and presenting a risk-informed safety case that validates the claims. Volume 2, to be completed in 2012, will provide specific guidance on the conduct of the major system safety activities and the development of the evidence.
Improvised explosive devices (IEDs) are a type of unconventional explosive weapon that can be deployed in a variety of ways, and can cause loss of life, injury, and property damage in both military and civilian environments. Terrorists, violent extremists, and criminals often choose IEDs because the ingredients, components, and instructions required to make IEDs are highly accessible. In many cases, precursor chemicals enable this criminal use of IEDs because they are used in the manufacture of homemade explosives (HMEs), which are often used as a component of IEDs. Many precursor chemicals are frequently used in industrial manufacturing and may be available as commercial products for personal use. Guides for making HMEs and instructions for constructing IEDs are widely available and can be easily found on the internet. Other countries restrict access to precursor chemicals in an effort to reduce the opportunity for HMEs to be used in IEDs. Although IED attacks have been less frequent in the United States than in other countries, IEDs remain a persistent domestic threat. Restricting access to precursor chemicals might contribute to reducing the threat of IED attacks and in turn prevent potentially devastating bombings, save lives, and reduce financial impacts. Reducing the Threat of Improvised Explosive Device Attacks by Restricting Access to Explosive Precursor Chemicals prioritizes precursor chemicals that can be used to make HMEs and analyzes the movement of those chemicals through United States commercial supply chains and identifies potential vulnerabilities. This report examines current United States and international regulation of the chemicals, and compares the economic, security, and other tradeoffs among potential control strategies.
The human element is the principle cause of incidents and accidents in all technology industries; hence it is evident that an understanding of the interaction between humans and technology is crucial to the effective management of risk. Despite this, no tested model that explicitly and quantitatively includes the human element in risk prediction is currently available. Managing Risk: the Human Element combines descriptive and explanatory text with theoretical and mathematical analysis, offering important new concepts that can be used to improve the management of risk, trend analysis and prediction, and hence affect the accident rate in technological industries. It uses examples of major accidents to identify common causal factors, or “echoes”, and argues that the use of specific experience parameters for each particular industry is vital to achieving a minimum error rate as defined by mathematical prediction. New ideas for the perception, calculation and prediction of risk are introduced, and safety management is covered in depth, including for rare events and “unknown” outcomes Discusses applications to multiple industries including nuclear, aviation, medical, shipping, chemical, industrial, railway, offshore oil and gas; Shows consistency between learning for large systems and technologies with the psychological models of learning from error correction at the personal level; Offers the expertise of key leading industry figures involved in safety work in the civil aviation and nuclear engineering industries; Incorporates numerous fascinating case studies of key technological accidents. Managing Risk: the Human Element is an essential read for professional safety experts, human reliability experts and engineers in all technological industries, as well as risk analysts, corporate managers and statistical analysts. It is also of interest to professors, researchers and postgraduate students of reliability and safety engineering, and to experts in human performance. “...congratulations on what appears to be, at a high level of review, a significant contribution to the literature...I have found much to be admired in (your) research” Mr. Joseph Fragola – Vice President of Valador Inc. “The book is not only technically informative, but also attractive to all concerned readers and easy to be comprehended at various level of educational background. It is truly an excellent book ever written for the safety risk managers and analysis professionals in the engineering community, especially in the high reliability organizations...” Dr Feng Hsu, Head of Risk Assessment and Management, NASA Goddard Space Flight Center “I admire your courage in confronting your theoretical ideas with such diverse, ecologically valid data, and your success in capturing a major trend in them....I should add that I find all this quite inspiring . ...The idea that you need to find the right measure of accumulated experience and not just routinely used calendar time makes so much sense that it comes as a shock to realize that this is a new idea”, Professor Stellan Ohlsson, Professor of Psychology, University of Illinois at Chicago
Every day in the United States, over two million men, women, and children step onto an aircraft and place their lives in the hands of strangers. As anyone who has ever flown knows, modern flight offers unparalleled advantages in travel and freedom, but it also comes with grave responsibility and risk. For the first time in its history, the Federal Aviation Administration has put together a set of easy-to-understand guidelines and principles that will help pilots of any skill level minimize risk and maximize safety while in the air. The Risk Management Handbook offers full-color diagrams and illustrations to help students and pilots visualize the science of flight, while providing straightforward information on decision-making and the risk-management process.
Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.
This book presents various concepts and applications related to risk-conscious operations management. It also provides an overview of the risk-based engineering – fundamental to the concept of risk-conscious operations management. It presents the reliability concept to support Dependency Modelling, which includes hardware systems structures and components for reliability improvement and risk reduction. The book further develops and builds attributes and model for risk-conscious culture – critical to characterize operational approach to risk and presents human factor modelling, where it works on developing an approach for human error precursor analysis. This book will be useful for students, researchers, academicians and professionals working on identifying risk and reliability issues in complex safety and mission critical systems. It will also be beneficial for industry risk-and-reliability experts and operational safety staff working in the complex engineering systems.
The air cargo industry contributed over $37 billion to the U.S. economy in 2008 and provides government, businesses, and individuals with quick delivery of goods. Although part of an aviation system with an extraordinary safety record, there have been over 400 air cargo accidents and over 900 incidents since 1997, raising concerns about cargo safety. This study addresses: (1) recent trends in air cargo safety; (2) factors that have contributed to air cargo accidents; (3) federal government and industry efforts to improve air cargo safety and experts' views on the effectiveness of these efforts; and (4) experts' views on further improving air cargo safety. Includes recommendations. Charts and tables.