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Practical reference on systematic accident prevention, investigative techniques, and contributing factors, derived from analysis of real accidents Accident Prevention and Investigation enables readers to reduce the number of accidents and casualties during experiments at universities by using new approaches based on scientific knowledge and data. Demonstrated through case studies illustrating successful implementation, the book explores alternate perspectives on mechanisms and contributing factors of accidents, derived from investigation of real accidents. Readers will first learn how…mehr
Practical reference on systematic accident prevention, investigative techniques, and contributing factors, derived from analysis of real accidents
Accident Prevention and Investigation enables readers to reduce the number of accidents and casualties during experiments at universities by using new approaches based on scientific knowledge and data. Demonstrated through case studies illustrating successful implementation, the book explores alternate perspectives on mechanisms and contributing factors of accidents, derived from investigation of real accidents.
Readers will first learn how accidents occur and understand how to prevent them. Next, they will learn how to use the discussed methods to conduct systematic accident prevention at universities, including fieldwork activities at sea.
In this book, readers will find:
Tools to understand how to apply different accident prevention methods depending on the logistics of an experiment
Guidelines to investigate and analyze accidents and near-misses
Information on accident theory, risk management, and safety management systems
Specific challenges at universities and how to systematically incorporate accident investigation and prevention when faced with factors from multiple industry types
Helpful checklists to aid readers in the practical application of accident reduction
This book is an essential reference for faculty, researchers, and advanced students seeking to reduce the number of accidents on campus and in university-affiliated field work. It is also an ideal textbook for courses using a systematic approach to safety.
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Autorenporträt
Koji Fukuoka is the President of BCP&BCM Consulting in Tokyo, Japan. Formerly, he was a professor at Kyushu University. He has spent most of his career as both a scientist and practitioner for safety systems in various fields including at the Okinawa Institute of Science and Technology Graduate University (OIST), Japan Transport Safety Board (JTSB), and Japan Coast Guard (JCG), as well as in various maritime industries.
Inhaltsangabe
List of Figures ix List of Tables xiii Preface xv About the Author xvii Acknowledgments xix 1 Current State of Accidents at Universities 1 1.1 Introduction 1 1.2 Background 2 1.3 Modes and Effects of Human Error 3 1.4 Transition from Human Error to Human Factors 7 1.5 Development of the SHEL Model 9 1.6 Change in the Social System and the Shift from Criminal to Safety Investigations 11 1.7 Widespread Use of SMSs 13 1.8 Development of the Swiss Cheese Model 14 1.9 Characteristics of Universities and Other Academic Institutions and SMSs 15 1.10 Explosion Accidents in Universities 16 1.11 Consequences of Inexhaustive and Nonscientific Accident Investigation 19 1.12 Challenges in Preventing Accidents in Universities, etc. 21 1.13 Conclusion 24 2 Mechanisms of Accident Occurrence 27 2.1 Introduction 27 2.2 Concept of Hazard and Accident 28 2.3 Effect of a Layer of Defense 32 2.4 Situation of Defenses in Depth and Accidents 37 2.5 Near Misses 38 2.6 Lessons Learned 44 2.7 Conclusion 52 3 Accident Models 55 3.1 Introduction 55 3.2 Historical Background of Accident Models 56 3.3 Problems in Each Accident Model 59 3.4 Accident Models Applicable to Each Industry 74 3.5 Conclusion 77 4 Risk Management and Safety Management Systems 81 4.1 Introduction 81 4.2 Differences Between Risk Assessment and Risk Management 82 4.3 Concept of the Risk Management Process 83 4.4 The Core of the Safety Management System 90 4.5 Organizational Structure and Authority 97 4.6 Conclusion 106 5 Human Factors 109 5.1 Introduction 109 5.2 Background 109 5.3 Aims and Scope of Human Factors Investigations 110 5.4 SHEL Model Applicable to Accidents at Universities, etc. 110 5.5 Safety Culture 129 5.6 Conclusion 136 6 Accident Investigation and Analysis 139 6.1 Introduction 139 6.2 Points to Be Considered When Conducting Accident Investigations at Universities, etc. 139 6.3 Accident Investigation at the Accident Site 140 6.4 Witnesses Interviewing 147 6.5 Assessing the Evidence 152 6.6 Analysis Process 153 6.7 Writing the Accident Investigation Report 157 6.8 Follow-up Actions After Issuing Reports 160 6.9 Conclusion 161 7 Contributing Factors Found in Accidents 165 7.1 Introduction 165 7.2 Methods of Utilizing Accident Factors 166 7.3 Software/Procedures 166 7.4 Hardware/Equipment 169 7.5 Environment/Atmosphere 170 7.6 Operators/Researchers 174 7.7 Organizations/Universities 175 7.8 Conclusion 178 8 Systematic Accident Prevention 181 8.1 Introduction 181 8.2 Education 182 8.3 Workplace Inspections and Internal Audits 196 8.4 Investigation of Near Misses and Accidents 199 8.5 Follow-up Action 200 8.6 Using the Data 200 8.7 Conclusion 203 Abbreviations 207 Index 209
List of Figures ix List of Tables xiii Preface xv About the Author xvii Acknowledgments xix 1 Current State of Accidents at Universities 1 1.1 Introduction 1 1.2 Background 2 1.3 Modes and Effects of Human Error 3 1.4 Transition from Human Error to Human Factors 7 1.5 Development of the SHEL Model 9 1.6 Change in the Social System and the Shift from Criminal to Safety Investigations 11 1.7 Widespread Use of SMSs 13 1.8 Development of the Swiss Cheese Model 14 1.9 Characteristics of Universities and Other Academic Institutions and SMSs 15 1.10 Explosion Accidents in Universities 16 1.11 Consequences of Inexhaustive and Nonscientific Accident Investigation 19 1.12 Challenges in Preventing Accidents in Universities, etc. 21 1.13 Conclusion 24 2 Mechanisms of Accident Occurrence 27 2.1 Introduction 27 2.2 Concept of Hazard and Accident 28 2.3 Effect of a Layer of Defense 32 2.4 Situation of Defenses in Depth and Accidents 37 2.5 Near Misses 38 2.6 Lessons Learned 44 2.7 Conclusion 52 3 Accident Models 55 3.1 Introduction 55 3.2 Historical Background of Accident Models 56 3.3 Problems in Each Accident Model 59 3.4 Accident Models Applicable to Each Industry 74 3.5 Conclusion 77 4 Risk Management and Safety Management Systems 81 4.1 Introduction 81 4.2 Differences Between Risk Assessment and Risk Management 82 4.3 Concept of the Risk Management Process 83 4.4 The Core of the Safety Management System 90 4.5 Organizational Structure and Authority 97 4.6 Conclusion 106 5 Human Factors 109 5.1 Introduction 109 5.2 Background 109 5.3 Aims and Scope of Human Factors Investigations 110 5.4 SHEL Model Applicable to Accidents at Universities, etc. 110 5.5 Safety Culture 129 5.6 Conclusion 136 6 Accident Investigation and Analysis 139 6.1 Introduction 139 6.2 Points to Be Considered When Conducting Accident Investigations at Universities, etc. 139 6.3 Accident Investigation at the Accident Site 140 6.4 Witnesses Interviewing 147 6.5 Assessing the Evidence 152 6.6 Analysis Process 153 6.7 Writing the Accident Investigation Report 157 6.8 Follow-up Actions After Issuing Reports 160 6.9 Conclusion 161 7 Contributing Factors Found in Accidents 165 7.1 Introduction 165 7.2 Methods of Utilizing Accident Factors 166 7.3 Software/Procedures 166 7.4 Hardware/Equipment 169 7.5 Environment/Atmosphere 170 7.6 Operators/Researchers 174 7.7 Organizations/Universities 175 7.8 Conclusion 178 8 Systematic Accident Prevention 181 8.1 Introduction 181 8.2 Education 182 8.3 Workplace Inspections and Internal Audits 196 8.4 Investigation of Near Misses and Accidents 199 8.5 Follow-up Action 200 8.6 Using the Data 200 8.7 Conclusion 203 Abbreviations 207 Index 209
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