Academic literature on the topic 'Industrial accident investigation'

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Journal articles on the topic "Industrial accident investigation"

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Won, Jeong-Hun, Hyeon-Ji Jeong, WonSeok Kim, Seungjun Kim, Sung-Yong Kang, and Jong Moon Hwang. "Mechanisms Analysis for Fatal Accident Types Caused by Multiple Processes in the Workplace: Based on Accident Case in South Korea." International Journal of Environmental Research and Public Health 19, no. 18 (September 11, 2022): 11430. http://dx.doi.org/10.3390/ijerph191811430.

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This study aimed to develop the accident mechanism of fatal accidents taking place in multiple processes at the workplace. Multiple processes were defined as the existence of multiple work types and work processes in the same workspace. Recently, various processes are frequently conducted simultaneously in one workplace with the participation of several companies, and more workers are increasingly experiencing industrial accidents while working in multiple processes. To prevent accidents in the multiple processes caused by the sameness of work period and space, the accident process was investigated by analyzing the investigation reports on serious industrial accidents in South Korea, and then the accident mechanism model was developed. By utilizing the developed model, the major safety measures to be taken by the contractor for each of the 8 types of accidents caused by the multiple processes were drawn. The roles and responsibilities of the contractor to be implemented in order to prevent accident occurrence in multiple processes were proposed through the accident mechanism of each type of fatal accident. It is expected that the accidents taking place in the multiple processes can be prevented with the drawn results.
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Pałęga, Michał, and Marcin Knapinski. "Analysis of Circumstances and Causes of Accidents Working in a Selected Industrial Undertaking." New Trends in Production Engineering 2, no. 2 (December 1, 2019): 331–40. http://dx.doi.org/10.2478/ntpe-2019-0097.

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Abstract The subject of this publication is to analyze the circumstances and causes of accidents at work in a selected industrial enterprise that provides services in the field of waterjet cutting and laser beam. The paper present the statutory definition of an accident at work and its basic categories (light, heavy, mortal and collective accident). It also discusses the most popular accident investigation method – the TOL method, which classifies the causes of accidents into three basic groups: material-technical, organizational and human. In the further part of the work the characteristics of the waterjet operator’s work station were made, including the scope of activities, possible occupational hazards and preventive actions. Next, the results of the analysis of the circumstances and causes of accidents at work were presented. In the period from 2013 to 2018 eight accidents were reported, resulting in minor injuries, such as cuts and cuts, fracture of the phalanx, overloading of the spine, leg twisting or knee injury.
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Chen, Qing Guang, Guo Hua Chen, and Qing Ye. "Assessment Model of Accident Emergency Management System Performance for Chemical Industrial Park Based on Immune Mechanism." Applied Mechanics and Materials 321-324 (June 2013): 1894–902. http://dx.doi.org/10.4028/www.scientific.net/amm.321-324.1894.

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Chemical accidents happen in workplaces all around the world. To improve the accident emergency management system is an important methodology to reduce the casualty and loss caused by accidents. In the light of the principles of immune system, the paper tried to analyze the accident emergency management system of chemical industrial park. It elaborated the similarities between immune system and accident emergency management system in the aspects of their existing environment, action object, function and adjustment mechanism. Immune mechanisms were used to formulate the assessment indexes of accident emergency management system performance. Inspired by immune system that keeps the living body healthy in “no antigen condition” and “touching antigen condition”, the assessment index system was formulated from the perspectives of “non-emergency condition” and “emergency condition”. Through the improved analytic hierarchy process, the weights of assessment indexes were calculated. Furthermore, the linear weighted model was applied in the building of the assessment model, which was then used to analyze the accident emergency management system of a chemical industrial park in Guangdong province, China. Through the data from expert investigation questionnaires, the scores of nine assessment indexes reflected accident emergency management system performance were obtained. The result showed that the model is helpful in analyzing the accident emergency management system performance and in improving the accident emergency management system in chemical industrial parks.
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Rubin, Linda J. "Industrial Hygiene Program Management, VI: Illness and Accident Investigation." Applied Industrial Hygiene 3, no. 11 (November 1988): F—12—F—14. http://dx.doi.org/10.1080/08828032.1988.10389847.

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Perminova, Olga M., Elena B. Lisina, and Natalya V. Selyunina. "USE OF INTERACTIVE METHODS FOR TEACHING SKILLS OF INDUSTRIAL ACCIDENT INVESTIGATION." XXI century. Technosphere Safety 3, no. 4 (December 2018): 32–39. http://dx.doi.org/10.21285/1814-3520-2018-4-32-39.

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Treeranurat, Wanit, and Suthathip Suanmali. "Determination of black spots by using accident equivalent number and upper control limit on rural roads of Thailand." Engineering Management in Production and Services 13, no. 4 (December 1, 2021): 57–71. http://dx.doi.org/10.2478/emj-2021-0031.

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Abstract The Department of Rural Roads (DRR) is one of the highway authorities in Thailand responsible for over 48 000 kilometres of rural roads and highway networks. One of its responsibilities is to provide better road safety management. In road safety procedures, black spots are usually identified by observing the frequency of accidents at a particular road section. This research aims to develop a model that includes levels of accident severity in the black spot identification process. The classification of severity levels includes fatalities, serious injuries, minor injuries, and damaged property only. The Analytic Hierarchy Process (AHP) is employed to derive the weight of each severity level. The identification model is developed using Equivalent Accident Number (EAN) and Upper Control Limit (UCL). The data applied in the model are obtained from the road accident investigation of DRR. Five roads — Nakhon Ratchasima 3052, Chonburi 1032, Nonthaburi 3021, Samutprakarn 2001 and Chiangmai 3029 — have been selected based on the top frequency accident recorded in the last three years. Based on the results of black spots identified in the study, most accidents occurred from frontal and rear-ended impacts due to exceeded speed limits. The article discusses recommendations.
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Kim, Sanghyun, and Chankyu Kang. "Analysis of the Complex Causes of Death Accidents Due to Mobile Cranes Using a Modified MEPS Method: Focusing on South Korea." Sustainability 14, no. 5 (March 3, 2022): 2948. http://dx.doi.org/10.3390/su14052948.

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The convenience and efficiency of mobile cranes are expanding their applicability in industrial sites, but fatal accidents continue to occur as their use increases. There were 56 cases in South Korea from 2015 to 2019, killing 59 workers. To accurately investigate the cause of a fatal accident, accident investigation reports were used. Since they are used not only as the cause of the accident but also as a result of judicial treatment, only direct causes are mentioned. Thus, indirect causes in this study were separately analyzed to induce a complex cause analysis. The man-made, management, economic, physical, political, and social (MEPS) analysis method, developed by the National Institute of Disaster in South Korea, is a type of root cause analysis (RCA), used to derive the fundamental causes of various types of disasters, mainly social ones. The complex causes of fatal accidents were analyzed by applying a modified MEPS method to mobile cranes. The MEPS method investigated three categories, namely man-made, management, and physical factors, among six categories and a newly established level four, to find the root cause of fatal accidents. The analysis results showed that violations of procedures and regulations were the most frequent causes in the man-made factors. A lack of general and special safety education was the most common cause in the management factor, and the overturning, falling, and jamming of the mobile crane were the most frequent causes in the physical factor.
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Tymen, H., G. Rateau, K. Guillet, B. Ramounet-Le Gall, P. Gérasimo, and P. Fritsch. "Méthodes de mesure du transfert cutané des radionucléides au travers d'un épiderme intact ou lésé, application à la radiotoxicologie." Canadian Journal of Physiology and Pharmacology 80, no. 7 (July 1, 2002): 733–41. http://dx.doi.org/10.1139/y02-096.

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Although skin contamination by radionuclides is the most common cause of nuclear workers accidents, few studies dealing with the penetration of radioactive contamination through the skin are available. This work is a review of experimental methods that allow to assess transfer of radionuclides through the skin in occupational conditions, with or without skin trauma. The first section describes the different methods applied for skin transfer assessment of chemicals used in pharmacology. Major radionuclide contamination accidents can be associated with skin traumas. Thus, the second section describes the adaptation of these methods to radiotoxicology. Finally, the third section is an in vivo investigation of cobalt transfer (57CoCl2) through undamaged and damaged skin which simulates different industrial accident conditions (excoriation, acid or alcalin burn, scalding, branding).Key words: skin lesion, cobalt, percutaneous absorption, skin radiocontamination, Franz's cell.
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Porovsky, Ya V., V. I. Zhankova, A. I. Ryzhov, Ye V. Kalyanov, and F. F. Tetenev. "Changes in peripheral nervous system at participants of accident consequences elimination in Chernobyl APP and population of the Tomsk northern industrial center." Bulletin of Siberian Medicine 3, no. 4 (December 30, 2004): 71–80. http://dx.doi.org/10.20538/1682-0363-2004-4-71-80.

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A clinical, electroneuromyographic (ENMG) and pathomorphological investigation of 19 eliminators of accident consequences (EAC) in Chernobyl APP in 1986 and 27 Tomsk region inhabitants living in the accident area that has taken place at radiochemical plant of Siberian Chemical Complex in 1993 has been made with the aim of the influence study of low ionizing radiation levels on the peripheral nervous system. Symptoms of sensory polyneuropathy prevailed in both groups clinically. Mixed affection type has been found at EAC by ENGM method, affection of myelinic nerve fibre membrane has been found at people living in accident trace area. Morphofunctional changes in skin allow considering the role of immune system in mechanisms of neuroglial and neuronal damages, distant by time.
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Harms-Ringdahl, Lars. "Analysis of Results from Event Investigations in Industrial and Patient Safety Contexts." Safety 7, no. 1 (March 5, 2021): 19. http://dx.doi.org/10.3390/safety7010019.

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Accident investigations are probably the most common approach to evaluate the safety of systems. The aim of this study is to analyse event investigations and especially their recommendations for safety reforms. Investigation reports were studied with a methodology based on the characterisation of organisational levels and types of recommendations. Three sets of event investigations from industrial companies and hospitals were analysed. Two sets employed an in-depth approach, while the third was based on the root-cause concept. The in-depth approach functioned in a similar way for both industrial organisations and hospitals. The number of suggested reforms varied between 56 and 143 and was clearly greater for the industry. Two sets were from health care, but with different methodologies. The number of suggestions was eight times higher with the in-depth approach, which also addressed higher levels in the organisational hierarchy and more often safety management issues. The root-cause investigations had a clear emphasis on reforms at the local level and improvement of production. The results indicate a clear need for improvements of event investigations in the health care sector, for which some suggestions are presented.
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Dissertations / Theses on the topic "Industrial accident investigation"

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Thompson, Gary. "An evaluation of supervisor's accident investigation reports." Thesis, Federation University Australia, 1997. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/164853.

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The aim of the research project is to investigate the veracity of negative criticisms of supervisors' accident investigations by using the generalised time sequence model as the analytical tool to evaluate the data recorded in a convenience sample of supervisors' accident investigation report forms.
Master of Applied Science
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Pauly, Devin Matthew. "Reactions to a Near Fatal Accident: An Investigation of Emotion and Coping Responses." TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1173.

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A 12-month longitudinal study assessed the emotional reactions of an intercollegiate athletic team to a near fatal bus incident. PANAS-X and the Brief COPE, administered on five occasions, indicated NA declined over time. Most coping strategies showed significant changes in trajectory. Acceptance and Positive Reframing were high across waves. In October 2010, an intercollegiate athletic team and coaching staff were traveling by sleeper bus to an out-of-state match. The team members and coaches were in the back of the bus when they felt the bus swaying and heard the tires hit the rumble strips. The head coach went forward to find the bus driver unconscious and slumped over the steering wheel. Although the bus swerved into the oncoming lane of interstate traffic and back onto the other shoulder, the coach was able to steer the bus and stop it safely on the side of the road. The bus driver had suffered a fatal heart attack; fortunately, the coaches and players survived with only minor injuries. This study is a longitudinal follow up assessing the emotional reactions of the coaches and team to the bus incident across a twelve-month time frame. The Positive and Negative Affect Schedule - Expanded (PANAS-X; Watson & Clark, 1994) and the Brief COPE (Carver, 1997) were administered on five occasions. Negative affect declined over time, with a larger drop in waves more proximal to the incident. Positive affect demonstrated a curvilinear pattern showing increases on the second and third wave but dropped off at the end of the spring semester 2011 and the beginning of the fall semester 2011. There were significant changes in the coping trajectories for 10 of the 14 coping strategies from the Brief COPE. These data are of particular interest as we could locate no other studies in the published literature of individual athlete or team reactions to traumatic travel incidents, although ESPN (Lavigne, 2010) noted that bus safety should be a concern for team travel.
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Thor, Sara, and Anna-Karin Rosén. "Military Aviation Incident Reporting from an HTO Perspective." Thesis, Industrial ergonomics, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-19835.

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The purpose of this study is to find out if the Swedish Air Force and the military aviation industry, Saab Aerosystems, use an HTO perspective in incident investigations. The research objectives are to explore existing organizational and accident models, analyze the reporting system using the models, and suggest possible improvements to the existing incident investigation system. Fishman’s (1999) model for pragmatic studies was used to describe the study’s theoretical approach. Triangulation by literary review, case study and interviews were used to ensure validity and reliability.

Three models were chosen: Rollenhagen’s HTO model (1997), Leveson’s STAMP (2002), and Shappell and Wiegmann’s HFACS (2000). The models were further tested in the case study, revealing that their usefulness depends on type of incident, and that they leave a lot up to the investigator.

Interviews were conducted with key individuals at Saab Aerosystems as well as at the Swedish Armed Forces’ Headquarters. The interviews showed that the incident reporting system in question is a well functioning one, mainly due to the blame-free culture, multidisciplinary investigative teams, good feedback and a generally good knowledge of the HTO concept. Difficulties within the organizations exist due to organizational boundaries between the manufacturer and the operator, and recurring structural reorganizations within the Swedish Armed Forces. Saab acknowledges the emphasis on technical issues. The Flight Safety department at the headquarters is currently working with implementing HFACS into the Flight Safety Database.

Our recommendations for Saab Aerosystems and the Air Force include:

For Saab Aerosystems:

  • Evaluate and learn from existing HTO work within the organization, and incorporate the results into existing processes and instructions for incident investigations.
  • Make use of the theoretical models, where applicable, in the processes as well.
  • Focus on HFACS in order to synchronize with the Air Force.
  • Consider employing an HTO specialist.

For the Air Force:

  • Consider influences from other HTO models, like Rollenhagen’s or Leveson’s models, while still in the development phase of implementing HFACS.
  • Perform risk analyses regarding the effects on flight safety when doing reorganizations.

For both Saab Aerosystems and the Air Force we recommend:

Use Leveson’s model STAMP for complex and serious incidents, comprising of organizational, human and technical aspects.


Denna studie har som syfte att ta reda på om det svenska Flygvapnet och den militära flygindustrin, Saab Aerosystems, använder ett MTO-perspektiv vid incidentutredningar. Forskningsmålen är att utforska befintliga organisations- och olycksmodeller, att analysera rapporteringssystemet med hjälp av modellerna, samt att föreslå möjliga förbättringar på det existerande incidentrapporterings- och utredningssystemet. Fishmans (1999) modell för pragmatiska studier användes som teoretisk utgångspunkt. För att säkerställa validitet och reliabilitet användes triangulering, bestående av litteraturstudie, fallstudie, samt intervjuer.

Tre modeller valdes ut: Rollenhagens MTO-modell (1997), Levesons STAMP (2002) och Shappell och Wiegmanns HFACS (2000). Modellerna användes i fallstudien, med resultatet att modellernas användbarhet bedömdes variera beroende på typ av incident, samt att de lämnar mycket åt utredarens erfarenhet.

Intervjuer genomfördes med nyckelpersoner på Saab Aerosystems och på Försvarsmaktens Högkvarter. Intervjuerna visade att rapporteringssystemet i fråga är väl fungerande, främst tack vare rapporteringskulturen, de multidisciplinära utredningsgrupperna, god återkoppling och en generellt sett god kännedom om MTO-konceptet. Organisatoriska svårigheter är dels gränsdragningen mellan tillverkare och användare, dels återkommande omstruktureringar inom Försvarsmakten. Saab medger också att deras fokus ligger främst på det tekniska. Flygsäkerhetsavdelningen på Högkvarteret arbetar med att införa HFACS i flyg­säker­hetsdatabasen.

Våra rekommendationer till Saab Aerosystems och till Flygvapnet inkluderar:

Till Saab Aerosystems:

  • Utvärdera och drag lärdom av befintligt MTO-arbete inom organisationen, inkludera dessa resultat i befintliga processer och instruktioner för incidentutredningar.
  • Utnyttja fler teoretiska modeller i processen, där så är lämpligt.
  • Fokusera på HFACS för att synkronisera med Flygvapnet.
    • Fundera på att anställa en MTO-specialist.

Till Flygvapnet:

  • Fundera på att också införa delar av andra MTO-modeller, som Rollenhagens eller Levesons modeller, under implementeringsfasen av HFACS.
  • Genomför riskanalyser av påverkan på flygsäkerhet vid omorganisationer.

Till både Saab Aerosystems och Flygvapnet rekommenderar vi:

använd Levesons modell STAMP vid mer komplexa och allvarliga incidenter som innefattar organisatoriska, mänskliga och tekniska aspekter.

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Storbakken, Rob. "An incident investigation procedure for use in industry." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002storbakkenr.pdf.

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Dell, Geoff. "Aircraft pushback accidents worldwide 1964-1992 : causes and prevention." Thesis, The Author [Mt. Helen. Vic.] :, 1993. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/39809.

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The purpose of the study was to analyse aircraft pushback accidents which have resulted in death or serious injury to aircraft pusback ground crew members and to develop effective strategies to prevent such accidents.
Thesis (Master of Applied Science)
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Burger, Elke. "Investigating high turnover intention and a diminished level of organisational commitment as antecedents of accidents." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86316.

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Thesis (MComm)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: A study on intention to leave and efficiency that was conducted in the healthcare industry reported that an employee contemplating leaving an organisation cuts corners and compromises quality (Waldman, Kelly, Arora & Smith, 2004). In other words, employees with high intention to leave are more likely to disobey rules and procedures. Swain (2006) further argued that companies must weigh up the untold losses involved with an employee who has little to no loyalty towards an organisation, or no respect for the company’s equipment, against recruitment and development costs. It was therefore argued that a combination of high turnover intention and a diminished level of organisational commitment could influence an employee’s attitude towards safety procedures and, as a result, lead to an increase in accidents (Graham & Nafukho, 2010). This study utilised an extensive literature review on work climate, job satisfaction, organisational commitment, turnover intentions and accident rates and a conceptual model of safe driving dynamics in trucking to illustrate the notion that truck drivers with a diminished level of organisational commitment and the intention to leave may experience higher accident rates. A South African retail group made all their drivers available for the study, i.e. the entire population. The raw data was obtained through self-administered pencil-and-paper questionnaires. A response rate of 50% was achieved. Using Partial Least Squares analysis, the study found all three mindsets of organisational commitment to predict turnover intention. The practical implications of these findings could assist management in the improvement of an array of work behaviours such as job performance, work attendance and organisational citizenship, and decrease turnover rate. The study could not find any significant support for the predictive effect of turnover intention on risky driving behaviour. Future researchers, however, are encouraged to develop a model that could assist Human Resource professionals in the understanding, development, and implementation of interventions to increase organisational commitment, reduce intention to leave, actual turnover, and, consequently, costly truckload accidents.
AFRIKAANSE OPSOMMING: Die bevindings van ’n studie oor intensies tot bedanking en doeltreffendheid wat in die gesondheidsorg industrie onderneem is, het aangedui dat ’n werknemer wat oorweeg om ’n organisasie te verlaat, die werk afskeep en gehalte in gedrang bring (Waldman, Kelly, Arora & Smith, 2004). Werknemers met sterk intensies tot bedanking is dus meer geneig om riglyne en vasgestelde prosedures te verontagsaam. Verder het Swain (2006) aangevoer dat maatskappye die onberekende verliese verbonde aan ’n werknemer wat geen respek vir die maatskappy se toerusting koester nie, moet opweeg teenoor werwing en ontwikkellingskostes. Daarvolgens is aangevoer dat ’n kombinasie van hoë intensies tot bedanking en ’n verlaagde vlak van organisasieverbondenheid ’n werknemer se houding teenoor veiligheidsprosedures kan beïnvloed en gevolglik tot ’n toename in ongelukke kan lei (Graham & Nafukho, 2010). Die huidige navorsingstudie het van ’n uitgebreide literatuurstudie met betrekking tot werksklimaat, werkstevredenheid, organisasieverbondenheid en ongeluksyfers, en ’n konseptuele model van veilige bestuursdinamika in vragmotorvervoer, gebruik gemaak om die idee dat vragmotorbestuurders met ’n verminderde vlak van organisasieverbondenheid en die intensie om te bedank ‘n hoër ongeluksyfer kan beleef. ’n Suid-Afrikaanse kleinhandel groep het al hul vragmotorbestuurders (dus die hele populasie) vir die studie beskikbaar gestel. Die roudata is met behulp van self-geadministreerde potlood-en-papier vraelyste verkry. ’n Responskoers van 50% is verkry. Met die gebruik van parsiële kleinste kwadrate analise, het die studie bevind dat intensies tot bedanking deur al drie ingesteldhede van organisasieverbondenheid voorspel word. Die praktiese implikasies van hierdie bevindinge kan bestuur help om ’n verskeidenheid werksgedrag, soos werkprestasie, werkbywoning en organisatoriese gemeenskapsgedrag, te verbeter en personeel-omsetafname te bewerkstellig. Die studie het nie daarin geslaag om beduidende ondersteuning vir die voorspellingseffek van intensies tot bedanking op riskante bestuursgedrag te vind nie. Toekomstige navorsers word egter aangemoedig om ’n model te ontwikkel wat menslike hulpbron-bestuurders sal help met die verstaan, ontwikkeling en implementering van ingrypings wat organisasieverbondenheid verhoog, sodat intensies tot bedanking en personeel-omset verlaag, en daardeur ook duur vragongelukke verminder word.
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Heidenstrøm, Øyvind Teige. "An empirical investigation of the work environment on board industrial- and cruise ships and the associations with safety." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-13405.

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The overall aim of this study was to examine the work environment and the associations with safety, and see the relations with occupational accidents and undesired events on board industrial and cruise ships. 215 seafarers participated in this quantitative survey study, with a response rate of 35%. When conducting the hierarchical block regression analysis separately on superiors/officers and subordinates/ratings, the work environment emerged as a predictor for safety status (compliance, attitudes and commitment). Several significant differences in the beta value between the two groups were also found. When testing the differences in the safety status on ships with high and low number of undesired events and accidents, separately on the two groups, significant differences emerged only for superiors and officers; Significant differences were found in compliance when testing high and low number of undesired events, and for high and low number of accidents safety status and compliance emerged significant. Without assuming causation, the work environment appears to be a possible alternate and indirect way of improving on the safety status on board ships. However, safety status and the relations with undesired events and accidents require further investigation before a more accurate conclusion can be made.
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Rennie, Paul. "An investigation into the design, production and display contexts of industrial safety posters produced by the Royal Society for the Prevention of Accidents during WW2 and a catalogue of posters." Thesis, University of the Arts London, 2005. http://ualresearchonline.arts.ac.uk/5661/.

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The industrial safety posters produced by Royal Society for the Prevention of Accidents (RoSPA) during WW2 are evidence of a politically progressive, socially engaged and mass-produced graphic communication in Britain. These characteristics allow the RoSPA posters to qualify, by Walter Benjamin’s criteria, as exemplars of Modernist cultural production in the age of mechanical reproduction. The emergence of these images, within the unlikely context of war, is evidence of the social change identified by George Orwell as a necessary condition of victory. Furthermore, the presence of this material, within an English context, counters the prevailing orthodoxy of an English resistance to Modernism. The thesis describes the administrative and technical determinants of the posters, as indicated by the structure of RoSPA, the personalities behind the campaign and the technical expertise of the printers; Loxley Brothers of Sheffield. Quaker and Nonconformist antecedents are revealed to define the values of both administration and printers. The thesis explores the RoSPA posters’ use of Surrealist techniques and iconography and also their appeal to a wider and international Left community. The address of the RoSPA posters to the neophyte industrial worker offers the opportunity, exemplified by the special case of women workers, to project an “imagined community” beyond the normal tribal and class distinctions of British society through “Social Vision.” The RoSPA posters make explicit a connection, within English Modernism, between community, technology, progress and dissent. A catalogue of posters is appended to the thesis. The RoSPA posters reaffirm the progressive, emancipatory and radical quality of the popular experience of the Home-Front in Britain during WW2. The social changes, precipitated by the circumstances of war, of which the RoSPA posters are a manifestation, alter the role of graphic designer in relationship to community through an embrace of technology. The concept of graphic authorship is, in consequence, irrevocably changed.
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Guo, Yu-ching, and 郭雨青. "Industrial Accident Investigation Techniques." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/p6vw3c.

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碩士
國立中央大學
環境工程研究所
97
Investigating and reporting of unplanned events such as accidents, incidents, and even near-miss events are critical for identifying and controlling potential safety risks as well as fulfilling the requirements of Process Safety Management and OHSAS 18001. The purpose of these activities is not to find fault or lay blame, but rather to identify the basic causes of accidents and incidents so that controls can be put in place to prevent further occurrences. Hence it is essential to look beyond the immediate cause of an accident and look for the contributing factors and basic causes. The most common mistake made by accident investigators is jumping to conclusions on the basis of immediate appearances. A proper investigation has to look into the management system failures. Despite the fact that Article 26 of the Labor Inspection Law has been enforced in Taiwan for about 15 years, the lack of effective accident investigation methodology and the competency level of the safety professionals responsible for accident investigation remain to be one of the key factors hindering the prevention of occupational injuries and process accidents. Hence the primary objective of this study is to provide practical solutions to the problems commonly encountered in incident investigation in Taiwan. A system approach for accident investigation is proposed in this study. The methodology is primarily composed of the steps of collection of evidence and facts, analysis of the information, and root cause analysis. A modified events and causal factors charting, ECFC, is proposed in this study. Modification of the original ECFC makes compiling and organizing accident evidences more effective. It also has the advantage of yielding a set of potential root causes. Because of its detailed description of the affected process units and the background information leading to the catastrophe, the investigation report of the Chemical Safety and Hazard Investigation Board of the US on the BP Texas City refinery accident is used to verify the methodologies proposed in this study. Root cause analysis of the BP Texas City accident is based on the methodology proposed by the Center for Chemical Process Safety of the US. Preliminary analysis of the proposed methodology using the BP Texas City accident yields consistent and meaningful results. It is believed that the proposed technique can be used in investigating process-related accidents.
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Branford, Kate. "An investigation into the validity and reliability of the AcciMap approach." Phd thesis, 2007. http://hdl.handle.net/1885/109321.

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The aim of this thesis is to investigate the validity and reliability of the AcciMap approach, a systems-based technique for analysing the causes of organisational accidents. This approach has been used to analyse accidents in a number of complex systems and to identify areas in which safety interventions should be directed. However, while the technique is implicitly assumed to be valid and reliable, the questions of whether or not it does, in fact, allow analysts to identify the causes of accidents correctly and whether or not the results obtained are consistent and replicable, have not been addressed. These questions are of critical importance when the findings of AcciMap analyses are used to determine the corrective actions to be taken after an accident, since the safety of the system may be jeopardised if problems are not correctly identified and remedied. In the investigation into the validity and reliability of this technique, a study was performed in which several participants independently analysed an accident, using AcciMap guidelines developed during this research. The aim of the study was to enable the validity of the participants’ results (assessed against results produced by AcciMap experts), the reliability of their results (assessed by comparing participants' findings with those of one another) and the nature and significance of any observed variations in these results, to be examined. The qualitative and quantitative analysis of the results obtained in this study revealed that, although similarities existed between their findings, each participant’s results differed from those of the experts and the other participants. Examination of the nature and significance of these differences indicated that some were insignificant with respect to the meaning portrayed or the potential outcomes of analyses, while others were significant in these terms but could feasibly be eliminated if changes were made to the analysis process. Several observed variations, however, were both significant in these respects and arguably unavoidable, stemming from parts of the analysis requiring subjective analyst judgement and areas in which human error or differences in interpretation were possible. The existence of such variations demonstrates that AcciMap analyses do not always produce entirely valid and reliable results.
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Books on the topic "Industrial accident investigation"

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Harvey, Michael D. Models for accident investigation. [Edmonton], Alta: Workers' Health, Safety and Compensation, Occupational Health and Safety Division, 1985.

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American Society of Safety Engineers, ed. Accident investigation techniques. 2nd ed. Des Plaines, Ill: American Society of Safety Engineers, 2012.

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Canada. Department of Labour. Accident investigation and reporting. Ottawa: Labour Canada, 1986.

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Modern accident investigation and analysis. 2nd ed. New York: Wiley, 1988.

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Canada. Human Resources and Social Development Canada., ed. A Guide to the investigation and reporting of hazardous occurrences. [Gatineau, Québec]: Human Resources and Social Development Canada, 2007.

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Tench, William H. Safety is no accident. London: Collins, 1985.

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Questions and answers: Accident reporting and investigation. Kingston upon Thames: Croner.CCH, 2001.

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Ludwig, Benner, ed. Investigating accidents with STEP. New York: M. Dekker, 1987.

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Deepwater Horizon accident investigation report. S.l ]: BP, 2010.

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Robertson, Dilys. Accident investigation in the workplace: A practical guide. Scarborough, Ont: De Boo, 1992.

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Book chapters on the topic "Industrial accident investigation"

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Mutaza, Muhammad Syafiq Ridha, Mohd Norzaimi Che Ani, and Azmi Hassan. "Investigation the Impact of 5S Implementation Toward Accident-Free Manufacturing Industries." In Advanced Structured Materials, 199–204. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46036-5_18.

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"What is Accident Investigation? What is Forensic Engineering? What is Risk Assessment? Who is the Forensic Engineer and what is his Role?" In Principles of Forensic Engineering Applied to Industrial Accidents, 79–113. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781118962800.ch3.

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"Accident Prevention." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 21–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch21.

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"Accident Prevention." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 22–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch22.

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"Accident Prevention." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 23–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch23.

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"Accident Prevention." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 24–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch24.

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"Accident Prevention." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 25–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch25.

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"Investigation Methods." In Principles of Forensic Engineering Applied to Industrial Accidents, 183–266. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781118962800.ch5.

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"Onsite Investigation." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 2–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch2.

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"Purpose of Incident Investigation." In Incident Investigation and Accident Prevention in the Process and Allied Industries, 1–1. CRC Press, 2006. http://dx.doi.org/10.1201/9781439822449.ch1.

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Conference papers on the topic "Industrial accident investigation"

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Lin, Ting-Yi, Kang-Hung Liu, and Chien-Chi Chang. "Apply HFACS to accident investigation system interface design." In 2017 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2017. http://dx.doi.org/10.1109/ieem.2017.8290085.

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Chen, Xuedong, Zhibin Ai, Zhichao Fan, Jiushao Hu, Weihe Guan, and Chuanqing Cheng. "Accidents Investigation and Risk Assessment of Chinese Industrial Pressure Pipelines." In ASME 2009 Pressure Vessels and Piping Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/pvp2009-77517.

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In recent years personal casualties and fire explosion accidents are often taken place due to pipe failure accidents of petrochemical enterprises in China. For more than a decade years, the authors have conducted extensive investigation and analysis on these accidents and consider that apart from the causes of man-made quality out-of-control and technical level, another major cause is the absence of experience accumulation of some medium environments induced failure accidents for design standards and codes, design units and designers, therefore, it is unable to prevent and control in-service risk factors at the design stage. Since 2003, we have conducted risk-based inspection and analysis of industrial pipelines of all types of units in about eighty large-scale oil refinery plants, chemical plants and chemical fertilizer plants under the jurisdiction of SINOPEC and PetroChina according to API581, API571 etc. in cooperation with Bureau Veritas, France (BV). Through these analyses, we have found out the major failure modes, mechanisms, likelihood and consequences of petrochemical industrial pipelines, and we also consulted the original design and installation documents of all pipelines, it is found that most of the high failure risks of petrochemical industrial pipelines are induced by inadequate consideration to environment induced failure mechanisms at the design stage. In order to avoid repetitive occurrence of these accidents, suggestions on improvement of design and manufacture methods in China are proposed in this paper, that is, the experience of in-service environment-related failures should be fed back to the organizations of design and manufacture standards, design institutions and designers by some effective means, and set up the design and manufacture platform based on risks and life in China, so as to control the risks of pressure pipelines away from accident over the whole life through such measures as reasonable material selection, structural optimization design, selection of reasonable manufacturing and installation process etc. at early stage of design and manufacture.
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Dundas, Robert E. "Investigation of Failures in Gas Turbines: Part 1 — Techniques and Principles of Failure Investigation." In ASME 1993 International Gas Turbine and Aeroengine Congress and Exposition. American Society of Mechanical Engineers, 1993. http://dx.doi.org/10.1115/93-gt-083.

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This paper is Part 1 of a two-part paper on the principles and methods of failure investigation in gas turbines. The qualities of a successful failure investigator are presented, and the most efficacious approaches to an investigation are discussed. An example of an aircraft accident that might have been avoided is used to support the necessity for thorough and conclusive investigations into failures. Two case histories involving heavy-duty industrial gas turbines are described to demonstrate different aspects of the logical approach to construction of hypotheses and the determination of the essential cause of a failure — the one event without which the failure would not have occurred.
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Onazi, Adai. "Application of Dynamic Risk Approach to Mitigate Major Accidents." In SPE Annual Technical Conference and Exhibition. SPE, 2021. http://dx.doi.org/10.2118/206273-ms.

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Abstract Major industrial accidents with catastrophic consequences routinely occur around the world and as the industry continue to grow, so will the system complexities and uncertainties. Hence, the need for a more dynamic approach to hazards identification and risk management, to proactively mitigate potential exposures in a real-time manner. Evidences suggests that, dynamic approach to risk management is capable to identifying and assessing developing and increasing industry risks and processes. The Piper Alpha investigation and derivation and adoption of safety case framework in the UK, was a proven approach to mitigate Major Accident Hazards on the front-end design of high-risk process facilities and through their lifespan. With increasing process systems complexities however, dynamic risk management an enhanced conventional method would be the next generation approach to ensure safer operations. This paper aims to stimulate discussions on the novel Dynamic Risk Management (DRM) approach, leveraging on advanced technologies such as Artificial Intelligence (AI) and the 4th Industrial Revolution (4IR) as a new risk management pathway to industrial accident prevention.
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Panasyuk, M. I., A. D. Skorbun, V. V. Ronchar, and A. V. Zhydkov. "The Nature of Contamination of the Area in the Nearest Vicinity of Chornobyl NPP Destroyed Unit." In ASME 2003 9th International Conference on Radioactive Waste Management and Environmental Remediation. ASMEDC, 2003. http://dx.doi.org/10.1115/icem2003-4737.

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A territory around the destroyed by the 1986 accident 4-th unit of Chornobyl NPP has been contaminated severely by radioactive materials pollution from the damaged unit. During the stage of accident consequences mitigation, the radioactive materials in a form of fragments of building constructions, fuel elements, graphite cladding, and upper layer of soil have been collected and buried. Around the destroyed Unit 4 the “Shelter” have been erected, and the decontaminated territory was covered by such anthropogenic soils as a pure crushed stone, sand and poured concrete. Special investigation indicates, however, that those soil turned out to be contaminated as well, and the main amount of the whole activity is concentrated in the so called active layer of the soil, which is located close to the pre-accident earth surface level. Given report is devoted to a possible mechanism of the soils contamination and radionuclide distributions in soils by way of laboratory analysis of cores of wells, which were drilled in the local zone, and gamma logging data analysis as well. The performed sampling analysis of soils, which belongs to the Shelter object industrial site show that radioactive contamination of anthropogenic soils of the active layer is mainly originates from active impurities (fine dispersed fuel particles) being distributed in a uniform way in the soil volume. The industrial site territory is covered by a concrete of a noticeable specific activity. That concrete during construction of “Shelter” flowed out through chinks in the casing and spread over the surrounding site. The concrete leached small fuel particles and carried those particles away from obstruction in mechanical way. This turned out an effective and power enough mechanism to contaminate the industrial site by radionuclides already just after an active stage of the accident. It seems to be perspective to introduce a technology for reprocessing of industrial site soils by way of flotation. That will permit to concentrate the considerable part of an activity and so to reduce sharply the volume of high-active radwastes, which must be buried.
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Zohorsky, Peter, and Holly Handley. "Adapting the Human Factors Analysis and Classification System for Commercial Fishing Vessel Accidents." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001561.

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The commercial fishing industry is frequently described as one of the most hazardous occupations in the United States. Their objective, to maximize their catch, is routinely challenged by a variety of elements due to the environment, the vessel, the crew, and a number of external considerations and how they interact with each other. The analysis of fishing vessel accidents can be difficult due to the diverse nature of the industry including the species they catch, the type and size of boat that is employed, how far they must travel from their home port, and the adequacy of their support organizations ensuring safe and uninterrupted operations. Using ten years of data documenting the causes of fatal accidents in the commercial fishing industry, this study developed and evaluated a version of Wiegmann and Shappell’s (2003) Human Factors Analysis and Classification System (HFACS), specifically for commercial fishing industry vessels, HFACS-FV. HFACS has previously been adapted for transportation, industrial, and healthcare applications and was originally designed for naval aviation accidents. HFACS-FV focuses on the particular differences and vulnerabilities within the fishing industry. In contrast to other commercial maritime operations, the fishing industry is challenged by minimal crew and vessel safety standards in a highly competitive field that rewards working in all weather and sea conditions. For this study, the accident investigation information was converted into the HFACS-FV format by independent raters and measured for inter-rater reliability. The results were analyzed for the frequency of the human factors identified by the raters and their relationship with vessel and accident demographic information. The leading categories were found to be physical environment, equipment acquisitions and support, decision error, technical readiness of the crew, and allowing unsafe operations. HFACS-FV provides significant insight on the human factors that contribute to fatal fishing vessel accidents and areas of focus for preventative efforts. Since many fishing vessel organizations are small businesses that employ a fraction of personnel compared to large companies, employees must fulfill numerous job responsibilities with regard to management, supervision, and operation which indicates that the HFACS-FV categories are more relevant than HFACS-FV tiers compared to other HFACS applications. This HFACS modification offers prospective utilization for accidents in the transportation, construction, and industrial sectors involving small companies or organizations.
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Nijhawan, Sunil. "Regulatory Actions That Hinder Development of Effective Risk Reduction Measures by the Nuclear Industry for Enhanced Severe Accident Prevention and Mitigation Measures After Fukushima." In 2016 24th International Conference on Nuclear Engineering. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/icone24-60700.

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The official report of The Fukushima Nuclear Accident Independent Investigation Commission concluded that “The TEPCO Fukushima Nuclear Power Plant accident was the result of collusion between the government, the regulators and TEPCO, and the lack of governance by said parties. They effectively betrayed the nation’s right to be safe from nuclear accidents. Therefore, we conclude that the accident was clearly ‘manmade.’ We believe that the root causes were the organizational and regulatory systems that supported faulty rationales for decisions and actions, rather than issues relating to the competency of any specific individual.” This wakeup call for the nuclear power utilities should require a public review of their relationship with of regulators. However, severe accident related risk reduction is a relatively uncharted territory and given the apparent lack of in-house technical expertise, the regulators are heavily relying on the qualitative and ‘hand waving’ arguments being presented by the utilities inherently disinterested in further investments they are not required to make under original license conditions. As a result, it has accelerated further deterioration of the safety culture and emboldened many within the regulatory staff to undertake or support otherwise questionable decisions in support of the utilities that prefer status quo. Case in point is the Canadian Nuclear Safety Commission (CNSC) which mostly accepts any and all requests by the nuclear power industry. After Fukushima, the CNSC took a year to publish a set of ‘Action Items’ for the Canadian Nuclear industry to prepare plans over 3 years and then accepted most if not all submissions that in many cases barely addressed the already watered down recommendations. In some cases the solutions proposed by the industry were economically expedient but technically flawed; and some could even be considered dangerous. CNSC also published a study on consequences of a severe accident with a source term that was limited to the desirable safety goal (100 TBq of Cs-137), which coincidently years later matched the utility ‘calculations’, but orders of magnitude smaller than predicted by independent evaluations. As a result, some well publicized conclusions on the benign nature of consequences of a CANDU severe accident were made and the local and provincial agencies that actually are supposed to prepare off-site emergency measures were left with an incorrect picture of what havoc a severe accident can cause otherwise. CNSC then published a much publicized video highlighting the available operator actions to terminate the accident early and later a report outlining the accident progression for a severe accident without operator action with conclusions that were immediately technically suspect from a variety of aspects. The aim was to claim that a severe core damage accident has no unfavorable off-site consequences. The regulator effectively, in this case, comes across as a promoter for the industry it is legislated to regulate. The paper outlines examples of actions being taken by the regulators that hinder development of effective risk reduction measures by the industry which otherwise would be forced to undertake them if the regulators had not stepped on the plate to bat for them. They vary from letters to editors to silence any safety concerns raised by the public, muzzling of its own staff, trying to silence external specialists who question their wisdom on to blatant disregard for any intervention by public they are required to entertain by law but are accustomed to factually ignore or belittle. The paper also outlines a number of examples of actions that an independent regulator would undertake to reduce the risk and enhance the safety culture. The nuclear regulatory regimes work well generally but in cases where it does not, the results can be disastrous as evident from the events in Japan and as is building up in Canada. The paper also summarizes the disparities between the number of Regulatory Actions instituted by the CNSC against small companies that use nuclear substances for industrial applications and almost none actions against the nuclear power plant utilities it regularly grants a pass in spite of the larger risk their operations pose to public.
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Han, Dae Suk, Gyusung Kim, Woo Seung Sim, Young Sik Jang, and Hyun Soo Shin. "Practical Considerations for the Structural Analysis of Offshore Topside Structures Under Gas Explosion Accidents." In ASME 2012 31st International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/omae2012-83667.

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Gas explosion accidents have been recognized as a major hazard of offshore facilities in oil & gas industries. Due to the nature of offshore topside structures, even a single collapse of structural members or equipments may lead to enormous economic and environmental losses. Therefore, such potential hazards that cause the accidental collapse need to be evaluated closely. Gas explosion has been categorized as an important issue of the design of offshore structures regarding the severity of the accident. This paper presents practical considerations for the nonlinear dynamic structural analysis of offshore structures under blast loadings from gas explosion accidents. Numerical investigations including modeling of blast loads and idealization of structural materials and members have been conducted for the overall topside structures. As a design step for offshore structures under blast loadings, an applicable guidance on the finite element analysis (FEA) is described in this study.
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Basaran, I. M., and S. Yilmaz. "Developing rail safety competencies based on accident and incident investigations: Using root cause taxonomies to learn from accidents." In 2016 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2016. http://dx.doi.org/10.1109/ieem.2016.7797922.

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Shetty, Kishan Prasad, Subramanian T.S, and Ibrahim Al Awadhi. "Holistic Approach In Human Error Management." In Abu Dhabi International Petroleum Exhibition & Conference. SPE, 2021. http://dx.doi.org/10.2118/207682-ms.

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Abstract Despite all safety measures taken in oil and gas plants, serious vehicular accidents happen during maintenance/ shutdown activities, due to human errors such as inadequate planning, improper decision making/ behaviour etc. affecting structural integrity/ process safety, resulting in catastrophic events. In most of such incidents, swift safety measures need to be undertaken to control the extent of damage and limit additional risks cascading from the main event. This paper presents the case study of a vehicle impact incident on an existing main piperack located in the process plant, its root causes and immediate actions adopted in controlling major hazard and ensuring uninterrupted plant operation by maintaining structural integrity. Prime factors considered while arriving solutions to structural damages due to the vehicular impact include, incident cause, extent of damages, availability of restoration material, execution feasibility under plant operating conditions and skillsets of work force that carries out the restoration activities. Due to various constraints, solution arrived are temporary, averting multiple structural failures/ major accident. Further investigation and studies were required to identify root cause of the incident and enhance the implemented solution that would reaffirm long-term integrity of the piperack structure. The vehicular impact loads are generally not accounted in general structural design, since necessary safety measures are considered while finalizing the plant layout. Such unanticipated vehicular impacts on the structural system can result in local/ global structural damages such as failure of critical pipe supports, consequential damage to adjacent pipes, other structural components etc. In this case, although there was a warning signboard (installed on the pipe rack) indicating maximum permissible height, contractor tried to drive the container vehicle having height more than the stipulated height. Since the vehicle passed through first obstruction (beam) located at much higher level, driver negligently moved the vehicle further ahead hitting internal beam located slightly above the limiting height thereby damaging structural beam supporting critical piping. In this incident, site surveys to inspect the damage, data review, structural assessment and details of material in stock are some of the common steps followed for swift restoration of structural integrity. Based on the same, temporary support to prevent further structural damages and restoring operational integrity was designed and implemented in a short time. Other main activities followed were, Walk through the incident to derive the root cause Review work instructions and communication protocol Human factors pertaining to the incident Review the application of management and administrative control Permanent solution for structural restoration Ensuring safety of critical assets is the top most priority for the asset owner. Further, any accident related to safety shall be dealt swiftly to control major hazard, maintain asset integrity and ensure process safety. Such incidents could happen in any industrial facility, oil and gas or other industries. The lessons learnt from this accident and fit for purpose swift actions employed for restoration can be shared with the industry professionals to ensure 100% HSE in projects, operations and maintenance activities.
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Reports on the topic "Industrial accident investigation"

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TARAKANOVA, V., A. ROMANENKO, and O. PRANTSUZ. MEASURES TO PREVENT POSSIBLE EMERGENCIES AT THE ENTERPRISE. Science and Innovation Center Publishing House, 2022. http://dx.doi.org/10.12731/2070-7568-2022-11-1-4-32-43.

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In the article, the authors consider emergency situations at the enterprise of the Joint-Stock Company “Scientific and Production Complex “Alternative Energy” (JSC “NPK “ALTEN”), consider measures to prevent emergency situations at the enterprise, readiness to eliminate them consequences. Compliance with these measures will improve the efficiency of the company’s industrial safety management system. The relevance of the research is aimed at an effective system of organization and management of industrial safety, which allows you to manage risks and helps to ensure favorable working conditions for the health of employees at the enterprise. A mobile emergency and emergency response system was created. The system can also be used for accounting and accident investigation, based on the use of corporate communication devices and applications for mobile operating systems.
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