图书简介
The book discusses how to conduct systematic accident prevention by using scientific accident investigation, accident model, statistical science, risk management and the PDCA cycle (the core of the Safety Management System), while visualizing the weakness of a system.
Table of Contents: History of Marine Accidents, Accident Investigation and Prevention Prior to the loss of the Titanic The Titanic SOLAS Convention Accidents and international efforts The Herald of Free Enterprise and Exxon Valdez disaster Shift from hardware to human factors issues Implementation of safety management system Development of comprehensive accident investigation The Costa Concordia disaster Similar accidents and insights The number of accidents decreased? Conclusions Mechanism of Accident Occurrence Concept of hazard and accident Effect of a layer of defense Situation of defenses in-depth and accidents Human factors and accidents Conclusions Accident Model Background surrounding accidents Historical background of accident model Problems on each accident model Characteristics of each industry Accident model applicable to each industry Conclusions Contributing Factors of Accident Occurrence Introduction Central liveware Liveware-hardware Liveware-software Liveware-environment Liveware-peripheral liveware Conclusions Preparation for Accident Investigation Introduction The human error Risk management ISM Code Core of quality management system Contents of ISM Code Implication of the PDCA cycle in an accident Conclusions On-site investigation Introduction Health and safety Evidence Assessing the evidence Conclusions Analysis Methods Introduction Analysis process Event and Contributory Factors Charts Guidelines to produce ECFC Construction of a marine accident investigation report Conclusions Visualization of Weakness in the System Introduction Background Holes Latent conditions How to find a hole at a real accident Holes and latent conditions Abstract generalizations (general characteristics of accidents) Unresolved issues on the SCM The SCM in maritime industry Conclusions Statistical science and characteristics of each types of accidents Introduction Quantification of the SHEL element Relationship between the hole location and the number of hole occurrence Quantification accident model Limitations of the study Conclusions Convergence of accident models Introduction Summary of the sample accident Analytical method Limitations of analysis Results Convergence of different type of model Conclusions Rectification of the weakness and improvement of the system Introduction Principles of the systematic accident prevention Process of systematic accident prevention Difference between an accident and an incident Conclusions References
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