A Presentation to the International System Safety Society August 11, 2016 by Gary D. Braman Senior System Safety Engineer Sikorsky Aircraft
|
|
- Solomon Osborne
- 5 years ago
- Views:
Transcription
1 A Presentation to the International System Safety Society August 11, 2016 by Gary D. Braman Senior System Safety Engineer Sikorsky Aircraft Corporation Huntsville, AL
2 Agenda Introduction to Human Factors Accident Investigation (Reactive) Accident Investigation Basics Phases of the Investigation Areas of the Investigation 3W Approach Human Performance Failures and Lessons Learned System Safety (Proactive) Definition of System Safety What System Safety Engineers Do System Safety Design Order of Precedence Summary/Questions
3 Definition of Human Factors What are Human Factors? (HFES) Human Factors is concerned with the application of what we know about people, their abilities, characteristics, and limitations to the design of equipment they use, environments in which they function, and jobs they perform.
4 Definition of Human Factors Human Factors (GEIA-STD-0010) A disciplined, unified, and interactive approach used to integrate human considerations into system design, improve total system performance, and reduce costs of ownership. The major considerations of Human Factors include: human factors ergonomics, manpower and personnel, training, and occupational safety and health.
5 Definition of Human Factors Human Systems Integration (HSI) (MIL-STD-882E) The integrated and comprehensive analysis, design, assessment of requirements, concepts, and resources for system manpower, personnel, training, safety, and occupational health, habitability, personnel survivability, and human factors engineering.
6 Human Factors - Goals Goals of Human Factors Enhance performance Increase safety Increase user satisfaction How are goals accomplished Diagnose (identify problem) Implement solutions
7 Goal Accomplishment Equipment design Task Design Environmental Design Training Selection
8 Human Factors Types Physical Factors Sex, Age, Strength, Sensory limitations Psychological Factors Nutritional Factors, Health, Lifestyle, Fatigue, Chemical dependency Physiological Factors Workload, Experience, Knowledge, Training, Attitude, Mental or Emotional State Psychosocial Interpersonal conflicts
9 Types of Errors Omission Random Commission Systematic Substitution Sporadic Reversible Operator Induced Irreversible Design Induced
10 Types of Errors Omission failing to do something which ought to be done Commission doing something which not ought to be done Substitution Taking action when it is required, but the wrong action.
11 Types of Errors Random error no discernable pattern to errors being made Systematic error characterized by a consistent offset from the desired point Sporadic error An isolated error occuring after a routinely good performance
12 Types of Errors Reversible error which can be rectified before a mishap can occur Irreversible error which cannot be rectified and mishap may occur Operator Induced and design induced errors an error which occurs at the L-H or L-S interface may result from a failure to design the hardware or the software properly taking into account the normal characteristics of the operator.
13 Error Mitigation/Elimination Two Pronged Approached Minimize the occurrence of the errors Reduce the consequences of remaining errors Equipment Design Task Design Environmental Design Training Selection
14 Accident Investigation The investigation of the accident is the gathering of the information to determine how and why the accident occurred in order to prevent it from happening again.
15 Accident Investigation Process of elimination! Look at everything! Don t assume anything! Accident Investigators Worst Enemy Preconceived Notions!
16 Phases of the Investigation Phase 1 Organization and Preliminary Examination Phase 2 Data Collection Phase 3 Data Analysis Phase 4 Technical Report Completion
17 Areas of the Investigation Human Factors Materiel Factors Environmental Factors
18 3W Process What happened? Why did it happen? What can we do to prevent it from happening again?
19 What Happened? Identify key factors (human, material, environmental) which caused or contributed to the accident. In the case of injuries, explain how they happened.
20 Why Did it Happen? Identify the system inadequacy that permitted the accident to occur. Explain how and under what conditions these errors/failures occurred. Leader failure Training failure Standards/Procedures failure Support failure Individual failure
21 UH-60 Mid-Air Accident -AIRCRAFT: 2 UH-60L BLACK HAWKS -MISSION: Down pilot pickup/ FRIES/live-fire - DATE: 18 June LOCATION: Fort Campbell, KY - SOB: 30 - FATALITIES: 6 - INJURIES: 33 (2 observers injured) - DAMAGE COSTS: $13,200, ACCIDENT CAUSE: Human Error
22 UH-60 Mid-Air Accident
23 UH-60 Mid-Air Accident
24 Leader Failure AIRCRAFT: B-52H Stratofortress MISSION: Air Show Demonstration Practice DATE: 24 June 1994 LOCATION: Fairchild Air Force Base, Spokane, Washington CREW: 4 FATALITIES: 4 ACCIDENT CAUSE: Human Error/Leader Failure
25 Leader Failure B-52H Stratofortress
26 Leader Failure Aircraft Dimensions Length Wingspan 185 Height (top of tail) 40 8 Empty Weight 185,000 pounds Maximum Takeoff Weight 488,000 Ceiling 50,000 feet Fuel Capacity 48,000 gallons Engines 8 Pratt & Whitney TF-33-P-3/1-3 Cost - $74,000,000.00
27 Leader Failure Previous Flight Violations: 19 May 1991, Fairchild Air Force Air Show Practice 12 July 1991, Change of Command Flyover 17 May 1992, Fairchild AFB Air Show April 1993, Global Power Mission (formation flying) 8 August 1993, Fairchild AFB Air Show 10 March 1994, Yakima Bombing Range 17 June 1994, Fairchild Air Force Air Show Practice
28 Individual Failure AIRCRAFT: AH-64 Apache MISSION: Training DATE: 14 January 1997 LOCATION: Fort Campbell, KY SOB: 2 FATALITIES: None INJURIES: None DAMAGE COSTS: $1,194, ACCIDENT CAUSE: Human Error
29 Individual Failure AH-64D Apache
30 Individual Failure AIRCRAFT: AH-64 Apache MISSION: Training DATE: 14 January 1997 LOCATION: Fort Campbell, KY CREW: 2 FATALITIES: None INJURIES: None DAMAGE COSTS: $1,194, ACCIDENT CAUSE: Human Error
31 Individual Failure
32 What Can We Do To Prevent It From Happening Again? Identify the corrective actions that will prevent this type of accident from happening again. All recommended corrective actions be addressed to appropriate agency or level of management that can implement the corrective action with focus on the why.
33 System Safety System Safety is defined as the application of engineering and management principles, criteria, and techniques to achieve acceptable mishap risks within the constraints of operational effectiveness, time, and cost throughout all phases of the system life cycle.
34 History of System Safety 1940s 2000s (Facility System Safety) Trial and Error Fly-Fix-Fly 1950s 1990s (Risk-Based Process System Safety) Software System Safety Nuclear Weapons Trial and Error Fly-Fix-Fly 1960s (NASA, DOD, 882) 1980s (Facility System Safety) OSHA Process Safety Human Factors Jet Aircraft Aircraft Accidents Jet Aircraft (HA Flight) Nuclear Power Aircraft Accidents MIL-S MIL-S MIL-STD-882 (DOD) Space Systems 1970s (MORT) NASA NHB AEC Pub/Tn MORT NAVFAC SS Training USACE SS Workshop MIL-STD-882B (DOD) QA interface MIL-STD-882C (DOD) Air/Spacecraft Accidents MIL-STD- 882D/E (DOD) Air/Spacecraft Accidents Aircraft Accidents MIL-STD-882A (DOD) Air/Spacecraft Accidents Aircraft Accidents
35 What We Do! Influence design selection through a structured hazard identification and risk mitigation process Integrate safety lessons learned
36 Lessons Learned Those who do not remember the past are George Santayana US (Spanish-born) Philosopher condemned to repeat it.
37 Risk Management Process Identify Hazards Monitor Assess Hazards Implement Controls Develop Controls
38 Identify Hazards Legacy systems Review documented hazard databases Similar systems Review documented hazard databases Review system/subsystem functions Review design documents
39 Hazard Assessment Frequent (A) Probable (B) Occasional (C) Remote (D) Improbable (E)
40 Hazard Assessment Level Description Catastrophic: Could result in death, permanent total disability, loss exceeding $10M, or irreversible severe environmental damage that violates the law Critical: Could result in permanent partial disability, injuries or occupational illness that may result in hospitalization of at least three personnel, loss exceeding $1M but less than $10M, or reversible environmental damage causing a violation of law or regulation Marginal: Could result in injury or occupational illness resulting in one or more lost work days, loss exceeding $500K but less than $1M, or mitigatible environmental damage without violation of law or regulation where restoration activities can be accomplished Negligible: Could result in injury or illness not resulting in a lost work day, loss exceeding $2K but less than $500K, or minimal environmental damage not violating law or regulation
41 Hazard Assessment Level Description Probability (Occurrences per 100K Flight Hours) A Frequent p > 100 B Probable 100 p > 10 C Occasional 10 p > 1 D Remote 1 p > 0.1 E Improbable 0.1 p 0.01
42 Develop Controls System Safety Design Order of Precedence Eliminate hazard through design selection select design or material that removes hazard Reduce risk through design alteration consider a design change that reduces mishap severity or probability Incorporate engineered features or devices reduce severity or probability using engineered features or devices Provide warning devices install devices that alert personnel to hazard Incorporate signage, procedures training, PPE use this control when all others are not feasible
43 Develop Controls System Safety Design Order of Precedence Eliminate hazard through design selection Critical controls location (easiest to reach by operators) Reduce risk through design alteration Control knobs designed based on function Incorporate engineered features or devices Interlocks and latches, overtemp/overspeed protection; power limiting system Provide warning devices Warning and caution lights within view of the operator Incorporate signage, procedures training, PPE Train operators and maintainers on system operation and maintenance
44 Implement Controls Design Selection / Design Alternatives/ Engineered Features and Devices 1) Balistically tolerant rotor and drive system 2) High mass components retained in 20/20/18g crash conditions 3) Anti-plow keel beams 4) Reduced rollover potential with CEFS installed 5) Energy absorbing landing gear (30 fps limits) 6) Crashworthy fuel cells (65 feet drop) 7) Jettisonable cockpit doors and pop-out windows 8) Wire strike protection
45 Monitor Monitor system failures identify hazards NOTE reporting systems, processes, and procedures are established for reporting failures
46 Summary Conduct thorough accident and incident investigations Fix the why an accident happened Incorporate lessons learned into new and modified system designs
47 You Can t Fix Stupid
48 1) Who was the first fatality in an Army aviation accident? 2) When and where was the accident? 3) Who was flying at the time of the accident? 48
49 1) First Lieutenant Thomas E. Selfridge 2) September 17, 1908, Fort Myer, Virginia 3) Orville Wright 49
50 50
51 51
52 Gary D. Braman, CSP Senior System Safety Engineer Sikorsky Aircraft Corporation Huntsville, AL
SYSTEM SAFETY ENGINEERING AND MANAGEMENT
SYSTEM SAFETY ENGINEERING AND MANAGEMENT An Overview SYSTEM SAFETY Video SYSTEM SAFETY McDonnell-Douglas DC-10 SYSTEM SAFETY McDonnell Douglas DC-10 Hydraulic System SYSTEM SAFETY DeHavilland Comet SYSTEM
More informationNorth Coast Outfitters, LTD. Model SR901RT Multi-Purpose Utility Table SAFETY ASSESSMENT REPORT (SAR)
North Coast Outfitters, LTD Model SR901RT Multi-Purpose Utility Table SAFETY ASSESSMENT REPORT (SAR) 10 August 2004-1 - - 2 - TABLE OF CONTENTS 1 INTRODUCTION... 4 1.1 PURPOSE... 4 1.2 OPERATIONAL CONCEPTS...
More informationSafety Management in Multidisciplinary Systems. SSRM symposium TA University, 26 October 2011 By Boris Zaets AGENDA
Safety Management in Multidisciplinary Systems SSRM symposium TA University, 26 October 2011 By Boris Zaets 2008, All rights reserved. No part of this material may be reproduced, in any form or by any
More informationSafety-Critical Systems
Software Testing & Analysis (F22ST3) Safety-Critical Systems Andrew Ireland School of Mathematical and Computer Science Heriot-Watt University Edinburgh Software Testing & Analysis (F22ST3) 2 What Are
More informationSafety Risk Assessment Worksheet Title of Risk Assessment Risk Assessment Performed By: Date: Department:
Title of Risk Assessment Risk Assessment Performed By: Date: Department: Choose the appropriate type of change from the list below: Revision To Existing New Choose the appropriate system/task from the
More informationRisk Management. Definitions. Principles of Risk Management. Types of Risk
Definitions Risk Management Risk management is a decision-making process designed to identify hazards systematically, assess the degree of risk, and determine the best course of action. It is a practical
More informationManaging for Liability Avoidance. (c) Lewis Bass
Managing for Liability Avoidance (c) Lewis Bass 2005 1 Staying Safe in an Automated World Keys to Automation Safety and Liability Avoidance Presented by: Lewis Bass, P.E. Mechanical, Industrial and Safety
More informationEmploy The Risk Management Process During Mission Planning
Employ The Risk Management Process During Mission Planning TSG 154-6465 Task(s) TASK NUMBER TASK TITLE Taught or 154-385-6465 Employ The Risk Management Process During Mission Planning Supported Task(s)
More informationAccident Investigation and Hazard Analysis
Accident Investigation and Hazard Analysis June 18, 2015 Objectives: Accident Investigation Define accidents Review why accident investigations are important Review the purpose of accident investigations
More informationRisk Management Qualitatively on Railway Signal System
, pp. 113-117 The Korean Society for Railway Ya-dong Zhang* and Jin Guo** Abstract Risk management is an important part of system assurance and it is widely used in safety-related system. Railway signal
More informationJob Hazard Analysis (JHA) What is Job Hazard Analysis (JHA)?
Job Hazard Analysis (JHA) How to Analyze Health & Safety Hazards at your worksite Michael Hall, Director CA EH+S TRAINING CENTER 1 What is Job Hazard Analysis (JHA)? It is a method for systematically identifying
More informationVector to ZERO: HAZARD HUNT. 2. Mission/Task: 3. Begin Date: 4. End Date: 5. Date Prepared: 10. Develop Controls 11. Residual Risk Level
RISK ASSESSMENT 1. Organization and Unit Location: Vector to ZERO: HAZARD HUNT Sheet 1 of 5 See Appendix A for Risk Assessment Matrix 2. Mission/Task: 3. Begin Date: 4. End Date: 5. Date Prepared: 6. Operational
More informationProbability Risk Assessment Methodology Usage on Space Robotics for Free Flyer Capture
6 th IAASS International Space Safety Conference Probability Risk Assessment Methodology Usage on Space Robotics for Free Flyer Capture Oneil D silva Roger Kerrison Page 1 6 th IAASS International Space
More information-JHA- Job. For Science and Engineering. Hazard Assessment
-JHA- For Science and Engineering Job Hazard Assessment Is a Job Hazard Assessment Necessary? The Occupational Safety and Health Administration regulations confirm a JHA is needed. OSHA 1910.132(d)(2)
More informationWorkshop to Generate Guidelines For the Implementation of: 1 - Step 1 of State Safety Program (SSP) and 2 - Phases 1 & 2 of ICAO SMS
Workshop to Generate Guidelines For the Implementation of: 1 - Step 1 of State Safety Program (SSP) and 2 - Phases 1 & 2 of ICAO SMS SMS Peligrando, Arriesgando y Midiendo Dr. S. Hautequest Cardoso, Ph.D.
More informationFederal Aviation Administration Safety & Human Factors Analysis of a Wake Vortex Mitigation Display System
Safety & Human Factors Analysis of a Wake Vortex Mitigation Display System Presented to: EUROCONTROL Safety R&D Seminar By: Dino Piccione Date: October 23, 2008 Project Objectives Forge a link between
More informationChapter 5. Response Tactics and Strategies Delmar, Cengage Learning
Chapter 5 Response Tactics and Strategies Objectives Understand the grim realities including the multitude of sights, sounds, and smells you may encounter at the scene of a large-scale aircraft crash,
More information1.0 PURPOSE 2.0 REFERENCES
Page 1 1.0 PURPOSE 1.1 This Advisory Circular provides Aerodrome Operators with guidance for the development of corrective action plans to be implemented in order to address findings generated during safety
More informationDATA ITEM DESCRIPTION Title: Failure Modes, Effects, and Criticality Analysis Report
DATA ITEM DESCRIPTION Title: Failure Modes, Effects, and Criticality Analysis Report Number: Approval Date: 20160106 AMSC Number: N9616 Limitation: No DTIC Applicable: Yes GIDEP Applicable: Yes Defense
More informationRCM Applied to the CH-47 Chinook Heavy Lift Helicopter. For the Warfighter With the Warfighter
RCM Applied to the CH-47 Chinook Heavy Lift Helicopter For the Warfighter With the Warfighter Presentation Agenda Application of Reliability Centered Maintenance (RCM) RCM Principles Applied to: Special
More informationRISK MANAGEMENT B020083XQ STUDENT HANDOUT
UNITED STATES MARINE CORPS THE BASIC SCHOOL MARINE CORPS TRAINING COMMAND CAMP BARRETT, VIRGINIA 22134-5019 RISK MANAGEMENT B020083XQ STUDENT HANDOUT Basic Officer Course (RM) Introduction This purpose
More informationLecture 04 ( ) Hazard Analysis. Systeme hoher Qualität und Sicherheit Universität Bremen WS 2015/2016
Systeme hoher Qualität und Sicherheit Universität Bremen WS 2015/2016 Lecture 04 (02.11.2015) Hazard Analysis Christoph Lüth Jan Peleska Dieter Hutter Where are we? 01: Concepts of Quality 02: Legal Requirements:
More informationz Interim Report for May 2004 to October 2005 Aircrew Performance and Protection Branch Wright-Patterson AFB, OH AFRL-HE-WP-TP
AFRL-HE-WP-TP-26-89 Neck Muscle Fatigue with Helmet-Mounted Systems Edward S. Eveland Joseph A. Pellettiere Air Force Research Laboratory LL September 26 z Interim Report for May 24 to October 25 (n 261124
More informationFLIGHT TEST RISK ASSESSMENT THREE FLAGS METHOD
FLIGHT TEST RISK ASSESSMENT THREE FLAGS METHOD Author: Maximilian Kleinubing BS. Field: Aeronautical Engineering, Flight Test Operations Keywords: Flight Test, Safety Assessment, Flight Test Safety Assessment
More informationHAZARD IDENTIFICATION & RISK ASSESSMENT
Clearheart Construction Co., Inc. Hazard Identification & Risk Assessment HAZARD IDENTIFICATION & RISK ASSESSMENT If all employees and subcontractors followed established OSHA compliant procedures to accomplish
More informationActivity Hazard Analysis (AHA) EM A.13 FIGURE 1-2 CONTRACTOR REQUIRED AHA TRAINING
Activity Hazard Analysis (AHA) EM 385 2008 01.A.13 FIGURE 1-2 CONTRACTOR REQUIRED AHA TRAINING Activity Hazard Analysis (AHA) AHAs: Risk Assessment Tool Defines the Activity or Work to be Performed Identifies
More informationSafety Standards Acknowledgement and Consent (SSAC) CAP 1395
Safety Standards Acknowledgement and Consent (SSAC) CAP 1395 Contents Published by the Civil Aviation Authority, 2015 Civil Aviation Authority, Aviation House, Gatwick Airport South, West Sussex, RH6 0YR.
More informationESSENTIAL SAFETY RESOURCES
ESSENTIAL SAFETY RESOURCES GS-3018 HAZARD IDENTIFICATION AND RISK ASSESSMENT Originator: Safety Advisor s Signature: Type Name Approval: HSE Manager s Signature: Type Name Approval: Operations Manager
More informationUnit 5: Prioritize and Manage Hazards and Risks STUDENT GUIDE
: Prioritize and Manage Hazards and Risks STUDENT GUIDE Objectives By the end of this unit, students will be able to: Describe several techniques that can be used to prioritize hazards for mitigation,
More informationCommittee Input No. 35-NFPA [ Chapter 1 ] Submitter Information Verification. Committee Statement
Committee Input No. 35-NFPA 1670-2015 [ Chapter 1 ] Chapter 1 Administration 1.1 Scope. 1.1.1* This standard shall identify and establish levels of functional capability for conducting operations at technical
More informationAeronautical studies and Safety Assessment
Aerodrome Safeguarding Workshop Cairo, 4 6 Dec. 2017 Aeronautical studies and Safety Assessment Nawal A. Abdel Hady ICAO MID Regional Office, Aerodrome and Ground Aids (AGA) Expert References ICAO SARPS
More informationLECTURE 3 MAINTENANCE DECISION MAKING STRATEGIES (RELIABILITY CENTERED MAINTENANCE)
LECTURE 3 MAINTENANCE DECISION MAKING STRATEGIES (RELIABILITY CENTERED MAINTENANCE) Politecnico di Milano, Italy piero.baraldi@polimi.it 1 Types of maintenance approaches Intervention Unplanned Planned
More informationThe Best Use of Lockout/Tagout and Control Reliable Circuits
Session No. 565 The Best Use of Lockout/Tagout and Control Reliable Circuits Introduction L. Tyson Ross, P.E., C.S.P. Principal LJB Inc. Dayton, Ohio Anyone involved in the design, installation, operation,
More informationCHAPTER 5 PREVENTION AND CONTROL OF WORKPLACE HAZARDS
CHAPTER 5 PREVENTION AND CONTROL OF WORKPLACE HAZARDS 0501. Discussion Section 19(a) of the Occupational Safety and Health Act (OSHAct) requires government activities to provide all Federal employees with
More informationEnvironmental-Related Risk Assessment
Environmental-Related Risk Assessment *GTA 05-08-002 DISTRIBUTION: U.S. Army Training Support Centers. DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. Headquarters, Department
More information1 General. 1.1 Introduction
1 General 1.1 Introduction The contents of this book will focus on the anatomy of the aeroplane and the various systems that enable it to operate both on the ground and in the air. Flight controls Landing
More informationThree Approaches to Safety Engineering. Civil Aviation Nuclear Power Defense
Three Approaches to Safety Engineering Civil Aviation Nuclear Power Defense Civil Aviation Fly-fix-fly: analysis of accidents and feedback of experience to design and operation Fault Hazard Analysis: Trace
More informationGamma-ray Large Area Space Telescope
GLAST LAT PROCEDURE, GUIDELINE Document # Document Title GLAST LAT System Safety Program Plan Date Effective LAT-MD-00078-01 3/1/01 Author(s) Supersedes Frank O'Neill Subsystem/Office Performance and Safety
More informationBiomedical Laboratory: Its Safety and Risk Management
Biomedical Science Letters 2017, 23(3): 155~160 https://doi.org/10.15616/bsl.2017.23.3.155 eissn : 2288-7415 Review Biomedical Laboratory: Its Safety and Risk Management Tin Tun Singapore Association for
More informationSafety in Precast Erection
Safety in Precast Erection C. Kirubakaran R Star Consultants Pte Ltd, Singapore Abstract: Construction industry is known to be one of the most hazardous among different industries all over the world. The
More informationHelicopter Safety Recommendation Summary for Small Operators
Helicopter Safety Recommendation Summary for Small Operators Prepared by the International Helicopter Safety Team September 2009 Introduction This document is intended to provide a summary of the initial
More informationGUIDELINES FOR THE FITTING AND USE OF FALL PREVENTER DEVICES (FPDs)
INTERNATIONAL MARITIME ORGANIZATION 4 ALBERT EMBANKMENT LONDON SE1 7SR Telephone: 020 7735 7611 Fax: 020 7587 3210 IMO E Ref. T4/3.01 MSC.1/Circ.1327 11 June 2009 GUIDELINES FOR THE FITTING AND USE OF
More informationIIUM EVENT SAFETY RISK ASSESSMENT
INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA HAZARD IDENTIFICATION OCCUPATIONAL WORKPLACE SAFETY, HEALTH AND BUILT ENVIRONMENT DEPARTMENT (OSHBE) PRESENTED BY: YBHG. DATO IR. SHAFFEI MOHAMAD IIUM EVENT SAFETY
More informationEngineering Safety into the Design
Engineering safety into the design Peter Scantlebury P.Eng Technical Safety Manager Amec Foster Wheeler, Oil & Gas Canada Abstract Safety by design is Amec Foster Wheeler s systematic approach to engineering
More informationUnattended Bleeder Valve Thaws, Causing Fire
Unattended Bleeder Valve Thaws, Causing Fire Lessons Learned Volume 03 Issue 12 2004 USW Purpose Unattended Bleeder Valve Thaws, Causing Fire To conduct a small group lessons learned activity to share
More informationAUSTRALIA ARGENTINA CANADA EGYPT NORTH SEA U.S. CENTRAL U.S. GULF. SEMS HAZARD ANALYSIS TRAINING September 29, 2011
AUSTRALIA ARGENTINA CANADA EGYPT NORTH SEA U.S. CENTRAL U.S. GULF SEMS HAZARD ANALYSIS TRAINING September 29, 2011 Purpose The purpose of this meeting is to provide guidelines for determination of hazard
More informationSystems Theoretic Process Analysis (STPA)
Systems Theoretic Process Analysis (STPA) Systems approach to safety engineering (STAMP) STAMP Model (Leveson, 2012) Accidents are more than a chain of events, they involve complex dynamic processes. Treat
More informationAviation Unit Safety Management System
Risk Management Forms AGENCY NAME HERE Report number: Hazard or Occurrence Report Date: Click Here Time: Click to enter Location: Click here to enter location Frequency: Single Event Daily Weekly Monthly
More informationManaging Injury Risk at Grain Handling Facilities. Matt Shurtliff Director of Safety and Environmental Issues J.D. Heiskell & Co January 17, 2018
Managing Injury Risk at Grain Handling Facilities Matt Shurtliff Director of Safety and Environmental Issues J.D. Heiskell & Co January 17, 2018 1 Before We Start If you re unsure of a safe way to do a
More informationConducting An Effective. Welcome!
Conducting An Effective An introduction to the Five Step Process of Job Hazard Analysis JHA-JSA-SWMS-AHA Introductions Welcome! What do you know about Job Hazard Analysis (JHA s)? Does OSHA require JHA
More informationHazard Management Making your workplace safer
Hazard Management Making your workplace safer A Guide to Hazard Identification, Risk Assessment, Control and Reviewing 1 What is a hazard? A hazard is something which has the potential to harm the health,
More informationSafety assessments for Aerodromes (Chapter 3 of the PANS-Aerodromes, 1 st ed)
Safety assessments for Aerodromes (Chapter 3 of the PANS-Aerodromes, 1 st ed) ICAO MID Seminar on Aerodrome Operational Procedures (PANS-Aerodromes) Cairo, November 2017 Avner Shilo, Technical officer
More informationSafety Critical Systems
Safety Critical Systems Mostly from: Douglass, Doing Hard Time, developing Real-Time Systems with UML, Objects, Frameworks And Patterns, Addison-Wesley. ISBN 0-201-49837-5 1 Definitions channel a set of
More informationHazardous Materials Management. Presented by. James E. Roughton, MS, CSP, CRSP, CHMM.
Hazardous Materials Management Presented by. James E. Roughton, MS, CSP, CRSP, CHMM. Hazardous Waste Operations And Emergency Response (HAZWOPER) 29 CFR 1910.120 Scope Clean-up Operations At Uncontrolled
More informationMemorandum for the Joint Committee on New Aircraft in Japan (MV-22)
Memorandum for the Joint Committee on New Aircraft in Japan (MV-22) References: a. The Agreement Under Article VI of the Treaty of Mutual Cooperation and Security Between the United States of America and
More informationImplications of Integrated Life Support Systems in 5 th Gen Fighters
Implications of Integrated Life Support Systems in 5 th Gen Fighters Prepared by Col Bill Mueller, USAF, MC, SFS Presented by Lt Col Rob Monberg, USAF, MC, SFS Disclosure Information I have no financial
More informationBasic STPA Tutorial. John Thomas
Basic STPA Tutorial John Thomas How is STAMP different? STAMP Model (Leveson, 2003); (Leveson, 2011) Accidents are more than a chain of events, they involve complex dynamic processes. Treat accidents as
More informationLarge Valve Causes Back Injury
Large Valve Causes Back Injury Lessons Learned Volume 03 Issue 03 2004 USW Large Valve Causes Back Injury Purpose To conduct a small group lessons learned activity to share information gained from incident
More informationHazard Identification and Control
Hazard Identification and Control Steve Wallace steve@hcsas.sk.ca (306)729-4863 How our mind works Unintentional Blindness It s not what you look at it s what you see Brain is wired for biological movement
More informationUsing what we have. Sherman Eagles SoftwareCPR.
Using what we have Sherman Eagles SoftwareCPR seagles@softwarecpr.com 2 A question to think about Is there a difference between a medical device safety case and any non-medical device safety case? Are
More information1309 Hazard Assessment Fundamentals
1309 Hazard Assessment Fundamentals Jim Marko Manager, Aircraft Integration & Safety Assessment 14 November 2018 Presentation Overview Fail-safe design concept Safety Assessment principles for hazard classification
More informationOperator Exposed to Chlorine Gas
Operator Exposed to Chlorine Gas Lessons Learned Volume 04 Issue 29 2004 USW Operator Exposed to Chlorine Gas Purpose To conduct a small group lessons learned activity to share information gained from
More informationDEPARTMENT OF THE NAVY NAVAL AIR SYSTEMS COMMAND RADM WILLIAM A. MOFFEIT BUILDING BUSE ROAD, BLDG 2272 PATUXENT RIVER, MARYLAND,
- DEPARTMENT OF THE NAVY NAVAL AIR SYSTEMS COMMAND RADM WILLIAM A. MOFFEIT BUILDING 47123 BUSE ROAD, BLDG 2272 PATUXENT RIVER, MARYLAND, 20670-1547 NAVAIRINST 4790.20C AIR-6.0 NA VAIR INSTRUCTION 4790.20C
More information1. Objective of the initiative To ensure that all employees and subcontractors are aware of the risks associated with working at height.
Safety Initiative 02 Working at Height May 2011 CONTENTS 1. Objective of the initiative 2. Overview. 3. Implementation 4. Duties 5. Hierarchy of Controls 6. Workplace Inspections 7. Fragile Surfaces 8.
More informationCurt Lewis, PhD, CSP, FRAeS. CURT LEWIS & ASSOCIATES, LLC (Targeting Safety & Risk Management)
Curt Lewis, PhD, CSP, FRAeS CURT LEWIS & ASSOCIATES, LLC (Targeting Safety & Risk Management) Publisher of : "Flight Safety Information Newletter Aviation Maintenance and Technical Exchange ACSF Safety
More informationRisks and Hazards Identified Now What?
Risks and Hazards Identified Now What? Minnesota Safety Council Safety & Health Conference Minneapolis Convention Center May 9, 2018 3:40 p.m. - 4:45 p.m. Presented by: Cynthia Braun, CSP, CHMM, CET Braun
More informationRaw Material Spill. Lessons Learned. Volume 05 Issue USW
Raw Material Spill Lessons Learned Volume 05 Issue 14 2005 USW Raw Material Spill Purpose To conduct a small group lessons learned activity to share information gained from incident investigations. To
More informationHazard analysis. István Majzik Budapest University of Technology and Economics Dept. of Measurement and Information Systems
Hazard analysis István Majzik Budapest University of Technology and Economics Dept. of Measurement and Information Systems Hazard analysis Goal: Analysis of the fault effects and the evolution of hazards
More informationPhase B: Parameter Level Design
Phase B: Parameter Level Design 1 FMEA A chart describing the ways in which the product may fail, the impact, and what has been done to alleviate any problems. Measure of the inability to achieve overall
More informationDRIVER FATIGUE MANAGEMENT PLAN
DRIVER FATIGUE MANAGEMENT PLAN Basic principles to include in a driver fatigue management plan A number of basic principles apply when developing a Driver Fatigue Management Plan. The following are detailed
More informationHSI TF and ad hoc working group: Back and neck pain, vibration, and impact from military systems
HSI TF and ad hoc working group: Back and neck pain, vibration, and impact from military systems USAARL Overview John Crowley MD MPH Science Program Director 31 Jan 12 ISO Jolt Standard Historical Successes
More informationMarine Risk Assessment
Marine Risk Assessment Waraporn Srimoon (B.Sc., M.Sc.).) 10 December 2007 What is Risk assessment? Risk assessment is a review as to acceptability of risk based on comparison with risk standards or criteria,
More informationAccident/Incident Reporting and Investigation Procedures
Accident/Incident Reporting and Investigation Procedures Policy reference Workplace Health and Safety Policy Procedure reference Workplace Health and Safety Risk Assessment Procedures Procedure It is imperative
More informationRISK ASSESSMENT FORM Project / Work Description: Handling of furniture.
Department & Exact Location Of The Work Performed: RISK ASSESSMENT FORM Project / Work Description: Handling of furniture. Risk Assessment Team (Name/s): Date Conducted: Approved By Supervisor / Reporting
More informationIdentify Hazards, Before They Identify You! ~Jayson Stoddard~
2015 Mine Safety Welcome! Identify Hazards, Before They Identify You! ~Jayson Stoddard~ Working Together to Achieve 0 Incidents Report All Incidents This would be any and all injuries as well as near miss
More informationHAZARDOUS WASTE OPERATIONS AND EMERGENCY RESPONSE
Page 1 of 10 HAZARDOUS WASTE OPERATIONS AND EMERGENCY RESPONSE 1.0 SCOPE This Performance Assessment Guide for Hazardous Waste Operations and Emergency Response (HAZWOPER) will be used to carry out the
More informationCOMMISSIONING TESTS FOR NEW HV CABLES (UP TO 33 KV) JOB SAFETY ANALYSIS
COMMISSIONING TESTS FOR NEW HV CABES (UP TO 33 KV) JOB SAFETY ANAYSIS Title: Carry Out Field Testing Purpose and Scope: To identify the hazards and control measures associated with testing and commissioning
More informationWork Health and Safety Risk Management Procedures
Work Health and Safety Risk Management Procedures Table of Contents 1. Governing Policy 2. Purpose 3. Scope 4. Definitions 5. Responsibilities 6. Risk Management Process 6.1. Process summary 6.2. Hazard
More informationUnderstanding safety life cycles
Understanding safety life cycles IEC/EN 61508 is the basis for the specification, design, and operation of safety instrumented systems (SIS) Fast Forward: IEC/EN 61508 standards need to be implemented
More informationPurpose. Scope. Process flow OPERATING PROCEDURE 07: HAZARD LOG MANAGEMENT
SYDNEY TRAINS SAFETY MANAGEMENT SYSTEM OPERATING PROCEDURE 07: HAZARD LOG MANAGEMENT Purpose Scope Process flow This operating procedure supports SMS-07-SP-3067 Manage Safety Change and establishes the
More informationIncorrect Relief Valve Material Causes Release
Incorrect Relief Valve Material Causes Release Lessons Learned Volume 04 Issue 18 2004 USW Purpose Incorrect Relief Valve Material Causes Release To conduct a small group lessons learned activity to share
More informationHAZARDOUS INCIDENT SITE SAFETY PLAN
HAZARDOUS INCIDENT SITE SAFETY PLAN NOTE: A site-specific Site Safety Plan must be developed and implemented for each site where investigators may potentially be exposed to hazardous substances while conducting
More informationHazard Recognition. Leader s Guide and Quiz
Hazard Recognition Leader s Guide and Quiz 4831 INTRODUCTION TO THE PROGRAM Structure and Organization Information in this program is presented in a definite order so that employees will see the relationships
More informationPersonal Protective Equipment
Policies & Procedures Personal Protective Equipment Internal Procedure: PPE Effective Date: 7-30-18 Last Modified: 7-30-18 Approved By: Todd Barnette Purpose To establish requirements for a Personal Protective
More informationHS329 Risk Management Procedure
HS329 Risk Management Procedure Work Health and Safety Act 2011 Policy hierarchy link Work Health and Safety Regulation 2011 Work Health and Safety Policy Code of Practice How to Manage Work Health and
More informationCivil Air Patrol. Summary of Aircrew Professionalism Content. Kevin Conyers Chief, Stan/Eval Aug 2018 Anaheim, CA
Civil Air Patrol Summary of Aircrew Professionalism Content Kevin Conyers Chief, Stan/Eval 22-26 Aug 2018 Anaheim, CA Introductions Kevin Conyers, Chief of Stan/Eval Lt Col Gene Caisse, Asst Chief of Stan/Eval
More informationSmall Operator Accidents
Small Operator Accidents How can a small operator cope with an Accident? John M. Cox Safety Operating Systems Two Business Jet Accidents Participation Preparedness Effectiveness Results Hawker Accident
More informationALIGNING MOD POSMS SAFETY AND POEMS ENVIRONMENTAL RISK APPROACHES EXPERIENCE AND GUIDANCE
ALIGNING MOD POSMS SAFETY AND POEMS ENVIRONMENTAL RISK APPROACHES EXPERIENCE AND GUIDANCE R. L. Maguire MIMechE MSaRS RS2A Limited Swindon, UK 07505 743 725 rlm@rs2a.com Keywords: POSMS, POEMS, Alignment,
More informationIntegration of safety studies into a detailed design phase for a navy ship
Integration of safety studies into a detailed design phase for a navy ship A. Fulfaro & F. Testa Fincantieri-Direzione Navi Militari, 16129 Genova, Italy Abstract The latest generation of Italian Navy
More informationIntegrating Wildlife Hazard Management into a Safety Management System (SMS)
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln 2011 Bird Strike North America Conference, Niagara Falls Bird Strike Committee Proceedings 9-2011 Integrating Wildlife Hazard
More informationSCANDINAVIAN AVIATION EDUCATION PROGRAM. Risk Management Course
SCANDINAVIAN AVIATION EDUCATION PROGRAM Risk Management Course Stockholm 5 6 February 2008 Risk Management Course Introduction: The course is conducted by Scandinavian Aviation. Morten Kjellesvig is program
More informationCHIEF S FILE CABINET
Closing the Gap Concerns over firefighter safety are no longer casual conversations. Increasingly, the emphasis on firefighter safety is moving from an afterthought to the forefront of everything from
More informationAR Responsibilities
Supervisor Safety Agenda Supervisor Responsibilities Job Safety Training Safety Meetings/Inspections Accident Reporting Risk Management (RM) Hazard Reporting/Assessment Hazard Scanning AR 385-10 1.4 Responsibilities
More informationOxygen Fire in an EMS helicopter. Presented by Ron Heitmann Investigator Australian Transport Safety Bureau Brisbane Field Office
Oxygen Fire in an EMS helicopter Presented by Ron Heitmann Investigator Australian Transport Safety Bureau Brisbane Field Office On 2 May 1997 the Brisbane office of the then BASI was advised of an accident
More informationNew Airfield Risk Assessment / Categorisation
New Airfield Risk Assessment / Categorisation Airfield Risk Assessment Prior to commencing operations to a new airfield, airfield risk assessment and categorisation will take place. For continued operations
More informationAdvisory Circular (AC)
Advisory Circular (AC) Certification of Large Aeroplanes in the Restricted Category, Used for Special Purpose Operations File No. 5009-6-525 AC No. 525-012 RDIMS No. 1140123-V1 Issue No. 02 Issuing Branch
More informationSafety Analysis: Event Classification
IAEA Training Course on Safety Assessment of NPPs to Assist Decision Making Safety Analysis: Event Classification Lecturer Lesson IV 1_2 Workshop Information IAEA Workshop City, Country XX - XX Month,
More informationAccidents and accident prevention
Accidents and accident prevention What is an accident? 1. Oxford Dictionary An unforeseeable event often resulting in injury. 2. British Safety Council A management error; the result of errors or omissions
More informationTable of Contents. Feature Article. Prevention of Traffic Accidents involving Elderly People
Table of Contents Feature Article Prevention of Traffic Accidents involving Elderly People Introduction 1 I Current state of Elderly People 3 1 Progressing to an aging society 3 2 Characteristics of fatal
More informationChapter 1 FF I Orientation and Fire Service History
Chapter 1 FF I Orientation and Fire Service History After completing this lesson, the student shall be able to describe how the history and culture of the fire service influence its basic mission, the
More information