linked indiscussion2014 tower
DESCRIPTION
This model was developped by me in the same period of, a ndindependant from, Reason's Swiss Cheese Model Although it isa far more dynamic model, closer to reality it had never the success the SCM had. I am no professor and simply a SIBEENG (SIlly BElgian ENGineer).TRANSCRIPT
A new Mindset...
The Risks and the Causes & Effects of
Accidents or
“The Filtering Tower”
Principle of Multiple Causes
”Problems and undesired events are seldom, if ever, the result of a single cause "
Risks and the Causes of Accidents
Principle of sequence
" Problems and undesired events are caused by many causes, many of them linked in causal or temporal sequence"
Risks and the Causes of Accidents
HAZARD VULNERABLE
OBJECT
B
A
R
R
I
E
R
• PEOPLE - Unsafe Behavior
• PROCESS
• LOCATION
• MACHINES / TOOLS
• AGENTS
ENERGY CONTROLS TO PROTECT
• PEOPLE - Safe Behavior
• MANAGEMENT SYSTEMS
• PROGRAMMES, PRACTICES &
PROCEDURES
• FACILITIES & TOOLS (Ergonomics)
• PEOPLE
• PROPERTY
• ENVIRONMENT
Near Miss
Accident
Incident Causation & Prevention Model (Bill Johnson - MORT)
People are key, reason for our focus !
PEOPLE,
PROCESS,
LOCATION ETC.
ENERGY
TO PROTECT
PEOPLE
FACILITIES & EQUIPMENT
PRACTICES / PROCEDURES (HOW?)
MANAGEMENT SYSTEMS (WHAT?)
VULNERABLE
OBJECTS
HAZARD
PEOPLE
ARE KEY
Also emphasize “more energy=>severity
Accepted Risks Not Identified Risks
Safety Management System (MOT)
©Loss Control Centre
Hazards
Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace Behavior / Procedures / Conditions
Events
©Loss Control Centre
Hazards
Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace Behavior / Procedures / Conditions
Events
Lo$$es
Treatment of the Events
©Loss Control Centre
Hazards
P
D
C
A
Safety Management System
Reality of the Workplace
Treatment of the Events
©Loss Control Centre
Safety Management System
Reality of the Workplace “Let’s by-pass the System”
Treatment of the Events
©Loss Control Centre