Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
0% found this document useful (0 votes)
27 views58 pages

Advanced Accident Investigation

Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
You are on page 1/ 58

ADVANCED ACCIDENT INVESTIGATION

Accident Concepts, include accident theory, type of incident, accident


impact, relation between hazards and risk, energy concept and accident
prevention

1
Definitions and Theories
Sources:
Harvey F. Thomas, Ph.D., CSP, CHMM
Industrial Safety and Health, David Goetsch, Merrill
Publishers, pgs. 29-39

2
Learning Objectives
Know the definitions attendant to
safety and health management
Know the basic theories of accident
causation

3
What is Safety

“Is it safe to go into the trench?

“I’m worried about her


safety harness”

“He’s not a very safe driver”

“Does that nail gun have a safety latch?”


4
What is safety & health discipline?

Multi-faceted

An ill-defined domain

Multi-discipline
http://www.colored-diamonds.com/page7.htm

5
Safety & Health Discipline
Interactions
Industrial
Environmental Operations Medical
Hygiene

Transportation Safety & Health Information


Systems

Facilities
Test and
Legal Training
6 evaluation
What does safety mean?
Definition of Terms
“Safety is the prevention of accidents and the
mitigation of personal injury or property
damage which may result from accidents.”

Mroz

This presentation is an introduction to concepts presented in


7 text article, Landmarks in the History of Safety, pp.10-15.
What does the term “accident”
mean?
“..An accident is a potentially harmful
energy flow or environmental condition
that is preceded by planning or
operation oversight or omissions,
resulting in conditions or that trigger actions

the incident…..” Kecelakaan adalah aliran energi yang berpotensi berbahaya atau
kondisi lingkungan yang diawali dengan perencanaan atau operasi pengawasan atau kelalaian, sehingga kondisi atau
tindakan yang memicu insiden i

8
Then what is safety relative to an
accident?
“Safety is a condition or state of being
resulting from the modification of
human behavior, and/or design of the
physical environment to reduce the
possibility of hazards, thereby reducing
accidents.” Keselamatan adalah suatu kondisi atau keadaan yang dihasilkan dari modifikasi
perilaku manusia, dan / atau desain lingkungan fisik untuk mengurangi kemungkinan bahaya, sehingga mengurangi
kecelakaan. "

Strasser et al.
9
Incident vs. Accident
Accidental triad
1. When an unwanted energy flow occurs
or a hostile environmental condition
develops.
2. Barriers or controls << than adequate.
3. Persons or objects are in the energy
path or exposed to the environmental
condition…Ketika aliran energi yang tidak diinginkan terjadi atau kondisi lingkungan yang berkembang.
4. Hambatan atau kontrol << dari cukup.
5. Orang atau benda berada di jalur energi atau terkena kondisi lingkunga

The accidental triad is complete.

10
Definition of terms
 Approaches to Use of Barriers.
1. Barriers on the energy source.
2. Barriers on the targets (person or objects).
3. Barriers between the energy flow and the
targets.
4. Separation of the flow and targets by time
or space.

11
Definition of Terms
Incident – an incident is not an accident--
there have been no losses. The worst that
has happened is a near miss. No persons
or objects were in the energy flow.

You can remove the person from the


energy flow or place a barrier between
him and the energy flow.
12
Definition of Terms
We all need energy to do our jobs and
live our lives.

Then Safety can be defined as the


preplanned management of energy
without damaging or harmful energy
flows.

You manage energy flow through


people and materiel resources.
13
“..the
absence of adequate barriers or
controls, causes losses-injury,
damage, or degraded performance-to
the persons or objects in the path of
the energy flow or exposed to the
environmental conditions..”

14
“That occurrence in
a sequence of
events which
usually produces
unintended injury,
death, or property
damage”.

15 National Safety Council


Definition of Terms

Hazard – condition or set of conditions that


have the potential to produce injury and/or
property damage.

Risk- probability that a hazard will be


activated and produce injury or property
damage and the severity of the hazard.
16
Definition of Terms
Risk involves two components –

–(1) likelihood that negative situation


will occur.

–(2) severity of injury or damage if the


hazard is activated.

17
Components of risk –
probability and severity
Highest
Risk

Ri
sk

18
Definition of Terms continued…
 Loss control – accident prevention achieved through complete
safety and health hazard control program. pencegahan kecelakaan dicapai melalui

keselamatan lengkap dan program pengendalian bahaya kesehatan .

 Hazard control – developing program to recognize, evaluate, and


eliminate destructive effects of hazards.. Hazard kontrol - mengembangkan program
untuk mengenali, mengevaluasi, dan menghilangkan efek destruktif dari bahaya.

Hazards can be either human errors or workplace conditions..

   .
19
Definition of Terms continued…
Accident prevention-elimination of factors
and conditions that pose hazard and risk.

Accident mitigation-direct confrontation of


accident causative factors.

20
Definition of Terms
Injury – damage or harm to body as result
of violence, infection or other source.
Illness – environmental stress resulting in
abnormal physiological condition.
Acute illness – immediate effects
Chronic illness – long term
effects.

21
Why do accidents happen?
22
Theories of Accident Causation
Major theories presented include:

 Domino Theory of accident causation.

 Human Factors Theory of Accident Causation

23
Accident/Incident Theory of
Accident Causation.
Epidemiological Theory of
Accident Causation.
Combination Theory of Accident
Causation.

24
Why do Employees get Hurt on the
JOB?

Accident Prone?(rawan)

Carelessness?

25
Equipment Failure?

Hazardous Work?

26
Theories of Accident Causation
Single Factor Theory

H. W. Heinrich’s Domino Theory (1932)

Study concluded that:

88% industrial accidents caused by fellow workers’ unsafe acts.

27
10% by unsafe conditions.

2% unavoidable.

28
Theories of Accident Causation
Heinrick’s Axioms of Industrial Safety
diragukan lagi
Kebenaran yang perlu

Injuries result from completed series of


Factors, including injury itself.

29
Theories of Accident Causation
Heinrich’s Axioms

Accident can occur through unsafe act or mechanical hazard.

Most accidents due to unsafe behavior by people. Kebanyakan kecelakaan karena perilaku yang tidak aman

30
Unsafe act by person or condition not
always accident ending.

i.e. near misses.

31
Theories of Accident Causation
Select corrective actions by identifying cause.

Severity accidental and accident preventable.

Best quality = best accident prevention


technique.

32
Theories of Accident Causation
Management assume responsibility
for safety.

Supervisor key in preventing


industrial accidents.

Both direct and indirect costs with


accidents.

33
Heinrich’s Domino Theory
Three Phases

Pre-Contact Phase

Contact Phase

Post-Contact Phase

34
Heinrich’s Domino Theory
Theory has two central points:

Injuries caused by action of preceding


factors.

Removal of central factor (unsafe


act/hazardous) negates the action of
preceding factors.

Prevents accidents via elimination.


35
Heinrich’s Domino Theory
Five Factors Influence ALL Accidents

1) Ancestry & Social Environment


2) Fault of The Person
3) Unsafe Act/ Mechanical or Physical
Hazard
4) Accident
5) Injury

36
Human Factors Theory of Accidents
Chain of events caused by human error.

Three factors lead to human error:

Overload.

Inappropriate response. tidak sesuai/tepat

Inappropriate activities.

37
Overload

Inappropriate Inappropriate
Human errors factor
activities response

Factors that cause human errors


38
Human Factors Theory

Overload Inappropriate Inappropriate


response activities
•Environmental •Detecting a •Performing
factors hazard but not tasks without
•Internal correcting it. the requisite
factors training
•Removing
safeguards •Misjudging
•Situational
risks
factors •Ignoring safety

39
Accident/Incident Theory
Overload

Ergonomic Traps

Decision to Err

Human Error

System Failure
40
Petersen’s Accident/Incident Theory

Overload Ergonomic Traps Decision to err.


•Pressure •Misjudgment of
•Incompatible
•Fatigue workstation the risks

•Motivation •Incompatible •Unconscious


expectations desire to err
•Drugs, alcohol
•Logical decision
•Worry

Human Error
Systems failure
Accident
•Responsibility
•Training
Injury/damage
•Policy
41
•Inspection
Epidemiological
Theory

Predisposition Situational
Characteristics Characteristics

•Perceptions •Risk
assessment by
•Environmental individuals
Factors
•Peer pressure
•Susceptibility of
people •Priorities of the
supervisor
•Attitude

Can cause or prevent accident


conditions
42
Systems Theory
Person Collect Information

Machine Weigh Risks

Make Decisions
Environment

Task to be Performed

43
System Theory of Causation
Feedback Loop

Weigh Make
risks decision

Persons
MachinePersons
Task to be
Environment performed
Interaction

Collect
44 information Stress factors???
System Theory of Causation
Firenzie recommendation factors
before beginning collecting,
weighing,and making decisions.

Job requirements.

Worker’s abilities and


limitations.

45
Loss if task is attempted but
fails.

Loss if task is not attempted.

46
Energy-Related Accident Causation
Theory
Accidents can be prevented by controlling
the energy involved or changing the
structures that cause the damage.

47
Energy-Related Accident Causation
Theory
Limit the Energy

Substitute a Safer Form of Energy

Prevent Energy Build-up

48
Prevent the Release of the Energy

Provide for a Slow Release of the


Energy

Channel the Release Away

49
Energy-Related Accident Causation
Theory
Place a Barrier on the Energy Source.

Place a Barrier Between the Energy


and Person.

Place a Barrier on the Person.

50
Raise the Injury or Damage Threshold.

Ameliorate the Effects.

Rehabilitate.

51
Combination Theory
Often cause of accident
cannot be explained by one
theory.

Cause may be due to parts


of several different models to
varying degrees.

52
Behavioral Scientists
McGregor
Herzberg
Likert
Argyris
Blake and Mouton
Skinner

53
Theories of Accident Causation
Summary

The domino theory of accident causation


was one of the earliest developed.

The human factor theory of accident


causation attributes accidents to a chain
of event caused by human error.

54
Theories of Accident Causation

55
Theories of Accident Causation
 Epidemiological theory-models for
epidemiological factors and disease
good for epidemiological factors and
accident.
 Systems theory views accident
situation as combination of person,
machine and environment.

56
• Combination theory claims that no
one model/theory can explain all
accident.

57
Questions????

58

You might also like