Chapter 1.1 Flashcards
Component failures
E.g. Breakdowns in sensors and mechanical limit switches
The main causes of production disturbances/stops
Component failures, design, human error and external factors
Design
E.g. Defects in software design, poor coordination of system function, material mismatch with production
Human error
E.g. Errors committed by operators
External factors
E.g. Delivery delays, testing machinery and equipment, mistakes during installation.
Event
Event is something that happens st a given time and place.
The three groups of events
Accident, incident and near miss
Accident
An unplanned event that results or outcomes are not acceptable.
Incident
An unwanted event which, in different circumstances, could have resulted in harm to people, damage to property or loss to a process. However the results are acceptable.
Near miss
An event or situation that does not produce any outcome, but only because if chance.w
Safety pyramid
For every accident there have been a large number of incidents and an even larger number of near misses.
Cause
Cause is a factor or event that produces a second event (results or consequences).
Consequence/Outcome
The result of a specific event, without consideration of exposure.
Effect
Effect is immediately or delayed results of an exposure.
Exposure
State of a specific target being open and vulnerable to the consequence of an event.