Trends in accidents,disasters and risk sources in Europe

Most of the adverse impacts on man and/or the environment result from routine human activities such as the process industry, electricity generation and use, transport and agriculture (hazards, i.e. sources of risk). Apart from such essentially technological hazards, possibly resulting in “accidents”, human health and the environment can also be affected by natural hazards, possibly resulting in “disasters”, such as earthquakes or floods. This paper examines current trends in the risk sources and occurrences of four classes of such types of undesired events, entailing largely involuntary risk (e.g. neither car-driving nor smoking):

• •major accidents at fixed installations in the process industry,
• •incidents/accidents at nuclear installations,
• •marine transport and offshore installation accidents,
• •disasters caused by natural hazards and their potential exacerbation by human activities.

It aims to provide an integrated overview of such events in Europe (≡ 15 EU Member States, 4 EFTA, 13 PHARE, 7 TACIS and 5 other South and South Eastern European countries) during the last decade, estimating and interpreting trends in the number of risk sources and accidental events. For each type of event, specific “accident” definitions are given, illustrating the differences in the perception of the respective risk.     

Investigations of flame front propagation between interconnected process vessels. Development of a new flame front propagation time prediction model

For the case where a dust or gas explosion can occur in a connected process vessel, it would be useful, for the purpose of designing protection measures and also for assessing the existing protection measures such as the correct placement, to have a tool to estimate the time for flame front propagation along the connecting pipe. Measurements of data from large-scale explosion tests in industrially relevant process vessels are reported. To determine the flame front propagation time, either a 1 m³ or a 4.25 m³ primary process vessel was connected via a pipe to a mechanically or pneumatically fed 9.4 m³ secondary silo. The explosion propagation started after ignition of a maize starch/air mixture in the primary vessel. No additional dust was present along the connecting pipe. Systematic investigations of the explosion data have shown a relationship between the flame front propagating time and the reduced explosion over-pressure of the primary explosion vessel for both vessel volumes. Furthermore, it was possible to validate this theory by using explosion data from previous investigations. Using the data, a flame front propagation time prediction model was developed which is applicable for:

• •gas and dust explosions up to a K value of 100 and 200 bar m s⁻¹, respectively, and a maximum reduced explosion over-pressure of up to 7 bar;
• •explosion vessel volumes of 0.5, 1, 4.25 and 9.4 m³, independent of whether they are closed or vented;
• •connecting pipes of pneumatic systems with diameters of 100–200 mm and an air velocity up to 30 m s⁻¹;
• •open ended pipes and pipes of interconnected vessels with a diameter equal to or greater than 100 mm;
• •lengths of connecting pipe of at least 2.5–7 m.

     

Human factors integration – Bridging the gap between system designers and end-users: A case study

Within any high hazard industry such as chemical, oil and gas, rail or nuclear, it is necessary to involve system end-users within the design process if system design is to be optimised. To facilitate the identification and assessment of end user requirements it is necessary to integrate human factors (HF) into design from the start of the design lifecycle.During 2004, the author facilitated the integration of HF into a development project being implemented at a major gas processing facility on mainland Britain. The approach taken to HF integration on the project is commonly applied across the high hazard industries. This paper will provide information on this process and the benefits that this provided to the operator. Details will be provided on the approach taken in terms of:

• –Liaison between HF and other design disciplines.
• –Analysis undertaken and tools used.
• –HF topic areas covered.
• –Specific issues raised and how these were resolved.

It will demonstrate the advantage of the early integrated approach as compared to the later auditing or assurance approach sometimes taken in relation to HF.     

The oil and gas industry,the Offshore Installation Manager (OIM) and the management of emergencies - Changes necessary to achieve effective competence assessment of OIMs in controlling emergencies

Within the UK offshore oil and gas industry all installations require to be under the charge of a ‘competent’ installation manager in accordance with the Offshore Installations and Pipeline Works (Management and Administration) Regulations (MAR) 1995. The Offshore Installation Manager (OIM) is responsible for the safety of all persons onboard and within 500 m of an installation. Should an incident arise, the OIM performs one of the most critical roles within the offshore industry - management of the response to the emergency to mitigate and make safe the installation to secure a place of safety for persons onboard or organise their safe evacuation. The emergency response also includes limiting the loss of hydrocarbons to the environment.Research at the University of Aberdeen has identified 8 potential barriers to the effective competence assessment of OIMs in controlling emergencies. These underlying barriers are a consequence of current UK legislation and industry practices in the assessment of OIM competence and result from:

• •multiple definitions of competence,
• •competence assessment predominantly by observation,
• •lack of specific and unambiguous competence requirements for trainers and assessors,
• •complexity in UK legislation and complicated interpretation of terms,
• •lack of statutory competence requirements for OIMs in controlling emergencies,
• •lack of ownership of OIM competence and competence assessment,
• •complex interactions across multiple UK Government departments, and
• •lack of regulation and independent audit of the competence assessment process of OIMs in controlling emergencies.

The potential barriers were identified by qualitative analysis of key documentation, including legislation, using a critical hermeneutic approach. Hermeneutics has historically been used to analyse texts within the domains of theology, business and law. It arguably, however, represents a powerful approach to the study of documents within the engineering domain and the offshore oil and gas industry.This paper discusses the identified potential barriers, research conclusions and recommendations and represents the culmination of three years of doctoral research investigating the competence assessment of OIMs in controlling emergencies within the offshore oil and gas industry. The research, in particular, is relevant to Duty Holders within the offshore industry, safety engineers and UK Government departments.     

How the management aspects can affect the results of the QRA

This paper describes a procedure to include into the quantitative risk assessment (and namely in the construction and solution of the Fault Trees) the Safety Management System (SMS) aspects.The parameters used for probabilistic assessment of the Expected Number of Failures (ENF) of a Top Event are parameterised depending on:

• 1.a weight assigned to each SMS section with reference to the parameter;
• 2.a judgment about the correct application of the same SMS section.

Each probabilistic parameter (e.g. failure rates, mean time to repair, and so on) is thus modified using a mathematical algorithm, where an overall parameter including all the SMS sections influencing each single parameter is defined.The application of the procedure to a formaldehyde plant allowed the validation of the method and is here entirely reported.     

Problems with identifiying a standard procedure for determining KG values for flammable vapors

Assessing the effect of potential confined fuel–air explosions involves the examination of several essential parameters. These include the limits of combustion, maximum pressure and the deflagration index or K_G. Accurate measurement of these parameters can be influenced by numerous experimental conditions. This paper describes the sensitivity of one of these parameters (K_G) to several experimental influences. The deflagration index, K_G, is important since it is the main design parameter for explosion protection systems. These studies used a highly automated 20 liter combustion sphere, with a 10 mm fuse wire igniter. Our results for methane combustion show that the deflagration index, K_G, is very sensitive to

• •the gas composition; a 1% change in nitrogen composition changed the index value by 12 bar-m/s along the stoichiometric line. Our studies also identified some problems with mixing gases to the desired composition.
• •the moisture content of the gas, which can change the index by 13 bar-m/s.

For some combustion gas compositions, it was difficult to describe a K_G value due to significant fluctuations in the pressure vs time data. Finally, an extensive study of fuse wire igniter dynamics identified a means to provide a consistent energy delivery to the igniter. All of these problems contribute significantly to specifying a standard procedure for determining the deflagration index.     

The relationship between speeding behaviour (as measured by violation convictions) and crash involvement

While it seems rational to assume that crash involvement risk and outcome are influenced by the way one drives, nevertheless there is continuing controversy over the validity of certain categories of traffic law infractions as true measures of such behavior. Specifically, does the accumulation of tickets for speeding identify drivers as high risk for becoming culpably involved in speed-related crashes? Further, does a proclivity for exhibiting speeding behavior in the presence of police translate into a greater risk for involvement in high-severity collisions?The research reported in this paper attempted to address these issues. Several years of crash and conviction data were utilized to examine

• 1.(a) the risk of culpable crash involvement by severity of outcome during a 2-year period following 3 years of conviction record,
• 2.(b) the degree to which an increasing level of speeding convictions per driver relates to an increasing propensity for speed to be a factor in drivers' crash involvements.

The results of the research identified a clear distinction between the conviction categories of “exceeding the speed limit” and “excessive speed” in terms of these accident-violation relationships.     

The impact of the BP Baker report

Introduction

This study examined the impact of the British Petroleum (BP) Baker Panel Report, reviewing the March 2005 BP-Texas City explosion, on the field of process safety.

Method

Three hundred eighty-four subscribers of a process safety listserv responded to a survey two years after the BP Baker Report was published.

Results

Results revealed respondents in the field of process safety are familiar with the BP Baker Report, feel it is important to the future safety of chemical processing, and believe that the findings are generalizable to other plants beyond BP-Texas City. Respondents indicated that few organizations have administered the publicly available BP Process Safety Culture Survey. Our results also showed that perceptions of contractors varied depending on whether respondents were part of processing organizations (internal perspective) or government or consulting agencies (external perspective).

Conclusions

This research provides some insight into the beliefs of chemical processing personnel regarding the transportability and generalizability of lessons learned from one organization to another.

Impact on Industry

This study has implications for both organizational scientists and engineers in that it reveals perceptions about the primary mechanism used to share lessons learned within one industry about one major catastrophe (i.e., investigation reports). This study provides preliminary information about the perceived impact of a report such as this one.     

Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?

Introduction

Falls prevention evidence has changed and evolved over time with positive and negative studies revealing that a “one-size fits all” approach is not the solution. Care must be taken to critically appraise the evidence and the potential applicability of that evidence to the specific hospital setting.

Method

A narrative account of the evolution of research evidence in this field is first presented. How this evidence should be applied in clinical practice is challenging, with a lack of translational evidence for the hospital setting we draw on broader theory of translating knowledge to action.

Conclusions

The journey should begin with formation of a management and engagement committee. A review of existing practices and the difference between existing practice and evidence-based practice should be undertaken to identify the “evidence-practice gap.” Engagement with staff is recommended to inform a plan for practice change. Plans for resourcing, targeting, and evaluating these strategies should also be undertaken.

Impact on Industry

This paper will assist hospitals to identify and implement evidence based falls prevention strategies leading to an improvement in patient safety.     

An empirically derived taxonomy of pilot violation behavior

Violations occur when pilots deliberately break safety rules; they are a serious and vexing problem in aviation. Study one engaged cluster analysis, multidimensional scaling and Pathfinder network analysis on an experimentally derived similarity matrix of violation causes to discover the structure of violation reasoning. Using the insights so gained, a classification was constructed based on actor intent with four categories:

•

Improvement. The intention is to increase safety or production, a desire to do better.

•

Malevolent. The intention is to cause harm or reduce production, a desire to do damage.

•

Indolent. The intention is to increase operator ease, a desire for lethargy.

•

Hedonic. The intention is to increase operator excitement, a desire for sensation.

Study two tested the taxonomy for reliability by having aviation experts assign categories to six accident reports. The taxonomy was found to have a free-marginal multirater kappa of 0.82, which is considered excellent.     

Chemical plant innovative safety investments decision-support methodology

Introduction

This article examines the extent to which investing in safety during the creation of a new chemical installation proves profitable.

Method

The authors propose a management supporting cost-benefit model that identifies and evaluates investments in safety within a chemical company. This innovative model differentiates between serious accidents and less serious accidents, thus providing an authentic image of prevention-related costs and benefits. In classic cost-benefit analyses, which do not make such differentiations, only a rudimentary image of potential profitability resulting from investments in safety is obtained.

Results

The resulting management conclusions that can be drawn from such classical analyses are of a very limited nature. The proposed model, however, is applied to a real case study and the proposed investments in safety at an appointed chemical installation are weighed against the estimated hypothetical benefits resulting from the preventive measures to be installed at the installation.

Conclusion

In the case-study carried out in question, it would appear that the proposed prevention investments are justified.

Impact on industry

Such an economic exercise may be very important to chemical corporations trying to (further) improve their safety investments.     

A new approach to managing work-related road traffic injury: The development of a health investment framework

Objective: Statistics indicate that employees commuting or traveling as part of their work are overrepresented in workplace injury and death. Despite this, many organizations are unaware of the factors within their organizations that are likely to influence potential reductions in work-related road traffic injury.

Methods: This article presents a multilevel conceptual framework that identifies health investment as the central feature in reducing work-related road traffic injury. Within this framework, we explore factors operating at the individual driver, workgroup supervisor, and organizational senior management levels that create a mutually reinforcing system of safety.

Results: The health investment framework identifies key factors at the senior manager, supervisor, and driver levels to cultivating a safe working environment. These factors are high-performance workplace systems, leader–member exchange and autonomy, trust and empowerment, respectively. The framework demonstrates the important interactions between these factors and how they create a self-sustaining organizational safety system.

Conclusions: The framework aims to provide insight into the future development of interventions that are strategically aligned with the organization and target elements that facilitate and enhance driver safety and ultimately reduce work-related road traffic injury and death.     

Cultural influences on workplace safety: An example of hospital workers’ adoption of patient lifting devices

Aims

A sociological and anthropological view of culture was used to investigate how work culture, independent of “safety culture”, may affect safety in the workplace. We explored how work cultures of nurses and physical/occupational therapists (PT/OTs) in two acute care hospitals are related to the adoption of patient lifting devices.

Methods

Focus groups were conducted between 2006 and 2009, seven with nurse staff (n = 39) and two with PT/OT staff (n = 17), to explore issues concerning a Minimal Manual Lift Environment policy, initiated in 2004, and subsequent use of patient lift equipment. Audio recordings of the sessions were transcribed; text data were analyzed using N6-QSR. Cultural facilitators and barriers to the adoption of patient lift equipment were examined.

Results

Data revealed cultural similarities and differences between these healthcare professions. Both displayed a “patient first” approach to care-giving which may promote lift device use for patients’ benefits, not necessarily for staff safety. Also, the implied purpose of patient lifting devices clashes with the nurses’ cultural emphasis on compassion, and with PT/OTs’ cultural emphasis on independence except when use increases patients’ independence.

Conclusions

Cultural expressions regarding the nature of care-giving among healthcare professionals may affect the propensity to adopt safety measures in complex ways. The workers’ understanding of the purpose of their work, and acceptable means of conducting it, should be understood before implementing safety interventions. The utilization of lift assist teams, who are not socialized into the cultures of nursing or PT/OT, may be one means of circumventing cultural barriers to lift equipment use.     

The management of process control deployment using interactions in risks analyses

The purpose of this article is to present the concept of risk typology and its use in the management of process control deployment at a fab-wide level. This research provides a comprehensive method based on Failure Mode Effect and Criticality Analysis to control failures that count throughout an organization.The method employed in this research uses a model of risk analysis and typology to operate a demonstration and to infer management practices.It results from this model: (1) the demonstration of equalities among some typologies and (2) a practical manner to use it to manage the deployment of controls and feedbacks throughout an entire manufacturing system. A four years observation of process control deployment underlines the potential of this method to remove silos-effects among risks analyses.To conclude, the concept of typology can sustain process control management and especially the deployment of controls and feedbacks. An industrial observation evaluates its potential of development.     

Literature review on risky driving videos on YouTube: Unknown effects and areas for concern?

Objective: Entry of terms reflective of extreme risky driving behaviors into the YouTube website yields millions of videos. The majority of the top 20 highly subscribed automotive YouTube websites are focused on high-performance vehicles, high speed, and often risky driving. Moreover, young men are the heaviest users of online video sharing sites, overall streaming more videos, and watching them longer than any other group. The purpose of this article is to review the literature on YouTube videos and risky driving.

Methods: A systematic search was performed using the following specialized database sources—Scopus, PubMed, Web of Science, ERIC, and Google Scholar—for the years 2005–2015 for articles in the English language. Search words included “YouTube AND driving,” “YouTube AND speeding,” “YouTube AND racing.”

Results: No published research was found on the content of risky driving videos or on the effects of these videos on viewers. This literature review presents the current state of our published knowledge on the topic, which includes a review of the effects of mass media on risky driving cognitions; attitudes and behavior; similarities and differences between mass and social media; information on the YouTube platform; psychological theories that could support YouTube's potential effects on driving behavior; and 2 examples of risky driving behaviors (“sidewalk skiing” and “ghost riding the whip”) suggestive of varying levels of modeling behavior in subsequent YouTube videos.

Conclusions: Every month about 1 billion individuals are reported to view YouTube videos (ebizMBA Guide 2015 ebizMBA Guide. Top 15 most popular websites. 2015. Available at: http://www.ebizmba.com/articles/most-popular-websites [Google Scholar]) and young men are the heaviest users, overall streaming more YouTube videos and watching them longer than women and other age groups (Nielsen 2011 Nielsen. State of the media: the social media report. Q3. 2011. Available at: http://www.nielsen.com/us/en/insights/reports/2011/social-media-report-q3.html [Google Scholar]). This group is also the most dangerous group in traffic, engaging in more per capita violations and experiencing more per capita injuries and fatalities (e.g., Parker et al. 1995 Parker D, Reason J, Manstead ASR, Stradling SG. Driving errors, driving violations and accident involvement. Ergonomics. 1995;38:1036–1048.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Reason et al. 1990 Reason J, Manstead A, Stradling S, Baxter J, Campbell K. Errors and violations on the roads: a real distinction? Ergonomics. 1990;33:1315–1332.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Transport Canada 2015 Vingilis E, Yilderim-Yenier Z, Fischer P, et al. Self-concept as a risky driver: Mediating the relationship between racing video games and on-road driving violations in a community-based sample. Transp Res Part F Traffic Psychol Behav. 2016;43:15–23. [Google Scholar]; World Health Organization 2015 World Health Organization. Road traffic injuries. Fact sheet no. 358. 2015. Available at: http://www.who.int/mediacentre/factsheets/fs358/en/# Accessed March 14, 2016. [Google Scholar]). YouTube also contains many channels depicting risky driving videos. The time has come for the traffic safety community to begin exploring these relationships.