基于N-K模型的海上交通安全风险因素耦合分析

为定量分析海上交通安全风险因素间的影响关系,识别导致海上交通事故的关键因素,分别从单因素、双因素和多因素的角度分析了人、船、环境、管理等风险因素间的耦合关系,运用N-K模型构建了海上交通安全风险耦合度量模型,结合中国海事局、德国联邦海事事故调查局、英国船舶事故调查局和美国国家运输安全委员会等海事调查机构公布的710起海上交通事故,利用所构建的模型计算出不同风险耦合的发生概率和风险值。结果表明:风险耦合因素越多,海上交通事故的发生概率越高;人的因素是引发海上交通事故的重要原因。     

An application of data mining tools for the study of shipping safety in restricted waters

The effectiveness of the enforcement of the ISM-Code and the examination of its role in the distribution of causes of shipping accidents between human and non-human error was studied. All accidents involving Greek-flagged ships from 1995 to 2006, a time-scale which spans over the pre- and post-ISM period in navigational regions of restricted waters, were analyzed.The accident data was processed through a classification tree analysis which enabled the classification of various accident factors. The analysis revealed that although the human error maintained its position as the dominant factor in shipping accidents, there is also substantial evidence in support of the ISM-Code effective control over shipping accidents during the post-ISM period. The implementation of the ISM-Code led to an overall reduction of human-induced accidents in total. Furthermore, in terms of location, the ISM-Code improved the human-induced accident record within restricted waters.Conclusively, the ISM-Code constitutes an effective policy measure for shipping safety. The results of the classification tree analysis reported in the present work can be used by decision makers in companies and international organizations to build knowledge-based expert systems and augment their information in the field of safety policy and management.     

基于零膨胀负二项回归模型的内河水上交通人命安全分析

运用零膨胀负二项回归模型,分析水上交通事故中人员死亡失踪数量的各影响因素的影响程度。通过Pearson相关分析得到与水上交通事故中人员死亡失踪人数密切相关的因素,建立ZINB回归模型得到各因素的参数估计值。运用弹性分析方法对不同影响因素的影响程度进行评估,根据影响程度对各影响因素进行排序。将该方法应用于长江海事局辖区范围内的水上交通事故人员死亡失踪分析,取得了理想效果。     

An analysis of human factors in fifty controlled flight into terrain aviation accidents from 2007 to 2017

Introduction: Controlled Flight Into Terrain (CFIT) account for a considerable amount of fatalities when compared to other accident categories. Human factors are deemed significant contributory causes in these accidents. This paper aims to identify the human factors involved with aviation accidents that resulted in CFIT. Method: The study used the Human Factors Analysis and Classification System (HFACS) framework to determine the factors involved in 50 CFIT accidents from 24 counties over a 10 year period, i.e. 2007–2017. Interviews with five senior aviation safety experts were used to provide a better comprehension of the human factors affecting the flight safety. Results: The study identified 1289 individual causal and contributory human factors with unsafe actions and preconditions for unsafe actions being the main subcategories of the accidents. The study found that CFIT occur across a range of pilot experience and 44% of accidents occurred in cruise flight. Distraction, complacency and fatigue are all elements that flight crews may experience as contributors to CFIT during cruising. Conclusions: Human factors represent a major component of CFIT accidents. The analysis revealed a similar pattern of contributory and causal human factors across the various flight categories, with some noteworthy isolated variations. The prevalent factors were decision and skill-based errors along with communication, coordination and planning issues. Practical applications: Provision of specific CFIT awareness, pilot training focusing on improved decision-making and revision of basic flight skills, development of specific Global Positioning System routes for transiting high terrain areas are necessary to prevent CFIT accidents. Installation of Terrain Avoidance and Warning System and Ground Proximity Warning System and appropriate equipment training, specific CFIT Crew Resource Management training and improvement of organizational knowledge on the elements involved in CFIT are also recommended.     

Traffic behaviour among adolescents using mopeds and light motorcycles

INTRODUCTION: Motorcycling is recognized to be a relatively risky activity. Powered two wheelers (PTW) are classified as mopeds, light, and heavy motorcycles, the first two categories being denoted light PTWs. This paper reviews the scientific literature on accident risks and traffic behavior among users of light PTWs with the aim of clarifying the current state of knowledge. METHOD: Based on a risk analytical and an anthropological perspective on motorcycling, the paper discusses the significance of cultural and social factors as important aspects of safety. More targeted and effective safety measures, for example better training programs, are needed to prevent motorcycle accidents. This means developing a deeper understanding of the rider as an individual, and the individuals within different groups and settings. Why and how motorcyclists approach the road, its function as a social arena, the varieties of goals and values, and the motorcyclists' own perceptions of the behavior that ensures their "achievements" or "successes", are some of the issues. Today, this kind of knowledge is scarce and almost entirely absent from the scientific literature. RESULTS: We conclude that the massive quantities of data on numbers of accidents, the categorization of situations, the causal explanations related to speed, gender, age, lack of concentration so forth, can only be employed as support for safety measures as long as they are linked to social and cultural factors. IMPACT ON INDUSTRY: Risk informed decision making has become an integral part of authorities' and manufacturers' implementation of safety measures. This tendency is strengthened by the fact that the responsibility of product safety rests upon the manufacturers, cf. for example EU safety regulations. Therefore it is paramount that a thorough understanding of social and cultural factors related to the PTW driving is necessary for the industry to develop targeted and efficient safety measures.     

Safety culture: analysis of the causal relationships between its key dimensions

INTRODUCTION: Several fields are showing increasing interest in safety culture as a means of reducing accidents in the workplace. The literature shows that safety culture is a multidimensional concept. However, considerable confusion surrounds this concept, about which little consensus has been reached. METHOD: This study proposes a model for a positive safety culture and tests this on a sample of 455 Spanish companies, using the structural equation modeling statistical technique. RESULTS: Results show the important role of managers in the promotion of employees' safe behavior, both directly, through their attitudes and behaviors, and indirectly, by developing a safety management system. IMPACT ON INDUSTRY: This paper identifies the key dimensions of safety culture. In addition, a measurement scale for the safety management system is validated. This will assist organizations in defining areas where they need to progress if they wish to improve their safety. Also, we stress that managers need to be wholly committed to and personally involved in safety activities, thereby conveying the importance the firm attaches to these issues.     

Nautical safety and efficiency: simulation and reality

The paper deals with training and research using maritime simulation techniques to provide cost-effective and safe solutions to maritime transportation problems. In order to reduce the probability of accidents, training and research is required in which the human factors are fully taken into account.     

Accident in a French dynamite factory: An example of an organisational investigation

The 27th of March 2003, an explosion caused the death of four employees in a Nitrochimie pyrotechnic plant, at Billy Berclau, in the north of France. Following the accident, the ministry of Ecology and Sustainable Development appointed INERIS to perform an investigation. According to the terms of reference, the investigation would cover technical (origins of the explosion, extent of damages) as well as organisational issues, as defined by SEVESO II safety management system requirements. This paper has a threefold purpose. It intends first to illustrate with an empirical case the current trend in safety auditing and accident investigation, targeting organisational factors, alongside human factors. There are not so many published cases of accidents analysed with an organisational perspective. Secondly, it shows that it is possible to investigate organisational dimensions (through articulation of safety engineering, safety management and human and social sciences) within reasonable time frames and a reasonable amount of resources. By focusing on key actors and asking appropriate questions related to key dimensions, investigating organisational accidents might not necessarily imply spending much more resources than other steps such as damage assessment, chronological construction or identification of technical scenarios, although there are also some prerequisite conditions needed to achieve this. Finally this paper should be seen as a technical communication beyond the pyrotechnic industry.     

基于APJE-SLIM的海运人因失误概率的确定

安全是海运行业永恒的主题,调查研究表明,人因失误是造成海事的主要原因。为了对海运人因失误进行研究,探讨引起人因失误的行为形成因子(PSF),确定在PSF影响下的人因失误概率。在调查海上避让行为的人因失误和这些失误的行为形成因子的基础上,采用APJE和SLIM相结合的方法对航海人员避让行为中的可靠性进行分析。结果表明,航海人员疲劳与健康程度、知识、经验与培训水平、任务复杂程度、安全管理水平与组织有效性等PSF对人因失误概率有着不同程度的影响,相应提高PSF水平,可极大地减少人因失误概率。利用APJE确定端点绝对失误概率,解决了SLIM方法中难以获得参考点概率的问题,获得了在不同种类不同水平PSF影响下的海运人因失误概率。     

A risk-based modelling approach to enhance shipping accident investigation

This paper developed a risk-based modelling approach to enhance the execution process of shipping accident investigation (SAI). Specifically, the paper addressed a fuzzy extended fault tree analysis (FFTA) that combines the effects of organizational faults and shipboard technical system failures under a unique risk assessment scheme. The case study illustrates that a novel idea behind the proposed methodology allows relevant accident investigators to clarify the probability of technical failures, operational misapplications, and legislative shortages leading to the shipping accident. The current SAI reports can be extended with an integrated risk assessment section to formulate integrated strategies along with risk control measures onboard ships. Since the consequences of shipping accidents are still a global concern, the paper addresses integration of a FFTA into SAI reports to ensure a consistent database and subsequent decision aid to accident analysis and prevention efforts in the maritime transportation industry.     

A comparative analysis of process safety management (PSM) systems in the process industry

The root cause of most accidents in the process industry has been attributed to process safety issues ranging from poor safety culture, lack of communication, asset integrity issues, lack of management leadership and human factors. These accidents could have been prevented with adequate implementation of a robust process safety management (PSM) system. Therefore, the aim of this research is to develop a comparative framework which could aid in selecting an appropriate and suitable PSM system for specific industry sectors within the process industry. A total of 21 PSM systems are selected for this study and their theoretical frameworks, industry of application and deficiencies are explored. Next, a comparative framework is developed using eleven key factors that are applicable to the process industry such as framework and room for continuous improvement, design specification, industry adaptability and applicability, human factors, scope of application, usability in complex systems, safety culture, primary or secondary mode of application, regulatory enforcement, competency level, as well as inductive or deductive approach. After conducting the comparative analysis using these factors, the Integrated Process Safety Management System (IPSMS) model seems to be the most robust PSM system as it addressed almost every key area regarding process safety. However, inferences drawn from study findings suggest that there is still no one-size-fits-all PSM system for all sectors of the process industry.     

基于MAIB事故报告的人为失误灰色关联分析

人为失误作为海上交通事故的主要原因,受到多种因素的影响。为了识别这些影响因素,避免或减少因人为失误导致的海上交通事故,基于96件英国海事调查委员会(MAIB)事故报告,应用熵加权灰色关联分析,分别按船旗国、船舶类型、事故类型计算人为失误与影响因素之间的关联度。结果表明,能力/技能/知识、团队协作、程序和现行规程、设备、交流(内部和外部)和管理/检验/检查是影响人为失误的主要因素。     

Measurement techniques for organizational safety causal models: Characterization and suggestions for enhancements

Through a review of literature from diverse disciplines with actual and potential application to causal modeling of organizational safety risk, this paper explores issues regarding measurement techniques in a quantitative safety analysis context. The interdependencies of modeling perspectives, constructs, and measures are indentified, leading to (a) characterization and classification of measurement techniques, (b) suggestions on the selection of appropriate measurement methods for different types of model constructs including individual-level, global, configural, and shared, and (c) discussion of the modeling implications of interactions between measurement, constructs, and causal paths. A multi-dimensional perspective is offered through combinations of different “measurement methods” and “measurement bases”. A Bayesian approach is also proposed to operationalize the multi-dimensional measurements. Examples are provided to help explain the roles of these measurements in capturing the relation between organizational factors and safety performance. This paper is a product of research which has the primary purpose of extending Probabilistic Risk Assessment (PRA) modeling frameworks to include the effects of organizational factors as the fundamental causes of accidents and incidents.     

Perspectives on safety culture

Overviewing selected elements from the literature, this paper locates the notion of safety culture within its parent concept of organisational culture. A distinction is drawn between functionalist and interpretive perspectives on organisational culture. The terms ‘culture’ and ‘climate’ are clarified as they are typically applied to organisations and to safety. A contrast is drawn between strategic top down and data-driven bottom up approaches to human factors as an illustrative aspect of safety. A safety case study is used to illustrate two measurement approaches. Key issues for future study include valid measurement of safety culture and developing methods to adequately represent mechanisms through which safety culture might influence, and be influenced by, other safety factors.     

建筑安全事故人为因素分类研究

为系统研究导致建筑安全事故的人为因素及对策,首先,在文献分析和专家访谈的基础上结合建筑行业特征提出人为因素分类分析系统（HFACS）框架中应增加社会环境层,在修正框架层次和人为因素的基础上构建建筑安全事故人为因素分类分析系统（C-HFACS）框架;其次,对150起建筑安全事故进行案例分析,探讨C-HFACS框架中对事故影响显著的人为因素及其内在关联性,验证了构建C-HFACS框架的合理性;最后,得出政府监管等九个人为因素对事故和下层人为因素影响显著,并从政府、企业、现场和个体四个维度提出独立第三方“飞行式”巡检等有针对性的对策,以期为建筑安全事故分析和管理提供新的方法和工具。     

基于事故统计分析的地铁运营安全管理研究

为了预防和减少地铁运营事故的发生,本文通过统计分析某城市地铁5年的运营事故资料,探讨了地铁运营事故的发生规律,从人、机、环、管几个方面分析了导致地铁运营事故发生的主要原因。结果显示:统计年度内地铁运营事故年度总量较为平稳,事故的发生对月份变化敏感度较低,受气象条件影响较小;信号故障、车辆故障是发生最频繁的事故类型,合计占事故总数的56%。事故原因分析显示,设备设施因素导致的事故占事故总数的87%;人为因素导致的事故占事故总数的7%。根据地铁运营事故特点,从人、机、环、管4方面提出了相应的安全管理对策,可为制定科学合理的地铁运营安全管理措施提供依据。     

Port safety and the container revolution: A statistical study on human factor and occupational accidents over the long period

Several factors can affect occupational accident frequency, namely economical factors, technologies used (low automation, discontinuous operating) job design, organization of work/environmental conditions and human factors. In particular, technological advances in industrial activities can give rise to improvement in productivity and in occupational health and safety, but not necessarily simultaneously. The beginning of the container transport dates back to 50 years ago, but while containerization changed everything, from ships and ports to patterns of global trade, its impact on work injuries was not explored at all. The aim of this paper is to investigate the relationship between work organization, job experience, productivity and occupational accidents, from the starting of the container expansion to nowadays, considering Genoa port (Italy), one of the largest of the Mediterranean Sea. In order to minimize possible reporting biases, such as underreporting or reclassification to a lower level of severity, injury statistics are elaborated starting from data collected directly on-site, from internal accident or medical-aid reports. An in-depth statistical analysis on occupational injuries in the years 1980–2006 is carried out, with reference to frequency indexes, mechanism of injury and material causes. The increase of container-ships traffic and, consequently, the sharp change in port infrastructure involved a rapid modification also in the work organization, with particular reference to the number and characteristics of workforce (decrease from 5783 to nearly 1000 employees and increase of low experience workers from 28% to 74%). The striking high percentage increase of young or low experienced workers in handling container (and performing correlated new tasks) caused a remarkable increase of the risk for occupational injuries. In the studied port, we recorded an increase of the frequency index (injuries per hundred thousand hours worked) from 13.0 to 29.7. It results that the increased expansion of shipping container utilization is not connected to a correspondent human factor safety implementation. Main risk factors are pointed out, revealing an increase of accidents due to transport vehicle (+8.3%) and a reduction of accidents caused by substance or materials (?4.5%). These factors show a statistical significant correlation with the new job tasks. Consideration of these findings may enable managerial solutions and workplace organization interventions for the prevention of injuries and safety performance improvement in port activities.     

The current status and future issues in human evacuation from ships

The International Maritime Organization (IMO) developed guidelines in May 1999 for the evacuation analysis of Ro-Ro passenger ships to prevent loss of life in maritime accidents. However, IMO considered these guidelines only as an interim measure and allocated 3 years for their improvement and further development as very limited experience and data were available. In this paper, the requirements of the IMO and current research regarding ship evacuation are reviewed. In addition, applicable evacuation models are presented as well as several experimental methods of obtaining the data of human behavior in regard to listing and the dynamic effect of waves on a ship are evaluated. Recommendations on further issues are discussed at the end.