Safety assessment of the film boiling chemical vapor infiltration (FB-CVI) process through a system-theoretic accident model and process (STAMP)

Film boiling chemical vapor infiltration (FB-CVI) is considered as one of the fastest process methodologies for manufacturing carbon-carbon (C–C) composite products and possesses various advantages compared to conventional methodologies. However, there are safety concerns associated with this process for large-scale manufacturing, mainly owing to the intrinsic nature of the precursor and the process conditions. Considering the multifunctional interactions of the various systems during the process, a system-theoretic process analysis (STPA)/system theoretic accident model and process (STAMP) model is used to perform a safety analysis of the hazardous states of the FB-CVI process at the system level. As a case study, the FB-CVI process equipment employed for the manufacturing of C–C composites is considered. The safety constraints present in the system are assessed for adequacy through a hazard analysis by STPA/STAMP. The analysis through STPA/STAMP demonstrated the capability to create proactive strategies for the design and realization of process equipment that can be employed to manufacture C–C composite products through the FB-CVI process.     

基于STAMP模型的丰城坍塌事故原因分析

为了系统地分析建筑施工事故原因、有效预防同类事故,运用STAMP模型从控制角度详细分析了一起特别重大坍塌事故,分别从物理过程及环境因素、基层操作原因以及管理层原因3方面分析了导致事故的控制缺陷,并且根据分析结果,提出事故控制措施及建议。结果表明:STAMP模型不仅可以分析各个层级的原因,还可以找出层级之间以及层级内不同组织之间的交互影响原因;建设方、施工方、监理方以及承包方对项目管理内容交叉与重叠,且沟通与协调缺失是导致错误决策和不恰当控制动作产生的主要因素;基层不安全控制动作直接导致事故发生,但取决于管理因素,管理层的原因是预防同类事故的重点。     

基于STAMP模型的核动力蒸汽发生器水位控制系统安全性分析

核电厂蒸汽发生器(SG)水位控制系统的安全可靠运行是保证核电厂安全性和经济性的关键因素,其控制对象具有高度复杂、非线性的特点。由于复杂系统的安全性是特定环境下由系统相关要素交互作用所产生的一种涌现特性,运用系统理论,以STAMP模型为基础对SG水位控制系统进行安全性分析,以利于在设计早期阶段发现影响该系统安全运行的潜在风险因素,预防危险事故。该方法将系统理论用于核电厂关键系统和设备安全性分析,为核电厂安全运行提供了新的技术手段支持。     

基于STAMP-ISM的铁路危险品运输系统风险-事故分析方法*

为预防铁路危险品运输系统事故的发生,采用STAMP-ISM模型分析铁路危险品运输系统风险-事故。首先,利用STAMP模型详细分析事故,得到控制结构的相关安全约束、不充分控制行为及产生原因,以及系统的安全动态变化;其次,采用ISM分析事故致因因素之间的关联关系并划分层级;最后,基于STAMP和ISM分析结果提出系统改进方案。以我国一起匿名夹带事故为背景进行案例研究,结果表明,ISM模型的加入可深入挖掘事故因素间的相互关系,为事故致因因素重要度划分层级,分析结果及建议更具针对性。     

An urban pipeline accident model based on system engineering and game theory

Urban pipeline accidents are caused by complex social-technical factors, in which urban communities and pipeline systems are involved. Such accidents can thus be investigated from the viewpoint of system engineering. System-Theoretic Accident Model and Processes (STAMP) is a systemic method for safety assessment, which has been adopted in many domains. This approach can provide deep insights of accident causes by considering direct and indirect factors. Meanwhile, competition and cooperation between stakeholders in accidents are observed. Therefore, these parties can also be analyzed with the game theory. That is, stakeholders in STAMP can be regarded as players in game. The aim of this paper is to provide a new insight to analyze urban pipeline accidents by considering both STAMP and game theory. In this paper, we proposed an accident model for urban pipelines, with a case study of China-Qingdao pipeline accident occurred in 2013. We concluded that accident reasons can be investigated in-depth and lessons can be learned from analyzing causal factors by using STAMP. Based on results generated from STAMP, we applied the game theory to analyze roles that government and companies act in the China-Qingdao urban pipeline accident. The results show that current punishment and incentive systems are incomplete, lacking of the driving force and constraining force for the stakeholders involved in the accident.     

Systems-based accident analysis methods: A comparison of Accimap, HFACS, and STAMP

Three accident causation models, each with their own associated approach to accident analysis, currently dominate the human factors literature. Although the models are in general agreement that accidents represent a complex, systems phenomenon, the subsequent analysis methods prescribed are very different. This paper presents a case study-based comparison of the three methods: Accimap, HFACS and STAMP. Each was used independently by separate analysts to analyse the recent Mangatepopo gorge tragedy in which six students and their teacher drowned while participating in a led gorge walking activity. The outputs were then compared and contrasted, revealing significant differences across the three methods. These differences are discussed in detail, and the implications for accident analysis are articulated. In conclusion, a modified version of the Accimap method, incorporating domain specific taxonomies of failure modes, is recommended for future accident analysis efforts.     

STAMP模型在危化品道路运输事故分析中的应用研究

为保障危化品道路运输行车安全,基于STAMP模型构建危化品道路运输的分层安全控制结构,将安全问题看作是控制问题,并将系统工程思想融入事故预防中。在此基础上,引入沪昆高速湖南邵阳段“7.19”特别重大道路交通危化品爆燃事故并对其进行实证分析,从物理层、基础层、运营层及监管层动态分析导致事故发生的控制缺失。结果表明:基于STAMP模型的安全分析方法不仅可考虑由组件失效引起的事故,还可发现组件之间的组织问题及决策背景,并对事故致因做出更为详细的解释,为类似事故的分析和预防提供思路与参考。     

基于STAMP模型的电网企业事故风险控制模型

事故预防和风险控制理论模型对于指导企业开展安全工作具有重要作用,智能化、信息化、自动化对电网企业的事故预防和风险控制工作提出新的挑战,因此有必要对电网企业进行事故风险控制模型研究.本文基于系统安全和风险控制理论与STAMP模型,结合我国电网企业的特点与安全现状,对电网企业事故风险控制模型进行研究,构建了基于STAMP模...     

Using a system theory based method (STAMP) for hazard analysis in process industry

Different hazard analysis techniques are used in the chemical process industry. Most of these techniques were developed long time ago. There is an argument that significant changes have occurred in the process industry but these techniques have not been modified accordingly. Therefore, there may be limitations in identifying hazards related to the modern process industry in complex sociotechnical environment using these techniques. Recently new hazard analysis techniques based on systems theory have been introduced. STPA (System-Theoretic Process Analysis) is one of these systemic techniques. It has been used in some fields with promising results but with limited application in the process industry. This paper applies STPA to a process plant as an industrial case study. Recommendations generated by STPA are compared with the HAZOP study of the process plant which is a traditional technique. Conclusions are presented on the application of systemic techniques to the process industry as a complementary study to analyze the safety of the system as a whole and also to capture interactions between component of the system. Further studies are required to study STPA in more details and evaluate if it can be used as an alternative to HAZOP.     

A systems-theoretic approach for two-stage emergency risk analysis

Coronavirus disease (COVID-19) is an infectious disease that has dramatically spread worldwide. Regarding the safety issues of industries, there is a requirement of dealing with the emergency risk in the period of urgent situations. In this work, we proposed a systems-theoretic approach of the two-stage emergency risk analysis (ERA) based on the systems theory, that is the System-Theoretic Accident Model and Processes (STAMP). The two-stage ERA includes the normal to emergency risk analysis (N2E-RA) and emergency to normal risk analysis (E2N-RA). Besides N2E-RA, we advocate that E2N-RA is also an important and indispensable part of ERA. We elaborated the characteristics of N2E-RA and E2N-RA, separately. Eventually, based on our analysis, we provided recommendations for decision makers in preventing and controlling industrial accidents in the period of COVID-19.