查詢結果分析
來源資料
頁籤選單縮合
題名 | 事故調查工具應用實例--火災爆炸案事後運用=Application of Accident Investigation Measures--A Case Study for Explosion Accident |
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作者 | 何明信; | 書刊名 | 石油季刊 |
卷期 | 50:2 2014.06[民103.06] |
頁次 | 頁107-114 |
分類號 | 412.53 |
關鍵詞 | 事故調查; 時間序列; 為何樹分析; 危害/風險控制階層; Accident investigation; Time sequence; Why tree analysis; WTA; Hierarchy of hazard/risk control; |
語文 | 中文(Chinese) |
中文摘要 | 事故是不樂見的結果,意味著損失與風險。在正常狀態下,人與組織都具有損失趨避的特性,政府單位與組織為防止類似事故再發而造成損失,需進行事故調查並採行有效改善對策。但要防止事故再發,除了要找到真正的病兆外,還需能對症下藥,否則,不完善的事故調查,所呈現的實質意義,僅僅只是一種行政程序而已,無法有效防止再發。本文參酌國內與英國安全衛生執行署(HSE)的重要事故調查方法之著述,考量調查工具的結構性與簡易性,引入事故調查核心流程的三項工具或技術-時間序列、為何樹分析(WTA)、與危害控制階層思維,以某化工廠新建工程試車之職災事故為例,運用此三項工具/技術來探討與呈現事故調查實務與範例,期望能發揮拋磚引玉之效,提供業界參考,提升相關人員對於事故調查系統過程與產出品質之重視。 |
英文摘要 | Accident is an undesired result, always means loss, and some kinds of accident are catastrophic. Due to loss-aversion and obligation, organizations have put in resources to prevent accidents from recurring. The key to prevention is to positively face and investigate accidents, and try best to find out the real causes, then learn and improve it. To increase the quality of preventing accidents, this article will be introducing three major tools-Time Sequence, Why Tree Analysis, and Hierarchy of Risk Control, during this accident investigation process. By applying to an explosion case, we can find more systematic route and thinking of these measures. They can promote and maintain higher quality of accident investigation, and are able to prevent similar accidents from happening again. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。