Page 232 - Serious Incident Prevention How to Achieve and Sustain Accident-Free Operations in Your Plant or Company

Indexpp196-198 4/17/02 10:54 AM Page 198

198 Serious Incident Prevention

Employee involvement, 22–23, 33, 48–59, M
54–55, 60–67, 94, 154–156, 191 Management by exception, 23
Survey results, 55, 57–58 Management commitment and leadership,
EPA, 3, 86 32–33, 37–47, 159–161, 165, 191–194
Management of change, 96–102, 161
F Planned changes, 96, 99–102
Fatality rates, 6–7 Unplanned changes, 96–99, 101–102
Feedback (see Measurement and feedback) Maxwell, John, 40
Fire incident rates, 7–8 Measurement and feedback, 23–24, 34–35,
Flixboro, 33 109–140, 159–181, 192
Fly-crash-fix-fly cycle, 33–34 Safety performance indexing, 124,
Force-field diagram, 27 126–140, 163–168, 173–174
Mexico City incident, 41
G MIL-STD-882D, 78–81
Mishap probability, 78–80
Grissom, Virgil, 46
Mishap risk assessment, 80–81
Grose, Vernon L., 26
Mishap risk categories, 81
Mishap severity, 78–79
H
Misguided optimism, 26–27
Handy, Charles, 51
Motor vehicle safety, 83–86
HAZOP, 100
Highway fatalities, 85
Hoover, Herbert, 84
HSE incident prevention process, 183–187
Human error, 75–78, 88, 148, 150–151 N
NASA, 45–46
Causation model, 77
National Transportation Safety Board, 3,
Estimates of rates, 75
107
Hydrocarbon–chemical industry incidents,
NBA (National Basketball Association), 153
4–15, 101
Near misses, 74, 102, 116, 118, 149, 171
NFPA codes, 178, 179
I
Imai, Masaaki, 39
Intelligence, types of, 50–51 O
Organizational focus, 42–43, 154
Islands of excellence, 33
Organizational learning, 154–156
OSHA, 3, 6, 30, 54–55, 74, 86, 94–95, 114
J
Process Safety Management, 74, 94–97
Jackman, Richard, 141–142
Voluntary Protection Program (VPP), 54
Johnson, Lyndon, 45
Voluntary Safety and Health Program
Management Guidelines, 54–55
K
Kaizen,39 P
Kletz, Trevor, 18
Pareto principle (voting), 63–66,
Krakauer, Jon, 190
Pearl Harbor, 109
Performance management, 29–32
L Performance standards, 34, 103–110, 192
Law of the Farm,22 Corporate/company standards, 105–106
Law of the Lid,40 Explicit standards, 108–109
Line ownership, 25 Facility/operating standards, 106–107
Los Angeles Lakers, 153 Implicit standards, 108–109