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11.3   Safety  301



                        Term                         Definition
                        Accident (or mishap)         An unplanned event or sequence of events which results in human
                                                     death or injury, damage to property, or to the environment. An
                                                     overdose of insulin is an example of an accident.
                        Hazard                       A condition with the potential for causing or contributing to an
                                                     accident. A failure of the sensor that measures blood glucose is an
                                                     example of a hazard.

                        Damage                       A measure of the loss resulting from a mishap. Damage can range from
                                                     many people being killed as a result of an accident to minor injury or
                                                     property damage. Damage resulting from an overdose of insulin could
                                                     be serious injury or the death of the user of the insulin pump.

                        Hazard severity              An assessment of the worst possible damage that could result from a
                                                     particular hazard. Hazard severity can range from catastrophic, where
                                                     many people are killed, to minor, where only minor damage results.
                                                     When an individual death is a possibility, a reasonable assessment of
                                                     hazard severity is ‘very high.’

                        Hazard probability           The probability of the events occurring which create a hazard.
                                                     Probability values tend to be arbitrary but range from ‘probable’ (say
                                                     1/100 chance of a hazard occurring) to ‘implausible’ (no conceivable
                                                     situations are likely in which the hazard could occur). The probability of
                                                     a sensor failure in the insulin pump that results in an overdose is
                                                     probably low.

                        Risk                         This is a measure of the probability that the system will cause an
                                                     accident. The risk is assessed by considering the hazard probability, the
                                                     hazard severity, and the probability that the hazard will lead to an
                                                     accident. The risk of an insulin overdose is probably medium to low.


                                       4.  The system operators may generate inputs that are not individually incorrect but
                     Figure 11.6
                     Safety terminology   which, in some situations, can lead to a system malfunction. An anecdotal
                                          example of this occurred when an aircraft undercarriage collapsed whilst the
                                          aircraft was on the ground. Apparently, a technician pressed a button that
                                          instructed the utility management software to raise the undercarriage. The soft-
                                          ware carried out the mechanic’s instruction perfectly. However, the system
                                          should have disallowed the command unless the plane was in the air.

                                         A specialized vocabulary has evolved to discuss safety-critical systems and it is
                                       important to understand the specific terms used. Figure 11.6 summarizes some defi-
                                       nitions of important terms, with examples taken from the insulin pump system.
                                         The key to assuring safety is to ensure either that accidents do not occur or that
                                       the consequences of an accident are minimal. This can be achieved in three comple-
                                       mentary ways:

                                       1.  Hazard avoidance The system is designed so that hazards are avoided. For
                                          example, a cutting system that requires an operator to use two hands to press
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