Preview File Edit View Go Tools window Help Wed 10:30 AM Diana Skrobczyn ska + E

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Preview File Edit View Go Tools window Help Wed 10:30 AM Diana Skrobczyn ska + E enginceringa sofer wold.pct ipage 34 of 55E) C search ninnaring a xsfer warid.pat ottom-Up Operational Capsizing Decision Making Decision makers from separate departments in operational context very likely will not see the forest for the trees. Unsafe heuristics Impaired stability Change of docking procedure Docking procedure Crew working patterns Berth Design Zeebrugge Shipyard Design Stability Analysis Equipment load added Pass Mgmt Excess numbers Ops Mgmt Capt's Planning Truck Companies Excess load routines Ops Mgmt Transfer of Herald to Zeebrugge Berth Design Calais Ops Mgm Standing orders Vessel Design Cargo Management Passenger Management Harbor Design Vessel Operation Traffic Scheduling Figure 2.2 The complex interactions in the Zeebrugge accident (adapted from Rasmussen [167 p. 188])

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Using process from 'Engineering a Safer World' provides useful information by providing a new approach to safety, more effective, less costly, easier as compared to current techniques being utilised.

It is System thinking applied to Safety. System theory provides much better foundation for safety engineering underlying event-based models of accidents. It combines a system-theoretic approach to safety with system engineering processes that allow designing safety into the system as it is being developed or re-engineered. Accident occur when components failures, external disturbances and/or dysfunctional interaction among system component are not adequately controlled. Hence, the approach controls system component interaction accidents, as well as component failure accidents.

Three Reason among many reasons for analysing an accident, this process provide useful information as: -

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