Root cause analysis of an old accident in an explosives production plant

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216275%3A25310%2F10%3A39882466" target="_blank" >RIV/00216275:25310/10:39882466 - isvavai.cz</a>

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Root cause analysis of an old accident in an explosives production plant

Popis výsledku v původním jazyce

Twenty-six years ago, a massive accident occurred in the Semtin explosives plant in Czechoslovakia.Application of root cause analysis deepens our understanding of accident causes and leads to the conclusion that, according to today's standards, the analysis was not completed at the time of the accident and therefore neither some of the practical aspects of the event nor the social, professional, and political climate it should have exposed have ever been fully understood.The new examination employs a few innovations of root cause analysis. A tight connection between the analysis and the assumptions about the structure of safety management of investigated processes will be underlined. Suitable illustration will be proposed. Detail requirements on the form and content of a root cause map will be specified. Finally it is shown that even the root cause analysis has its limitations and that it may not be sufficient to finish the investigation of causes satisfactorily.

Název v anglickém jazyce

Root cause analysis of an old accident in an explosives production plant

Popis výsledku anglicky

Twenty-six years ago, a massive accident occurred in the Semtin explosives plant in Czechoslovakia.Application of root cause analysis deepens our understanding of accident causes and leads to the conclusion that, according to today's standards, the analysis was not completed at the time of the accident and therefore neither some of the practical aspects of the event nor the social, professional, and political climate it should have exposed have ever been fully understood.The new examination employs a few innovations of root cause analysis. A tight connection between the analysis and the assumptions about the structure of safety management of investigated processes will be underlined. Suitable illustration will be proposed. Detail requirements on the form and content of a root cause map will be specified. Finally it is shown that even the root cause analysis has its limitations and that it may not be sufficient to finish the investigation of causes satisfactorily.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

AQ - Bezpečnost a ochrana zdraví, člověk – stroj

OECD FORD obor

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Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2010

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Safety Science

ISSN

0925-7535

e-ISSN

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Svazek periodika

48

Číslo periodika v rámci svazku

10

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

15

Strana od-do

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Kód UT WoS článku

000282462300037

EID výsledku v databázi Scopus

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