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Can We Stop a Black Swan Breeding? Advances in Bowties and Critical Control Management

机译:我们可以停止黑天鹅养殖吗? Bowties及其关键控制管理进展

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As the global mining industry continues to grapple with 'black swans' (high consequence / low frequency events) for health, safety and environmental losses, the focus is shifting from risk assessment of these events to risk management using selected purposeful controls that reduce the risk.Fundamental to critical control management (CCM) is a soundly based rationale for selecting the right controls for each and every risk. The approach should be based on a thorough understanding of the dynamics of the event: What causes it? How frequently will it occur? How likely is the consequence to be realised? This is typically done through a bowtie and methodical numerical risk analysis. Core to this step, then, is the structure and content of the bowtie; specifically, the analytic architecture that is used to construct the bowtie. Different architectures yield different constructions, and bowties are no different..Although bowties for operational health and safety (OHS) hazards appear to have a common architecture, they are not generic. It is important to stress that they contain site specific information, are prepared by site based operational teams, and vary from site to site to reflect each site's operational conditions. They are often a product of the knowledge and understanding of the operational teams involved/may be prone to human error, and potentially miss latent hazards that may have been embedded early in the planning, design or construction phase of a mine or facility, or within the mining equipment. Overcoming these deficiencies through constant re-evaluation of the risks, and challenging the content on the bowtie will help to minimise the chance that something will be missed.This paper will cover key themes in bowtie architecture, introduce the concept of barrier models for high consequence event (HCE) bowties and present a relevant case study to illustrate the issues that determine quality in bowtie construction and critical control (barrier) selection and management.
机译:由于全球采矿业继续努力努力健康,安全和环境损失的“黑天鹅”(高后果/低频事件),因此重点在于将这些事件的风险评估从风险评估转移到风险管理,使用所选择的有目的的控制来降低风险。财政控制管理(CCM)是一种基于良好的理由,用于为每一个风险选择合适的控制。该方法应基于对事件动态的彻底了解:导致它是什么?它发生频率频率?实现的结果有多可能?这通常是通过弓形虫和有条不紊的数值风险分析来完成的。然后,核心是Bowtie的结构和内容;具体而言,用于构建Bowtie的分析架构。不同的架构产生不同的建筑,弓形弓没有什么不同。虽然弓箭的运营健康和安全(OHS)危险似乎有一个共同的架构,但它们不是通用的。重要的是要强调它们包含现场特定信息,由基于网站的业务团队编制,并因网站而异,以反映每个网站的运行条件。它们通常是知识和对所涉及的业务团队的了解和理解的产品,可能会易于人类错误,并且可能在矿山或设施的规划,设计或施工阶段或内部嵌入的潜在危险采矿设备。通过不断重新评估风险克服这些缺陷,并挑战蝴蝶结的内容将有助于最大限度地减少一些东西会错过一些事情。这篇论文将涵盖Bowtie架构中的关键主题,介绍了高度后果的屏障模型的概念活动(HCE)Bowties并提出了一个相关的案例研究,说明了确定Bowtie建筑和关键控制(屏障)选择和管理质量的问题。

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