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Using the event tree analysis in the investigation of a work accident

机译:在事件调查中使用事件树分析

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摘要

Work accidents occur when the system doesn’t work properly and the safety barriers are avoided. The analysis of such events can be made by different methods. This paper aims at demonstrating how a work accident can be investigated by the use of the Events’ Tree decision method. Applying the steps of the algorithm, the method leads to determinate the causes of a work accident that occurs during the starting procedure of an equipment. By building the events’ tree, a graphical representation of the operations and decisions lead to a logical framework that explains the work accident. The case study consists of the description, analysis, investigation and mitigation of a work accident that occurred at the Rehabilitation of a road in Arad County. Using the Events’ Tree decision method, the cause of the accident was found to be the weak training of the operator and the carelessness of the job manager.
机译:当系统无法正常工作并避免安全屏障时,就会发生工作事故。可以通过不同的方法对此类事件进行分析。本文旨在说明如何使用事件树决策方法来调查工作事故。应用算法的步骤,该方法可以确定在设备启动过程中发生的工作事故的原因。通过构建事件树,操作和决策的图形表示形成了一个逻辑框架,可以解释工伤事故。该案例研究包括描述,分析,调查和缓解在阿拉德县的道路修复中发生的工作事故。使用“事件树”决策方法,发现事故的原因是对操作员的培训不足以及工作经理的粗心大意。

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