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A perspective on Seveso accident based on cause-consequences analysis by three different methods

机译:基于三种不同方法的原因后果分析的基于eveSo事故的视角

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Seveso incident happened on Saturday 10th July 1976 within the production plant of 2,4,5-trichlorophenol at the ICMESA factory represents a watershed because it gave off a specific legislation in the field of safety regarding activities subjected to Major Accident Hazards (MAH) and the handling of dangerous substances. Although the severity of the mishap, still nowadays the real cause of the accident remains, at least partially, shrouded in uncertainty and different mechanism hypotheses were proposed. These doubts could lead considering Seveso mishap as a "black swan" incident, i.e. an improbable event characterized by three peculiarities: it is not expected; it has an extreme impact; it is explainable and predictable after the fact. Further investigation appears to be essential, analyzing the available material and processing a deep analysis towards several methods, which provide different views and interpretations of the fact. To this purpose, three methods were selected: AcciMap approach; the Energy Barrier Model; the System-Theoretic Accident Model & Processes (STAMP) coupled with a dynamic approach. The last part of this work is dedicated to a specific modelling of the incident through system dynamics technique using a customized framework covering technical, human and organizational aspects. (C) 2017 Elsevier Ltd. All rights reserved.
机译:Seveso事件发生在1976年7月10日星期六,在ICMESA工厂的2,4,5-三氯苯酚的生产植物中代表了一个流域,因为它在有关主要事故危害(MAH)和处理危险物质。虽然事故的严重程度仍然是事故的真正原因,但至少部分地笼罩在不确定度和不同机制假设中。这些疑问可以通过塞维塞·黎明作为“黑天鹅”事件,即一个特征在于三个特征的不可能的事件:它是预期的;它产生极大的影响;事实后,它可以解释和可预测。进一步调查似乎是必不可少的,分析可用材料并对几种方法进行深入分析,这提供了对事实的不同观点和解释。为此目的,选择了三种方法:Accimap方法;能量屏障模型;系统 - 理论事故模型和流程(印章)与动态方法相结合。这项工作的最后一部分是使用自定义框架涵盖技术,人类和组织方面的自定义框架的系统动态技术的特定建模。 (c)2017 Elsevier Ltd.保留所有权利。

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