Management factors in accident and incident prevention (including management self-evaluation checklists). Revision 1.

摘要

Serious accidents and incidents occurring within the Department of Energy (DOE) will be investigated by committees including DOE trained investigators. A part of the investigation includes evaluation of management systems as they relate to the accident. The purpose of this guide is to outline, for general management, those management factors which have been found to be of importance in accident prevention. These factors will, of course, will be studied by investigating teams. The management factors have been selected, through a ten-year, world-wide consensus process, as those which individually and collectively may represent accident/incident causal factors. It is the task of the investigating board or committee to determine which of these factors are, indeed, involved in a given accident or incident. Objectives of the guide are twofold: To provide a means for accident/incident prevention by familiarizing managers with the management-related accident/incident causal factors that have been revealed in accident investigation research. To help prepare line and project managers for the investigative process by making them aware of the factors that will be investigated.