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Evaluating the Normal Accident Theory in Complex Systems as a Predictive Approach to Mining Haulage Operations Safety

机译:评估复杂系统中的正常事故理论作为采矿运输运营安全性的预测方法

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摘要

The Normal Accident Theory (NAT) attempts to understand why accidents occur in systems with high-risk technologies. NAT is characterized by two attributes: complexity and coupling. The combination of these attributes results in unplanned and unintended catastrophic consequences. High-risk technology systems that are complex and tightly coupled have a high probability of experiencing system failures. The mining industry has experienced significant incidents involving haulage operations up to and including severe injuries and fatalities. Although the mining industry has dramatically reduced fatalities and lost time accidents over the last three decades or more, accidents still continue to persist. For example, for the years 1998 - 2002, haulage operations in surface mines alone have accounted for over 40% of all accidents in the mining industry. The systems thinking was applied as an approach to qualitatively and quantitatively evaluate NAT in mining haulage operations. A measurement index was developed to measure this complexity. The results from the index measurements indicated a high degree of complexity that exists in haulage transfer systems than compared to loading and unloading systems. Additionally, several lines of evidence also point to the applicability of NAT in mining systems. They include strong organizational management or safety system does not guarantee zero accidents, complexity is exhibited in mining systems, and they are interactive and tightly coupled systems. Finally, the complexity of these systems were assessed with results indicating that a large number of accidents occur when there are between 4 or 5 causal factors. These factors indicate the degree of complexity necessary before accidents begin to occur.
机译:正常事故理论(NAT)试图了解为什么在具有高风险技术的系统中发生事故。 NAT具有两个属性:复杂性和耦合性。这些属性的组合会导致计划外和意外的灾难性后果。复杂且紧密耦合的高风险技术系统极有可能发生系统故障。采矿业经历了涉及拖运作业的重大事件,严重人员伤亡包括在内。尽管过去三十年或更长时间以来,采矿业已大大减少了死亡人数和误工事故,但事故仍然持续存在。例如,在1998年至2002年期间,仅露天矿的运输作业就占采矿业所有事故的40%以上。系统思维被用作定性和定量评估采矿运输作业中NAT的方法。开发了一种测量指标来测量这种复杂性。指数测量的结果表明,与装载和卸载系统相比,拖运系统中存在高度的复杂性。此外,一些证据还表明NAT在采矿系统中的适用性。它们包括强大的组织管理或不能保证零事故的安全系统,采矿系统表现出复杂性,并且它们是交互式且紧密耦合的系统。最后,对这些系统的复杂性进行了评估,结果表明,当有4到5个因果因素时,会发生大量事故。这些因素表明事故开始发生之前所必需的复杂程度。

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    Do Michael D.;

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  • 年度 2012
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