Healthy Skepticism Library item: 8433
Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.
Publication type: Journal Article
Chevreau FR, Wybo JL, Cauchois D.
Organizing learning processes on risks by using the bow-tie representation.
J Hazard Mater 2006 Mar 31; 130:(3):276-83
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TGF-4GY89YR-4&_user=10&_coverDate=03%2F31%2F2006&_rdoc=1&_fmt=full&_orig=search&_cdi=5253&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=18690bdb2028a8c20ea45827891f7061
Abstract:
The Aramis method proposes a complete and efficient way to manage risk analysis by using the bow-tie representation. This paper shows how the bow-tie representation can also be appropriate for experience learning. It describes how a pharmaceutical production plant uses bow-ties for incident and accident analysis. Two levels of bow-ties are constructed: standard bow-ties concern generic risks of the plant whereas local bow-ties represent accident scenarios specific to each workplace. When incidents or accidents are analyzed, knowledge that is gained is added to existing local bow-ties. Regularly, local bow-ties that have been updated are compared to standard bow-ties in order to revise them. Knowledge on safety at the global and at local levels is hence as accurate as possible and memorized in a real time framework. As it relies on the communication between safety experts and local operators, this use of the bow-ties contributes therefore to organizational learning for safety.
Keywords:
Aramis method; Risk analysis; Bow-tie diagram; Organizational learning; Experience feedback process
MeSH Terms:
Accidents, Occupational/prevention & control*
Causality
Chemical Industry/organization & administration
Chemical Industry/standards*
Decision Trees*
Drug Industry
Environmental Exposure/prevention & control
Equipment Failure
European Union
France
Guidelines
Hazardous Substances
Humans
Inservice Training*
Models, Organizational
Problem-Based Learning*
Risk Assessment/methods*
Safety Management/methods*
Substances:
Hazardous Substances
