Bow Tie and Swiss Cheese Flashcards

1
Q

What is bow tie analysis

A

it is diagrammatically repesents a hazardous event to show the connections between the hazards/threats and their consequences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do barriers and recovery represent

A

these activities provide controls measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define a hazard

A

potential source of harm to people, assets, the environment and company reputation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define Top Event

A

incident that occurs when a hazard is realised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define threats

A

what could cause the top event?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define Barrier

A

what directly prevents or reduces the likelihood or a threat?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define recovery measure

A

what prevents, minimizes or helps recovery from the consequence?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define escalation factor

A

What could prevent the barrier or recovery measure from working as intended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define escalation factor control

A

what prevent or minimises the chance of barriers or recovery measures becoming ineffective?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can bow tie analysis be used to identify

A

usually the developed for only for major hazards defined under the risk assessment matrix.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some of the major hazards

A

Mining
Hydrocarbons
Toxic Materials
Air/Marine/land transport
Shipping Activities
Object under load (structure)
Lifting operations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the types of major hazard barriers

A

preventative and recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are example of preventative barriers

A

Structures
Hydrocarbon containment
Chemical injection systems
Relief systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are examples of recovery barriers

A

Fire, gas & smoke detectors
Ignition control
Active & Passive fire protection systems
Firewater pumps & ringmain
Emergency response equipment
Emergency communication & power
Escape, Evacuation and rescue provisions
Life/survival equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are is a system that is both recovery and preventative

A

shutdown systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the types of approaches that are involved in accident investigation

A

System Approach
Person Approach

17
Q

what is the system approach

A

defences, barriers and safeguards

18
Q

what is the person approach

A

procedure and administrative control

19
Q

What is the swiss cheese model

A

it is where the holes are presented in layers of defence, barriers and safeguards. Where the holes are due to active failures and the holes line up.

20
Q

What are unsafe acts

A

errors and violations

21
Q

What are the preconditions for unsafe acts

A

*substandard conditions of operation
*substandard practices of operators

22
Q

what are the categories of unsafe supervision

A

Unforseen and known

23
Q

what are the organisational influences

A

*resource management
*organisational climate
*operational process

24
Q

What are the layers that failures can be present

A

*organisational factors
*unsafe supervision
*preconditions for unsafe acts
*unsafe acts