全部まとめ.PDF

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3 1 HSE 2

4 8 3

5 A B 10 4,5 B 4

6 4 6 5

7 HSE 6

9 / MW

10 1 Active failure) Latent failure) 9

11 C HSE 1) CCPS (1) "Successful health and safety management(2nd edition) HSG65" HSE Books--- (2) "Guidelines for preventing human error in process safety" American Institute of Chemical Safety 10

12 C 11

13 (errors) (violations) Slip of action Skill-based errors failures Errors Lapse of memory Rule-based mistakes Human failures Mistakes Knowledge-based mistakes Routine Violations Situational Exceptional 12

14 13 (violations) 11 3 (slip) lapse) (mistake) (skill-based)

15 70 D E 5 E 2 14

16 30 F G H 4 15

17 2 16

18 3 (routine situational) exceptional) HFRG 1995 "Improving compliance with safety procedures: Reducing Industrial violations", Human factors in Reliability Group, HSE Books Clapham 80% 95% 17

19 18 K K L 20m

20 M HSG65 19

21 2 20

22 21

23 2 22

24 3 3 23

25 6 A C E G J M N Q A N Q 1 24

26 HSE "The reaction people have to excessive or pressure or other types of demands placed upon them. It arises when they worry that they can't cope") 4 Stress at work: A guide for employers, HSG116) 4 (being in control) 25

27 3 Loss Prevention Council 26

28 (sticking plaster) 27

29 (Job enrichment) K O P A B D N Q 28

30 5 29

31 (Open valve A then valve B) B A (After opening valve B open valve A) (Do not open valve B until valve A has been opened)

32 8 31

33 3 32

34 33 pitch) stress)

35 Human Reliability Assessment, HRA HRA HRA 3 HRA HRA 34

36 HRA Kirwan B.Kirwan, A guide to practical human reliability assessment, Taylor and Francis 1994, ISBN ) 1 HRA Kirwan CPS Human Error Probability, HEP HRA 35

37 2 HRA Human Error Probabilities, HEPs THERP HEART SLIM HRA 36

38 HRA HRA 37

39 4 38

40 39 (sleep debt) (sleep debt) (sleep debt)

41 best practice) R I,J 40

42 mental picture) 41

43 H PPE climate PPE) 42

44 43 HIV 10%

45 10 44

46 N Engels, van der Gulden, Senden 1997 Engels J A, van der Gulden J W J, Senden Th F "Prevention of muskuloskeletal complaints in nursing: aims, approach and content of an ergonomic-educational programme" Safety Science, ) N 45

47 46 3 1

48 47

49 48 HSC A A B D H R

50 ACSNI Study Group on Human Factors. 3rd report: Organising for Safety HSE Books 1993 ISBN (humanistic) 49

51 ACSNI HSE 71 9 Health and safety survey tool(electronic publication) HSE Books 1998 ISBN X) 50

52 51

54 1 HIV 2 P 53

55 Box P

57 56

58 Plan-Do-Check-Act 57

59 Plan Plan Do Check Act Do Check Act 58

60 Yes no 59 Yes no

61 Yes no 60

62 6 18 A,B,D,N F,G C I,J,K,L,M I,J,R K,O,P E,F,G,N,Q,R H 61

63 62 A,C,E,G,I,J,M,N,O F,G,L,O,R A,K A,B,D,N,Q A,J A,B,D,H,L,R B,H L A,I,K,L,M,P A,M B C D,E,H,N F,G J,K J L O,P Q,R

64 A % , = hrs 1,

65 B 2 54% 51% 84%. 94% 15% 64

66 1 0.5% ,

67 C ; 20% ; ; 6 66

68 1980 (Lost Time Accident LTA) 1988 LTA LTA (more than three days) LTA LTA 10 LTA LTA 1990 LTA 50% COSHH Control of Substances Hazardous to Health) 15,000 5, LTA /3 67

69 90% 1993 SUAA the Safe and Unsafe Acts Auditing, ) self esteem) 150, , ,000 5, LTA LTA 215 LTA 10, LTA

70 E