The Value of Investigating and Trending Minor Failures to Prevent Major Incidents
Autor: | Jedediah Redman, Daniel J. Benac, Nicholas E. Cherolis, Dorothy M. Shaffer |
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Rok vydání: | 2018 |
Předmět: |
Value (ethics)
History 020209 energy Mechanical Engineering 02 engineering and technology Minor (academic) Near miss Equipment failure 020303 mechanical engineering & transports 0203 mechanical engineering Mechanics of Materials 0202 electrical engineering electronic engineering information engineering Forensic engineering General Materials Science Safety Risk Reliability and Quality |
Zdroj: | Journal of Failure Analysis and Prevention. 18:1143-1153 |
ISSN: | 1864-1245 1547-7029 |
Popis: | Catastrophic or major incidents are typically investigated immediately, but what about the near misses or minor failures that might be precursors to major incidents? Are they investigated? Major failures often do not occur as one isolated issue or event; there are often less severe precursors to a major event. This paper presents a best practice and reasons for reviewing minor equipment failures in order to avoid major events as demonstrated through the judicious analysis of minor failures. Several case histories and the lessons learned from these minor equipment failure investigations are presented to encourage investigation of what may initially appear as insignificant failures, for their value in prevention of major incidents. |
Databáze: | OpenAIRE |
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