Help with Board Question no word count and Essay. APA Format throughout.
Board Question.
Share with the class an example of a safety design review at your organization. Are there ways it could be improved? If you are not yet a safety professional, find out if your current organization has safety design reviews or find examples of recent project designs or purchases that you feel would have been made safer through a safety design review process.
Unit Essay
In this unit, you have learned about reducing risks through safety design. For this assignment, you will further explore that topic. Compose an essay in which you summarize the fundamentals of the safety design review process, systems safety, and prevention by design. In your essay, you should address the following issues:
Describe the safety design review process.
Explain the role and importance of safety in a safety management system.
Discuss how these concepts inter-relate with the safety management systems approach.
Your essay must be a minimum of two pages, and it should use standard essay format with an introduction, body, and a conclusion. You must use a minimum of two scholarly sources in addition to your textbook. Any information from these sources should be cited and referenced in APA format, and your paper should be formatted in accordance to APA guidelines.
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Course Learning Outcomes for Unit VI
Upon completion of this unit, students should be able to:
4. Examine the components of an effective hazard prevention and control system.
4.1 Examine the relationship between prevention through design and safety management systems.
4.2 Describe the safety design review process.
7. Examine management tools necessary to implement effective safety management systems.
7.1 Explain the role and importance of safety in a safety management system.
Reading Assignment
Chapter 15:
Safety Design Reviews: Section 5.1.3 of Z10
Chapter 16:
Prevention Through Design: Sections 5.1.1 to 5.1.4 of Z10
Chapter 17:
A Primer on System Safety: Sections 4.0, 4.2, 5.1.1, 5.1.2, and Appendix F
Unit Lesson
In Unit V, we examined how a decision hierarchy can be used to reduce risk. At the top of the hierarchy is
eliminating the hazard. No one will dispute that this is the most effective method of reducing risk. Why, then,
is it not applied to more hazards? One reason often given is cost. For example, carbon monoxide (CO)
buildup is a common hazard when gasoline-powered forklifts are operated in warehouses. An effective way to
eliminate the CO hazard is to replace the gasoline forklifts with electric lifts. Electric lifts produce zero
emissions; however, it is expensive to replace an entire fleet of forklifts. In addition, battery-charging stations
must be constructed, and battery-powered vehicles introduce a new set of hazards like dealing with battery
electrolyte.
Reduced effectiveness is another common concern. Electric forklifts do not have the same lifting capacity as
gasoline-powered lifts and may need to be charged more frequently. Improving warehouse ventilation is a
typical engineering solution to CO buildup, but ventilation only modifies the release of the hazard. It will likely
reduce risk to a tolerable level, but the hazard is still present. Sometimes, reducing the risk to workers results
in a less effective product. Methylene chloride has long been the main ingredient in most paint strippers, but
the chemical is a serious health hazard to workers, so new paint-stripping products that contain less harmful
ingredients have been introduced. Most workers who use these new, less hazardous products will say they do
not work as well, and use of them may even create new hazards. Mechanical methods are sometimes added
to the stripping process and tools used can cause musculoskeletal problems due to vibration.
Simply put, it is often easier and less costly to go to the middle of the hierarchy of controls when looking for
ways to reduce risk. Some organizations choose to use the easiest and least costly method for reducing risk,
personal protective equipment (PPE). As we learned in the previous unit, PPE should be used only when no
other controls are possible or as a supplement to another higher-order control.
Section 5.1.3 of ANSI/AIHA Z10 requires design reviews to ensure hazards and risks are addressed
(Manuele, 2014). Many safety practitioners already participate in these reviews within their organizations.
Unfortunately, the reviews often take place at the end of the design process. While it is possible to make an
UNIT VI STUDY GUIDE
Reducing Risks Through the Design
Process
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Title
impact on safety at this stage which is much better than finding the hazards after the project is complete,
organizations may be reluctant to make changes since changes can delay the project and affect the budget.
Project leaders may not see the possibilities of cost avoidance that accompany safer designs. Nonetheless,
safety practitioners need to proactively identify and document design flaws that result in risks to personnel
and equipment.
Design reviews for safety can be time consuming, but there are numerous resources available. The
Occupational Safety and Health Administration (OSHA) standards once again provide a good starting point.
Ensuring that applicable standards are addressed in designs reduces the risk of injury or illness as well as the
risk of OSHA fines and citations, and it keeps the costs visible to management. What about hazards and risks
that are not covered by standards? How are those identified? Manuele (2014) suggests that ergonomic issues
would be a good place for the safety professional to start. Much research has been done relative to
ergonomics and applying one of the many ergonomic design criteria checklists that are available can result in
huge benefits.
Consider, for example, a conveyor line in a poultry plant where the employer hires individuals to
perform various cuts on turkeys that come down the line. Without thinking the process through up front, a
short person would have to reach above the shoulders to make cuts where a tall person might have to stoop 8
to 10 hours a day making thousands of cuts. This could result in repetitive motion injuries for both individuals
and the possibility of a back injury as well for the tall individual. If work stations were designed with
adjustable-height standing platforms or adjustable conveyor heights at work stations, associated labor and
medical costs could be reduced. Such an approach could actually be engineered into the operation before the
facility even opened its doors.
In the textbook, Manuele (2014) makes a strong
case for a concept called prevention through
design (PtD) as a preferred methodology for
reducing hazards and risks. It is well-documented
that the sooner hazards are identified in the design
process, the more effective and less costly the
controls will be. Original installation of a large
ventilation system during facility construction, for
instance, is much less costly than a retro-fitted
system because the installation can be fluidly
designed to align with the design of the building
without having to work around existing walls and
barriers or having to figure out solutions to existing
space restrictions. Consider a situation, for
instance, where the only place to install a large
baghouse for a new ventilation system is on the
other side of the building from the source of the
metal fume emissions. This would result in a need
for large fans and long lengths of ducting in order
to make the ventilation system fit the existing structure. If the building was designed with the need for a
baghouse in mind, however, a nearby pad for the baghouse could have easily been drawn into the building
plans.
Installation during facility construction can also be performed at an optimal point in the construction process.
This, once again, can limit the need for working in tight corners and punching holes through existing barriers
as the ventilation and ducting system can be installed before barriers are erected and when other trade
workers that may need to work with the installation such as electricians are available to complete their part of
the installation. There is also the benefit of not interrupting the production process in an existing facility. Retro-
fits often have to be completed when the facility is in operation and may interfere with the facility’s operations
from time to time.
In 2007, the National Institute for Occupational Safety and Health (NIOSH) began a PtD initiative. The intent
of this initiative is to get employers to consider managing risks by getting them to an acceptable level as soon
as possible in the life cycle of the product or in the workplace (NIOSH, 2014). It is important to note that
NIOSH does not limit PtD to the construction of facilities but to anything in the workplace that creates risk.
This would include equipment, products used, and work processes. For instance, given our forklift scenario,
Prevention through design
(National Institute for Occupational Safety and Health, 2014)
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UNIT x STUDY GUIDE
Title
the decision to purchase electric forklifts in the first place instead of LP-gas powered vehicles could be
considered a PtD approach to limiting CO emissions in the facility.
Current research shows that 80% of companies are aware of PtD, and 77% included PtD in their operations
(NIOSH, 2013). Going back to our gasoline-powered forklift example, if PtD was applied when the warehouse
was being designed (or redesigned) the need for forklifts might be limited significantly by including automated
handling and conveyor systems.
Prevention through design is not necessarily new to the safety profession. The aerospace industry recognized
early in its existence that the fly-fix-fly approach to safety was not a cost-effective way to identify design
hazards. In response, the industry, led by the U.S. Air Force, adopted an identify-analyze-control
methodology we now know as system safety. Manuele (2014) acknowledges that there are many definitions
for system safety, but for the safety professional looking to reduce risk at the design stage, it is a way to
analyze hazards and quantify the effectiveness of selected risk controls. In the aerospace and nuclear power
industries, system safety analyses can be complex and are usually conducted by specially trained engineers.
In less complex industries with less complex designs, system safety tools can easily be adapted and used by
safety professionals.
Hopefully, as you read through your unit readings, you will come to appreciate the concept of prevention
through design. Considering and mitigating hazards up front can save headaches and money down the road.
Indeed, there are a lot of benefits to thinking things through up front. This goes for everything from planning
our summer vacations to strategic management planning performed by Fortune 100 firms.
Planning to mitigate risks is also found in multiple industries. The Occupational Safety and Health
Administration’s Process Safety Management standard, for instance, requires a PtD approach in their
Management of Change provisions for significant process changes in facilities that process or store large
quantities of highly hazardous substances. This is because it is makes much more sense to deal with
significant risks up front than to take the risk later.
References
Manuele, F. A. (2014). Advanced safety management: Focusing on Z10 and serious injury prevention (2nd
ed.). Hoboken, NJ: Wiley.
National Institute for Occupational Safety & Health. (2014). The state of the national initiative on prevention
through design (NIOSH Publication No. 2014–123). Retrieved from
http://www.cdc.gov/niosh/docs/2014-123/pdfs/2014-123_v2
National Institute for Occupational Safety & Health. (2014). Prevention through design [Image]. Retrieved
from http://www.cdc.gov/niosh/topics/ptd
Suggested Reading
In order to access the following resources, click the links below.
Learn more about reducing risks through the design process in the following suggested readings:
Go to the CDC Web site (www.cdc.gov), and search for “prevention through design.” Explore the many
informative webpages containing information on this topic.
Association for Iron & Steel Technology. (2011, January). Safety through design: A proactive safety tool.
Safety First, 31–34. Retrieved from http://apps.aist.org/safetyfirst/11_jan_Safety_First
Christensen, W. C. (2010). Safe designs. Professional Safety, 55(4), 29-34. Retrieved from
https://libraryresources.waldorf.edu/login?auth=CAS&url=http://search.ebscohost.com/login.aspx?dire
ct=true&db=bth&AN=50285105&site=ehost-live&scope=site
http://www.cdc.gov/
http://apps.aist.org/safetyfirst/11_jan_Safety_First
https://libraryresources.waldorf.edu/login?auth=CAS&url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=50285105&site=ehost-live&scope=site
https://libraryresources.waldorf.edu/login?auth=CAS&url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=50285105&site=ehost-live&scope=site
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UNIT x STUDY GUIDE
Title
Learning Activities (Non-Graded)
Non-graded Learning Activities are provided to aid students in their course of study. You do not have to
submit them. If you have questions, contact your instructor for further guidance and information.
Note: This activity can be used as one of the building blocks of the Unit VIII
Project.
Using Chapters 15, 16, and 17 of the course textbook and the other readings in this Unit as guides, evaluate
safety design reviews at your current organization or an organization with which you are familiar. For objective
evidence to support your evaluation, look for organizational documents such as safety manuals and
instructions, safe operating procedures, and job hazard analyses, safety meeting minutes, mishap logs, audit
reports, Occupational Safety and Health Administration citations, inspection reports, risk assessments, and
training records. Interview management personnel, supervisors, and employees. Prepare a report to
management that summarizes the positive and negative results of the evaluation, and provide
recommendations for improvement.
Non-graded Learning Activities are provided to aid students in their course of study. You do not have to
submit them. If you have questions, contact your instructor for further guidance and information.
CHAPTER 17
A PRIMER ON SYSTEM SAFETY:
SECTIONS 4.0, 4.2, 5.1.1, 5.1.2,
AND APPENDIX F
Identifying and analyzing h11Z¥ds and making risk assessments as early as practicable
in the design and redesign processes, and additionally as needed throughout the
design processes, are the bases on which system safety is built. The goal of system
safety initiatives is to attain acceptable risk levels.
Consider the following sections in Z IO as they relate to hazards, risks, risk
assessments, the design process, and acceptable risks. These citations are abbreviated
substantially.
• Section 4.0, “Planning”: The goal is to identify and prioritize system issues
(defined as hazards, risks, etc.).
• Section 4.2, “Assessment and Prioritization”: The process shall assess the level
of risk for identified hazards, establish priorities based on factors such as the
level of risk, and identify factors related to system deficiencies that lead to
hazards and risks.
• Section 5. I.I, “Risk Assessment”: The organization shall establish and imple-
ment a risk assessment process( es) appropriate to the nature of hazards and the
level ofrisk.
‘ Section 5.1.2, “Hierarchy of Control”: The organization shall establish a
process for achieving feasible risk reduction based on a preferred order of
controls.
;;;;;– …. Sec ed Safery Management: Focusing 011 Z/0 and Serwus ln;11ry Prevent1011,
ll 2~nd Edition . Fred A. Manuele. 14 John Wiley & Sons, Inc. Published 2014 by John Wiley & Sons, Inc.
325
326 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1 , 5.1.2, AND APPENDIX F
• Section 5.1.3, “Design Review”: The organization shall establish a
identify and take appropriate steps to prevent or otherwise control h Proce~s to
• · azards
design and redesign stages. at the
• Appendix F, “Risk Assessment”: The goal of the risk assessme t
including the steps taken to _reduce risk, is to achieve safe working : 0~~ess,
with an acceptable level of nsk hons
There is a direct relationship between system safety concepts and p . . rocesse
necessary to lillplement ZlO-and the practice of safety as a whole. I beli 8
· · · f afi ·11 · h 1· eve that generalists m the practice o s ety w1 lillprove t e qua 1ty of their performan
acquiring knowledge of applied system safety concepts and practices. ce by
It is not suggested that safety generlilists must become supra-specialists in sy
1
safety, although trends indicate that they will be expected to apply at least the ru::~
mentals of system safety. To influence safety generalists to acquire knowledge of an~
apply system safety concepts, in this chapter we:
• Relate the generalist’s practice of safety to applied system safety concepts.
• Give a history of the origin, development, and application of system safety methods.
• Review several definitions of system safety.
• Outline The System Safety Idea in terms applicable to the generalist’s practice
of safety.
• Encourage safety generalists to acquire knowledge and skills in system safety.
RELATING THE GENERALIST PRACTICE OF SAFETY
TO SYSTEM SAFETY
In an American Society of Safety Engineers publication entitled “Scope and Functions
of the Professional Safety Position,” the following major activities are listed.
Functions of the Professional Safety Position
The major areas relating to the protection of people, property, and the environ-
ment are: ‘
A. Anticipate, identify, and evaluate hazardous conditions and practices.
B. Develop hazard·control designs, methods, procedures, and programs. d
C. Implement, administer, and advise others on hazard controls and haza!”
control programs. d
D . Measure, audit, and evaluate the effectiveness of hazard controls an
hazard control programs.
asses
A · ·fi • · encolllP d . _s~~1 cant pomt to be made is that the professional safety funcnon ro rtY, an
all m1ttatives that are hazard and risk based-the protection of people, P pe
AFFECTING THE DESIGN AND REDESIGN PROCESSES 327
t According to item A , the safety professional is to “anticipate
. nrnen . -& & • al ” env1ro B indicates that sruety pro1ess1on s are to develop hazard control
111e .-,1 ,, Jtern ,
lll”S,
~:igns,” . osition to anticipate hazards , one must be involved in the design
‘fo t,e : ~cipate effectively in ~e desig_n process, a safety pr?fessional must be
rocess- P pect to hazard analysis and nsk ~sessment techniques. Influencing
P ed with res · h d al · d · k sldll . rocess and usmg azar an ys1s an ns assessment techniques to
(he design P table risk levels are fundamental in system safety.
achieve ac~~pg generalists in safety will become proficient with respect to the hazard rpns1n .
Bnte . and control aspects and the design aspects of the scope and function of
uficauon ·11 b th . d . iden fessional. That w1 e to eir a vantage as they give counsel to clients
a safetu~~J:acceptable risks with respect to lh:e protection of people, property, and the
ioac
environment.
AFFECTING THE DESIGN AND REDESIGN PROCESSES
S stem safety professionals make a great d~al of designing things right the first time
yd being participants throughout the design and redesign processes. Richard A .
~ephans, the author of System Safety for the 21st Century, expresses that view well.
Safety Is Productive ,
Safety is achieved by doing things right the first time, every time. If things are
done right the first time, every time, we not only have a safe operation but also
and extremely efficient, productive, cost-effective operation (p. 12).
Safety Requires Upstream Effort
The safety of an operation is determined long before the people, procedures,
and plant and hardware come together at the work site to perform a given
task (p. 13).
For products, facilities, equipment, and processes, and for their subsequent alter-
ation, the time and place to avoid, eliminate, reduce, or control hazards economically
and effectively is in the design or redesign processes. Participating in those processes
presents opportunities for upstream involvement by. safety professionals using system
safety concepts. .
~so, there has been an extended recognition that applying design and engineering
solutions is the preferred course of action in operational risk management. That
extended rec · · · hi h · h · 1 f ogrution denves from several sources, among w c is t e mvo vement
0
safety professionals in:
• Applied ergonomics. ,
• ~iving counsel to meet European requirements whereby risk assessments are to
e made on goods l hat are to go into workplaces in EU countries.
328 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5.1.2, ANO APPENOt)( I=
• Applying the re,quirements o~ guidelines and st&ndards that propose
risk assessments, and presenung an ordereq sequence of me~~u or requi
r
hi bl . k . -~ res to be e in a hierarchy of controls to ac eve accepta e ns levels. Exam I laken . P es are •
• ANSI-A.IHA ZI0-2012. Occupational Health and Safety Mana ·
Systems. 8ernenr
• MIL-STD-882E-2012. Department of Defense Standard Practic fi
. e orsy Safety. ste,n
• ANSI-ASSE Z590.3-201 l. Prevention Through Design: Guide/’
Addressing Occupational Hazards and Risks in Design and ;;;: (0r
Processes. sign
‘ f’ • ANSI/PMMI Bl55.l-2011. Safety Requirements for Packaging Ma h’
and Packaging-Related Converting Machinery. ‘ c mery
• ANSI Bl 1.0-2010. Safety of Machinery-General Safety Requirements and
Risk Assessments.
• BS OHSAS 18001:2007. Occupational health . {lnd safety management
systems-requirements.
• Guidance On The Principles Of Safe Design For Work. Canberra, Australia:
Australian Safety and Compensation Council, an entity of the Australian
Government, 2006.
• Machine Safety: Prevention of Mechanical Hazards. Quebec, Canada: The
Institute for research for safety and security at work and The Commission for
safety and security at work in Quebec, 2009.
, • Risk Assessment. The fa1ropean Union, 2008 .
• CSA 21002-12. Occupational health and safety-Hazard identification and
elimination and risk assessment and control. Toronto, Canada: Canadian
Standards Association, 2012.
• EN ISO 121_00-2010. Safety of Machinery. General principles for De~ign.
Risk assessment and Risk reduction. Geneva, Switzerland: International
Organization for Standardization, 2010.
• Meeting the requirements for hazards analysis in OSHA’s standard Proc~s~
Safety Management of Highly Hazardous Chemicals and in EPA ns
management program requirements.
. li~
Of all of the -foregoing references, the 2590.3 standard gets closest to app
system safety. It has been referred to as “system safety light.”
DEFINING SYSTEM SAFETY
. . of the practice
Unfortunately, the term system safety does not convey a clear meaning . under·
as it is applied. Published definitions of system safety are of some ~elp_
1
~ 5 of the
d . h · ‘ nd1cau0 ..-1 stan mg t e conf;ept, but they do not comrn_unicate clearly. To give 1 . forWW'”
differences in the definitions of system safety, and to move this discu~sion
six sources are cited.
DEFIN ING SYSTEM SAFETY 329
In MIL-STD-882E-2012, the J?epartment of Defense Standard Practice for
m Sa’ety, system safety is defined as: Syste !I’
The application of e ngineering and manageme nt pri nciples, criteria, and
techniques to achie_ve ~~cep~able risk within the constraints of operational
effectiveness and smtabihty, time, and cost throughout all phases of the system
life-cycle. (p. 8)
In System Safety Primer, Clifton A. Ericson II gave this definition of system safety
in his 2011 book:
System safety is an engineering methodology employed to intentionally design-
in safety into a product or system through the identification and elimination/
mitigation of hazards. (p. 6) ·
In GEIA-STD-0010, the Standard Best P ractices f or System Safety Program
Development and Execution , approved in 2008, this definition is given:
System safety is the application of engineering and management principles,
criteria, and techniques to achieve mishap risk as low as reasonably practicable
(to an acceptable level), within the constraints of operational effectiveness and
suitability, time , and cost, throughout all phases of the system life cycle. (p. 8)
Richard A. Stephans’ book System Safety for the 21st Century was published in
2004. He defines system safety as follows:
System safety: The discipline that uses systematic engineering and management
techniques to aid in making systems safe throughout their life cycles. (p. 11)
System Safety and Risk Management, NIOSH Instruction Module, A Guide f or
Engineering Educators was developed for the National Institute for Occupational
Safety and Health by Pat L. Clemens and Rodney J. Simmons in 1998. They write as
follows:
What Is System Safety? System safety has two primary characteristics: ( 1) it is
a doctrine of management practice that mandates that hazards be found and
risks controlled; and (2) it is a collection of ·analytical approaches with which
to practice the doctrine. (p. 3)
In System Safety Engineering and Management, 2nd ed ., Harold E. Roland and
Brian Moriarty asked in 1990: What is System Safety? In response to their own
question, they give two meaningful comments and then establish the system safety
objective .
The system safety concept is the application of special technical and mana-
gerial skills to the systematic, forward-looking identification and control of
I ,
330 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5.1.2, AND APPENDIX F
hazards throughout the life cycle of a project, ·program, or activity. The concept
calls for safety analyses and hazard control actions, beginning with the conceptual
phase of a system and continuing through the design, production, testing, use
and disposal phases, until the activity is retired. (p. 8) . ‘
The system safety concept involves a planqed, disciplined, systematically orga-
nized and before-the-fact process characterized as the identify-analy7.e-eontrol
method of safety. The emphasis is placed upon an acceptable safety level designed
into the system prior to actual production or operation of the system. (p. 9)
Using those definitions as a base, and with some extensions, the following outline of
‘The System Safety Idea” is presented for consideration by safety generalists t.o empha-
size what system safely encompasse~, relate system safety to the relative provisions in
210, and connect system safety with the scope and function of a safety professional.
THE SYSTEM SAFETY IDEA
1. System safety is hazards, risks and design based.
2. Hazards are most effectively,and.economi~ally anticipated, avoided, or controlled
in the initial design processes or, in the redesign of existing facilities, equipment,
and processes.
3. Applied system safety requires a conscientious, planned, disciplined, and
systematic use of special engineering and managerial tools.
4. Applying specifically developed hazard analysis and risk assessment tech-
niques is a necessity in system safety applications.
5. Applied system safety begins in the conceptual design phase and continues
into all subsequent design phases, production, and testing-through to the end
of a system’s life cycle.
6. On an anticipatory and forward-looking b~is, hazards are .to be identified and
analyzed, avoided, eliminated, reduced, or controlled so that, within operational
constraints, safety can practicably be designed into systems and acceptable risk
levels can be attained.
7. In applied system ~afety, th~. einphasi~ is on having acceptable risk levels
designesJ into systems bef01:~ actual .prodµction or operation of a system.
8. If action is needed to reduce risks to an acceptable level, the steps in the
hierarchy of controls are to be taken sequentially: No lower-level step is to be
taken until those above it are considered.
9. Wlien trade-offs are made in the design process, and the needs of such as ~e
utility and manufacturability of the end product, weight, operability, main-
tainability or cost have to be considered, the conclusion must, .nevertheless,
be at an acceptable risk level.
10. System safety applications apply to all aspects of an operation, including ~a~il-
ities, logistic support, storage, packaging, handling, ancl transportation enuttes.
I
11111
b
HAZARD IDENTIFICATION AND ANALYSIS AND RISK ASSESSMENT TECHNIQUES 331
11. System s~ety concepts .promote the establishment of policies and procedures that
are to ~chieve an effectiv:, orderl~, and continuous risk management process for
the design, development, mstallation, and maintenance, of all facilities, materials,
hardware, tooling, equipment, and products, and for their eventual disposal.
12. In the system design process, consideration is to be given to the interactions
among humans, machines, and the environment, and the capabilities and liini-
tations of people and their penchant for unpredictable behavior.
13. An overall requirement is that acceptabl~ risk levels are to be attained, defined
as follows: Acceptable risk is that risk for which the probability of a hazard-
related incident or exposure occurring and the severity of harm or damage that
may result are as low as reasonably practicable in the setting being ·considered.
This outline of “The System Safety Idea” encompasses most of the definitions
given previously and goes beyond several. Safety generalists should ask: How closely
does the system safety idea come to the results expected in applying the provisions
in ZlO? Do safety professionals serve themselves well by becoming knowledgeable
and skilled in system safety?
System safety begins with hazard identification and analysis and risk assessment.
So do all hazards and risk-based activities, whatever they are called. This author is
confident that application of system safety concepts in the business and industrial
setting will result in significant reductions in injuries and illnesses, damage to prop-
erty, and environmental incidents.
HAZARD IDENTIFICATION AND ANALYSIS AND RISK
ASSESSMENT TECHNIQUES .
It is not surprising that many safety generalists are turned away from system safety
when they encounter the number of analytical techniques that have been developed,
the complexity of some of them, and the skill necessary to apply them. Earlier in this
chapter it was made clear that safety generalists need not become supra-specialists in
system safety. Nevertheless; the ti;ends indicate that they will be expecte~ to be
skilled in applying basic syste~ sa~ety methods.
How many analytical systems ~e there? The sec’?~d ·edi_tion of the System Safety
Analysis Handbook fills 626 pages and contains a compilation of 101 analysis
techniques and methodologies. That handbook serves 1as a ,desk reference for the
accomplished system safety professionals who may have ·toresolve·highly complex
or infrequently encountered or unusual situations.
Three national standards that constitute a set should be of interest -to safety
generalists who want to become familiar with system safety techniques. The
American Society of Safety Engineers is the secretariat.
ANSI/ASSE Z690.l-2011. Vocabulary for Risk Mana~ement (National Adoption
of ISO Guide 73:2009). This standard provides definitions of terms that, the
originators hope, will be used in other standards.
I .
332 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5.1.2, ANO APPENDIX F
ANSI/ ASSE 2690.2-2011. Risk Management Principles and Guide[. · · Th d t ak · k · · n any hi.. organizaUon. e nee o m e ns assessments Is mtroduced in Se f ·Jpe of ANSI/ASSE Z 690.3-2011. Risk Assessment Techniqut;s (N_ational Ad . d h d d . on 1n risk assessment concepts an met o s an a ready reference, this sta d . · · essrne concepts and methods. In fiv~ pages, Appendix A provides brief comp . nt ANSI/ ASSE Z 690.3-2011 is a valuable resource. A list of the 31 risk assessment BOl B09 Brainstorming Points I B02 Structured or Semi-Structured B04 Checklists f. . , . ‘
In ANSI/ ASSE 2590.3-2011, th~ Prevention through Design standard, Addeo • Preliminary Hazard Analysis THE HAZARD ANALYSIS AND RISK ASSESSMENT PROCESS
, Fault Tree Analysis I ‘
It was also said in Z590.3 that:
333
As a practical matter, having knowledge of three risk assessment concepts will Having knowledg~ ~d capability with re~pect to ·.the above-mentioned three [ ‘
THE HAZARD ANALYSIS AND RISK ASSESSMENT PROCESS Section 7 in ANSI/ASSE Z590.3 is devoted to the hazard analysis and risk 1. Select a risk assessment matrix methods 10. Risk acceptance decision making Reaching group consensus in the risk assessment process is a highly desirable 334 A PRIMER ON SY5TEM SAF~: SECTIONS 4.0, 4-2, 5, 1. 1, 5.1.2, AND APPENDIX F
RISK ASSESSMENT MATRICES
It would be highly unusual for a text or standard on system safety not to includ . d should be the one that management l!lll users m an organization decide is b . – . bl . b . est for . . k d . . aki ‘ Its v ue m ns ec1s1on m ng. . .. probability of occurrence and seventy of h~, th_us est~bhshing nsk levels. 210 All personnel involved in the risk assessment processes must understand the THE HIERARCHY OF CONTROLS It was said in the “The System Safety IC,ea” .-t~at if risk reduction was necessary after • Are preventive actions that eliminate or reduce risk by design, elimination, • Rely the least on human behavior-the performance of personnel Actions described in the fourth, fifth, and sixth levels are contingent actions and In applying the hierarchy of controls, the expectation is that consideration wdi . h · · ·11 be ma e e given to eac step m descendmg order, and that reasonable attempts WI h WHY SYSTEM SAFETY CONCEPTS HAVE NOT BEEN WIDELY ADOPTED 335
plying the hierarchy of controls, the outcome should be an acceptable risk ~p achieving that goal, the following should be taken into consideration. , Avoiding, elimina~ng, or reducing the probability of a hazard-related incident , Reducing the severity of harm or damage that may result if an incident or • The feasibility and effectiveness of the risk reduction measures to be taken, and , All of the requirements of ZlO.
WHY SYSTEM SAFETY CONCEPTS HAVE At least one other author expected a more widespread adoption of system safety con- As every loss event results from the interacti<;m,s of elements in a system, it
follows that all safety is "systems safety." The safety community instinctively
welcomed the systems concept when it appeared during the stagnating
performance of the mid-1960s, as evidenced by the .~nsuing freshet of sym-
posia and literature. J:or . a time, it was ,thought that this seemingly novel
approach could reestablish the continuing improvem~nt that the public had
become accustomed to; however, this anticipation has not been fulfilled.
Now, some three decades later, although systems techniques continue to find Although there were countless seminars· and a proliferation of papers on system response to his owQ question-Why this rejection?-Browning expressed the gmeenng on system safety concepts. He also gave this encouragement:
We have found through practical experience that industrial and general safety 336 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5.1.2, AND APPENDIX F
There is a reality in Browning_’ s ob’servatioris: S~stem safety _literature at the . Some system safety literature did, and still does, give the appearance of ex t’ h neop yte have been wntten. · · ,
PROMOTING THE USE OF SYSTEM SAFETY CONCEPTS
With the hope of generating further interest by generali_s~ safety professionals in Professional credentials or experience in “system safety” are not required to To paraphrase Browning:All hazards-related incidents result from interactions of elements in a system. Therefore, all safety is system safety. Therein lies an important A reference to system analysis may merely imply an orderly examination of an Applying system safety as “an orderly examination of an established system or Repeating for emphasis: Applying the fund~entals of system safety can meet a huge percentage of the provisions of ZlO. For safety generalists who take an in~ RECOMMENDED READING
Clift · E · ‘ b k · h · · This paper-on ncson s oo 1s w at the title says it is a System Safety Pnmer. b’ect 1 very well as a primer. It is easy to read and is recommended. RECOMMENDED READING 337
,n Safety for the 21st Century is an update by Richard Stephans of System Safe~ ,, The book begins with a history of system safe ty. Then the author moalves_st techniques. About half of the book is devoted to those techniques. ‘fhis book is specifically written for:
• safety professionals, including people in industrial and occupational • Engineers, especially design engineers and architects ‘ A safety generalist w1;mld find this book to be a valuable source and not too Basic Guide to System Safety was written by Jeffrey W. Vincoli. These two sen- Vincoli also says·: “The primary foc’ils pf this text shall be the advantages of MIL-STD-882E, Standard Practice for System Safety, issued by the Department of 1 ntemet as a free download. This is really a training manual. There, are 17 chapters ederal Aviation Administration System Safety.Handbook” into a search.Engine, or 1 thro exhotic mathematics. He builds on “The Energy Cause Concept”, and works r 338 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5. 1. System Safety Engineering and Management, 2nd ed., by Harold E. Roland · th d f 1· . w of the concepts of system safety and therr me o s o app ication. An overview f . . f al al.al Oa PROGRESS REVIEW
For an assessment of how system safe~y principle~ relate _to the requireme~ts for an Clifton Ericson in System Safety P~mer:
A known and acceptable level of safety can be achieved when the system safety Relative safeness is calculated by the metric of risk. Risk is the estimated value 1 Since 100% freedom from hazards and risk is not possible, safety is more System safety is a form of preemptive forensic engineering, whereby potential mis- Jeffrey ViJ,1coli in Basic Guide to Syi tem Safety:
The process of system safety revolves around a desire to ensure that jobs or The Hazard Risk Matrix incorporates the elements of the Hazard Se:verity ta?le b REFERENCES 339
Richard Stephans in System Safety in the 21st Century:
The first and most effective way to control identified hazards is to eliminate Design and build safety into a system rather than modifying the system later in the CONCLUSION
The principal intent in this chapter is to establish that fundamental system safety I sincerely believe that generalists in the practice of safety can learn from system In summation: The entirety of purpose of those responsible for safety, regardless Note: The substance of this chapter appears in the fourth edition of my book REFERENCES
ANSI/AIHA 210-2012. Occupational Health and Safety Management Systems. Des Plaines, • • I
ANSI/ ASSE 2590.3-2011. Prevention through Design: Guidelines for Addressing Occupational ANSI/ASSE 2690.1-2011. ‘Vocabulary for Risk Management. Des Plaines, IL: American ANSIIASSE 2690.2-2011. Risk Management Principles and Guidelines. Des Plaines, IL: ANSIJASSE 2690.3. Risk Assessment Techniques. Des Plaines, IL: American Society of ANSI B 11.0-2010. Safety of Machinery-General Safety Requirements and Risk Assessments. ANSIIPMMI Bl55.1-2011. American National Standard for Safety Requirements for 340 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1 , 5.1.2, AND APPENDIX F
Browning, R. L. The Loss Rate Concept In Safety Engineering. New York: Marcel Dekker BS OHSAS 18001 :2007: Occupational health and safety management systems-Requirements. Clements, P.L. and Rodney J . Simmons. System Safety and Risk Management, NIOSH CSA Z1002-12. Occupational health and safety-Hazard identification and elimination and EN ISO 12100-2010. Safety of Machinery-General principles for Design. Risk assessment Environmental Management Systems: An Implementation Guide for Small and Medium- Ericson, Clifton A. II. System Safety Primer. Self-published, 2011. Available through Internet Federal Aviation Administration System Safety [Jandbook. Enter the title into a search engine, GEIA-STD-0010-2008. Standard Best Practices for System Safety Program Development and Grimaldi, John V. and Rollin H. .Simonds. Safety Management. Homewood, IL: Irwin, 1989. and Compensation Council, an entity of the Australian government, 2006. research for safety and security at work and The Commission for safety and security at MIL-STD-882E. Department of Defenses $tandard P~actice System Safety, 2012. It is ‘available OSHA’s Rule for Process Safety Management of Highly ·Hazardous Chemicals, 29 CFR Risk Assessment. The Europelin Union, 2008. http://osha.europa.eW:en/topics/riskassessment. Hoboken, NJ: Wiley, 1990. ‘ i · • Society of Safety Engineers, 1998. ‘ stewardship). Unionville, VA: Internatipnal System Safety Society, 1999. ct-lAp’TER 16
PREVENTION THROUGH DESIGN: 10
– 1 which gives prominence and Significance to preverition through Oesign. The following I. Hazards and nsks are most effectively and economically avoided, eliminated, 2 processes are likely to be ineffective (Johnson, p. 245). system. –
Adva11ced S a . . . Second Ed ‘ _rfery Management: Focusing on ZlO and Serious In111ry Prevention , 4 11111 •
310 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF z10
• Movhtg prevention . process
Business 1–:;:7 Prevention – / –
through __l__ Retrofit Operation Moving safety from afterthought to a forethought in ·’ – FIGURE 16.1 Theoretical ideal prevention through the de~ign process. 4. If, through the hazard identificaticm and analysis and risk assessment processes to avoid bringing hazards and their accompanying risks into a workpjace, the , ‘I ( . J.’ ,. i : ” their titles, is to manage tpeir endeavors with respect to hazards so that the J • (. •
6. To achieve acceptable risk levels, ~lements of a q.ierarchy of controls should be The priictice of ~afety is hazards-based. Thus, Johnson wrote approp~ately F. 16 · · is mov 1gure .1 depicts the theoretical ideal. Prevention through Design ‘th in • · ‘ · non people mvolved. Hazards and risks will also be identified in the build, opera ‘ HISTORY 311
. ·teged to be the chair of the committee that wrote the Z590 3 t d ·. d 1 was . us that what I ave wntten ere shows a bias in favor of its • 1 , . be obv10 . • imp emen- • proVl t highlights of Z590.3, emphasizing the applicability of the provisions of _t safety of the pubhc, avmdmg property damage artd business interruption , Discuss the cu~ture ,chang~ ,?ecessary -~~- ~ost _ orga~izations as prevention system. . . design fqr job satisfaction an a to b~ percf ived as providing additional vaiue in HISTORY
In the early 1990s, several safety professionals recognized through _their studies of In Guidance On The Principles Of Safe Design For Work, issued in 2006, com- Of the· 210 identified workplace fatalities~ 77 (37%) definitely or probably ·had To provide the necessary education for designers, safety professionals are encour- 2 eq t was also noted in the early l 990s that designing for safety was addressed inad- Pro edhat organizations had in p’ lace infrequently included safety through design tof~ecisio~ makers at the National Safety Co~ncil (NSC) gave authority to this author :1 312 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF 210
safety and environmental needs incorporated in the design An advisory committee for the institute was formed , whose 0 ugh be · d I b d th . tnernb 81&n e industry, academia, organize a ~r, an o er interested persons. . e~s repres . To reduce the risk of injury, illness and environmentai • . – ‘ . stage ng The message ~e adv~sory c~~-tte~ ‘w~t~~. t~ COI}Y~y ,· .when the . • , • ‘ • , • . I • · · · d taki th l ‘ · early in th design and engmeenng stages an ng . e a~tions _n~cessary_ so that . e In the literature developed by the Institute it was said that the follow· b • Improved productivity ‘ . ‘ Academia-professor~ an<;l their students; and practicing engineers in industry and
safety professionals. . , ,1 ,
Much was accomplished by the lnstjtute. S~minars, workshops, and symposia In 2006, several of the participants in the flCtivities of the Institute For S~e~ b to o tam the views . of a variety of stakeholders on a maJor mitia Some of the participants expressed the yiew .that the long-term unp:~ could · th · · ‘ • · ·ven to e occur m e practice of safc;ty, resulting in greater emphasis bemg gi · In 20Q8, NIOSH ,announced that on~ of its major initiatives was topreventi 00 and approve a broaq, generic . voluntary consensus standard
00 HIGHLIGHTS OF ANSI/ASSE 2590.3 313
. that is aligned with international design activities and practice” tbfou8 d io lead that en eavor. su~portsociety of Safety Engineer~ .(ASSE) .. It w~ decided to develop a technical On dafd _ANSI/ASSE Z590.3-20ll,, Preve11tion Th,:ough Design: Guid.~fines for 118 Addressist. be understood that activities at NIOSH are limited to occupational safetv and It mu · · – ~J · ” . business·interruption, and so on. in ·the standard, the definition of prevention through Prevention-through design:: Addressing occupational safety. and .health .nee~ in • . l I
Promoting the acquisition of knowledge of prevention through design concepts is • I • •
Design,ing For Safety (DFS) is a principle for d,~sign planning for new facilities, • I • ,
operations to assure safety and health of workers, as well as protection of the HIGHLIGHTS OF ANSI/ASSE Z590.3 ed~sign pr~cesses will µeyelop a familiarity with Z590.3 in detail. ,
1. . Scope, Purpose, and Appllcatlon :~~::es~ope ofZ590.3: This standard provides guidance on including prevention ough the application of these concepts, decisions pertaining to occupational 314 PREVENT! · ON THROUGH DESIGN· SECTIONS 5.1.1 TO 5.1.4 OF 210
h zards and risks can be incorporated into the process of design and including their construction, manufacture, use: mamtenance, and ultimate dis esses, Although the Purpose statement indicates that the standard pertains Prine· ens1on Note: Incidents that have the potential to result in occupational injuries and •u. Largely, this slandard is applicable to all hazard-based operational risks, Panicul,dy a Pre-operatiQnal stage:.in the initial planning, design, specification, prototYPing, b. Operational stage: where •hazards and risks are identified and evaluated and c. Post-incident stage: where investigations are made of incidents and exposures d. Post-operational stage: where demolition, decommissioning, or reusing/retiuilding The application goals of utilizing prevention , through design concepts in an occupational setting are to:
a. Achieve acceptable risk levels.
b. Prevent or reduce occupationally related injuries, illnesses, and fatalities. th not addressed sufficiently in the design or redesign processes.
Adde?dum A outlines the risk assessment process, and Addendum B gives tbe 2. Referenced and Related Standards
· · • • that per· Relative Amencan National Standards and other standards and guidebnes HIGHLIGHTS OF ANSI/ASSE 2590.3
oet1n1t1ons . ; 3, ·t· 00 list grew to 27 in response · to suggestions mad b 1 Since onde i·gn and redesign processes, the definitions relative to th teve sl ough- A ceptable risk. That risk for which the probability of an incident or , occurring an~ e seven yRPo or a~age t?at may result are as low as rea- b. As lo~ ds reas~nably Pract!cable (~~). ‘That level of risk which can be c. Hazard. ·The’ potential for harm. . . \’ ; . I d. Hiera rchy ‘ of ‘controls. A systematic· approach to avoiding, . eliminating, e. Probability. An estimate of the likelih~od of ~n incident or exposure ~c~ng 1 ‘ • I • • • ” • • taken: ‘ ‘ · · · ,,, · · ” · ‘ · ‘ · g. Risk. An estimate of the probability of a ·hazard-relat~ inc1c!e~t ~r expos~e h. Safety. Freedom from unacceptable risk. ,~-. : . . . : .,
1. Severity. An estimate of the magnitude of harm or d~ag~ ~a~ ~?~ld_ re~~:m~bly 4 • I I ‘ To J ‘ • • ff t· P management shall provide the leadership to institute and m~~ s~sksterns for the design and redesign processes.’ Key p~ints: · anticiP;~te ha_zards and o]]oWing note> is significant iii the ro1eS• and responsibilities seelion. . . k e design d h do the work can make v ua e • id
316 PREVENTION TH ROUGH DESIGN: S
Ith suppliers One of the provisions I • processes, an · bl . k 1 • atari k techno ogies, , ~onducted and that an accepta e ns evel, as outlinea b s Addendum D 1s an ex · , sed as 6. Design Safety Reviews In the design proces$, ri~k assessments _~ould be made as ?fien as needed, on a con- 7. The Hazard Analysis and Risk ‘Assessment Process ‘ ‘ .. _ ,, r . \’1
• !
• Consider failure modes.
• Assess the severity of consequences. occurrence probabilit ·. n implement hazard . . d ontrol • A_ssess the residual risk. Document the results. g. c ions taken . HIGHLIGHTS OF ANSI/ASSE 2590.3 317
hazards the proper level of acceptable risk can be attained without bringing tog_~ the proper experience and education can reach the proper conclusions of ReacJung · hi · . ·11 d . bl h b . . . . . ual considers obvious, ac evmg consensus 1s stl esrra e, sot at uy-m 1s Ins d · k t A . k . “d hazard analysis an ns ~se~smen proces~. . ns assessment matnx. prov1 es a :e 5 establishing risk levels. A matrix helps in communicating with decision makers on .:k reduction actions to be taken. Also, risk assessment matrices assist in comparing e. Hazard Analysis and Risk Assessment Techniques As a practical matter, having knowledge of three risk assessment concepts will 9· Hierarchy of Controls
m~~gement shall achieve acceptable risk levels by adopting, implementing, and a. Risk avoidance ning systems mtn1strative controls protective equipment 318 “‘THROUGH DESl~N: SECTIONS 5.1.1 TO 5.1.4 OF 210 PREVENTIO, i
Thi . “prevention” standard. Research w~ done to develop a v:i..: . firs ti. to be taken in many hierarc es o con o s, 1d not seem t meaning of prevention. · the
• Elimination means removal; purging; talcing away; to get rid of somethj • Avoidance means to prevent something from happening; keeping aw Designers start with a blank sheet of paper or an empty screen in,a computer. ‘d conceptual, preliminary, and final. In the early design phases, there are not Yet ges. Addendum I includes extensive comments on .each of the elements in the hierarchy. GOALS TO BE ACHIEVED
2590.3 says that insofar as is practicable, the goal shall be to assure that for the • An acceptable risk level is achieved, as defined in this standard. • The probability of personnel making human errors because of design inade- • The ability. of perso~nel ,tq defeat the . work. sys.tern and the work methods • The work processes prescribed take into consideration human factors • Hazards and risks with respect to access and the means for maintenance are at • The need for personal protective equipment is as low as is reasonably practi:~ • Applicable laws, codes, regulations, and standards have been met. GETTING INVOLVED
It is recommended th t c . . hich theY a.red . e premise that addressing hazards and risks m but also PATIENCE AND UNDERSTANDING 319
uctivity and operational_ efficiency. That may be done easier in the rede- O frY to c b’li d al J a ‘ demonstrate your capa i ty, an v ue. w the value you bnng to the discussion. . ~1r a holistic, macro view; include all ·hazard~based subjects if you can. ho do the work have knowle~ge and skill that can contribute to workplace and , Do yow; homework; includ~ alternative solutions al).d costs if that can be done. presume that you are intruding into their territory aµ,d will r~ist your involvement , Do not play down the fact that implementing a new program can be challenging , Study the incident history in the entity to which counsel is being given and that A goal is to achieve buy-in by those who are involved, particularly at the senior PATIENCE AND UNDERSTANDING
~ple~enting the concepts of risk assessment and risk avoidance or reduction in uent, as m the Introduction to his book -Risk Assessment: Challenges an This is an · · · • · ·· hi u· ro ce exciting tlme in risk .assessment. Whether mac · nery ·up me, P – ss_throughput, cost savings -• new ideas for features, patentable innovations, ceptable · k d dri irnpro ns s, the opportunities abound to apply the process an ve requ~e JUSl starting to complete risk assessmen~~ find their first efforts will 320 PREVENTION THAO . trai”ning and become more familiar with the risk a · olved receive . d • k d . ssesstn mv h ards will be identtfie , more ns re uction methods d en1 are learned and expenence 1s game , ns assessment be As lessons . d • . cotn more re nt ~ess to ~come fully integrated into a company. How m he risk assessmen p . b . . uc tun ks Eventually the risk assessment process will become a Part of , not wee . . d . nonna1 For safety professionals who are interested in well-written dissertati~ 11 decisions, Chapter 16 m Risk Assessment: C a enges and Opportunities is rec 1. Leadership is a key and critical factor in successfully implementing and 2. Integrating risk assessment in an organization is a process that generally 3. Engineering design needs to change to include the risk assessment process to 4. Introducing the risk assessment process will explicitly change the design pro- 5· To be effective, the company culture must _be willing to embrace the ri_sk 6 In· d ·al · dusers · m UStri pr~uct or process applications,, fx?th equipment suppliers an ss. 7 • In consumer p d d · &acturer 15 · . ro uct an component product applications, the man 1′ . on uctmg the nsk assessment if• applicable. 0 d in 8 Pr ~nnanc~ wi . actical guidance is h d d ake pro sessment, the time to 1 . racuces; to do 1• • comp ete an assessment leaders m best P 55men1, n cross •industry • tu . • . . • k asse 9. To integrc t~~eks to the method, results of risk assessment, a. nd otherli~k-el” need education and tr . . en_ into the design process, engineers REVIEW OF ACTIVITIES AT NIOSH ON PREVENTION THROUGH DESIGN 321
F ACTIVITIES AT NIOSH ON PREVENTION approved at NIOSH for inclusion in this chapter. , , Prevenational Safety and Health in 2007 to’ eliminate hazards through the Toe first PtD workshop was held in July-2007. Attenclees included representa- In 2010/ the PtD t ole of the •designer/engineer was investigated by -bench- “Prevention through Design: A New Way of Doing Business,” was held in courses co t . . . . highlight d n ammg PtD content. The·se and -other success stones were approved fr t e Amencan Society of Safety Engineers (ASSE) obtained a 322 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF z1o
ASSE 2590.3-th~ stand,ard titled “Preventiqn through Design· 0 . . d . . al . Th entsyste and can be applie IQ any occupation setting. e standard focus _Ill, In 2011, NIOSH met with the US Green Building Council (USGBC) 10 ~OSH repre~~ntatives.met with_ the Con~~ction User’s Roundtable to ide;: In August 2012, PtD -and .. the NIOSH -Nanotechnology .Research Center By the spring of 2013, two additional textbooks were published. A total of93 NIOSH is encouraging research in developing the business case for_ . NIOSH i~ currently developing a systematic Health Hazard Banding :~cals REFEREN9ES 323
d Banding can be used to supplement and support OEL d veloPJllent bhy roicals without . OELs, identifying hazards to evaluated for e for c e ‘di th ‘th ,,idallce ubstitution, prov1 ng e user wi recommendations when S”‘ • n or s e~ . a1data1sav… • . r:,c, d designers. The impact of these tools must be assessed. Most Pts into the curriculum dovetails with ABET objectives to improve student conce d c· · 3 I · PtD · th the learning community. successful PtD practices. In addition to our continued dialog with USGBC and When a root cause analysis uncovers a design-related hazard, the design Policy activities are focused on developing a PtD culture in industry. CONCLUSION
: thro~ h n it 20_ ye8:s ago. There is opportunity here for professional satisfaction utor m support of operational efficiency as well as risk management.
REl=ERENCEs
ANSIJASSE ZS Chr· · es lam IL 18tensen W es, : American Society of Safety Engineers, 2011. e ouncil, 1999. 324 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF 210
“Designing for Safety.” A position paper approved by the board of direct Guidance On The Principles’ Of Safe Design For Work. Canberra, Austral{ . can straJian Sat Johnson, William. ·MORT Safety Assurance Systems. Itasca,· IL: National S Main, •Bruce w.i Risk’ Assessment: Challenges and Opportunities. Ann Arb ‘ TR•Z790.001.’ A Technical1Report on Ptevention ·Through Design. Des Plain , ‘ ,/
., ,’
t •
‘ l’
Adoption of ISO 31,000:2009). The intent of this standard is to pr~n~~
Risk Assessment. c Ion 5.4,
!EC/ISO 31,010:2009). For safety generalists who want an educati” qp~ion of
worth acquiring. It begins with a 15-page dissertation on rI”sk assn ard is
of 31 risk assessment techniques. Reviews of the 31 techniques-ov:~ons
U . I Pr S h d L” · · view se, nputs, ocess, trengt s an Imitat10ns-are provided in Anne 8 • which covers 79 pages. x •
techniques f<:>llows. So~e could be applied only by experienced system safety pro-
fess1onals. But knowledge of a few of them will serve a huge percentage of the needs
of a safety generalist.
B03
BOS
B07
Bll
B13
B15
B17
B19
B21
B23
B25
Delphi
Preliminary Hazard Analysis
Hazard Analysis and Critical Control
Structure-What if Analysis
Business Impact Analysis
Failure Mode Effect Analysis
Event Tree Analysis
Cause-and-Effect Analysis 1
Decision Tree
Bow Tie Analysis .
Sneak Circuit Ana>y~s 1,
Monte Carlo Simulation
B27 FN Curves
B29 Consequence/Probability Matrix
B31 Multi-Criteria Decision Analysis
Interviews
B06 Hazard and Operability Studies
B08 Environmental Risk Assessment
BIO Scenario ~alysis
B 12 Root Cause Analys1s ‘
B 14.” -Fault Tree Analysis
B 16 Cause and Consequence Analysis
B 18 Layer Protection Analysis
B20 Human Reliability Analysis
B22 Reliability Centered Maintenance_
B24 Markov Analysis
B26 Bay~sian Statistics and Bayes Nets
B28 Risk Indices
B’.3b Cost Benefit An’alysis
• What-IfAnalysis
• Checklist Analysis
• ~at-If Checklist Analysis
• Hazard and Operability Analysis . .,
• Failure Mode and Effects Analysis
, Management Oversight and Risk Tree (MORT).
be sufficient to address most, but not all, risk situations. They are Preliminary
Hazard Analysis and Ris~ As,sessment, the What~lf/Checklist Analysis
methods, and Failur~ Mode and Effects Analysis. (p. 23)
standards will be sufficient t~ deal with a huge majority of the ne~ds of Zl 0. Addition.µ
comments on risk assessment techniques appear later ·iµ this ch;ipter in the section
“Recommended Reading.”
assessment process. It is the core of the prevention through design standard. The
following process outline is a recent work, having been approved by the American
National Standards Institute on September 1, 2011. In the standard, the narrative for
each subject is extensive and is recommended reading. Under management direction,
the hazard analysis and risk ‘assessment process follows.
2. Establish the analysis parameters
3. Identify the hazards
4. Consider failure modes
5. Assess the severity of consequences
6. Determine occurrence probability
7. Define initial risk
8. Select and implement hazard avoidance, elimination, reduction and control
9. Assess the residual risk
l 1. Document the results
12. Follow-up on actions taken
g~al. Sometimes, for what an individual considers obvious, achieving consensus is
still desirable, so that buy-in is obtained for the actions taken.
assessment matrices and provide examples. There are many, many van·at· e nsk . · ·· Ions f
matrices, and the definitions of the terms used m them vary greatly. The matn °
• . . x used
them. It is strongly recommended that a smta . e matnx e c~osen because of .
al
A ri_sk assessment matrix_ provid~s ‘ fl inetl)od of catego~zi~~ c~mbinations of
requires that priorities be established i~ thC? apph~ation of its requirements. A matrix
helps in communicating with d~cisiC?n mak~rs on risk reduction actions to be taken.
Also, risk assessment matrices assist in comparing al’!d prioritizing· risks and in
effectively allocating mitigation resources. .
definitions used for occurrence probability and severity and for risk levels in the
risk assessment matrix chosen. Examples of risk assessment matrices are shown in
several chapters in thHr book’. ·
. I I • ,
a risk assessment, the steps to follow were those in the hierarchy of controls. That
subject is covered in Chapter 14 in ~s book. Decision piakers shou_ld understand
that with respect to the six levels of control shown in ZlO’s hierarchy of controls, the
ameliorating actions described in the first, second, and third contro~ levels are more
effective because they:
substitution, and engineering measures ·
• Are less defeatable by unit managers, supervisors, or workers
rely greatly on the performance of personnel for their effectiveness. Inherently, tbeY
are less reliable. ·n
b
to avoid, eliminate, reduce, or control hazards and their associated risks ~u!e
steps higher in the hierarchy before lower steps are considered. A lower step indi g
hierarchy of controls is not to be chosen until practical applications of the pr~ce n a
1 1 1 1 · · · k ·tuauonS, ev~ or. eve s are considered. It 1.s understood that for many ns st ts is
combination of the risk management methods shown in the hierarchy of contro
necessary to achieve acceptable ris,k levels.
10
1
Jeve • n .
or exposure occurring.
exposure occurs .
their costs, in relation to the amount of risk reduction to be achieved.
NOT BEEN WIDELY ADOPTED
cepts beyond the use by the military, aerospace personnel, and nuclear facility
designers. He also bad to recognize that it wasn’t happening. In The Loss Rate
Concept In Safety Engineering, R. L. Browning wrote this:
application and development in exotic programs (mi!;isil~s. aerospace, nuclear
power) and in the academic community, they are seldom met in the domain of
traditional industrial and general safety. (p. 12)
safety, the generalist in the practice of safety seldom adopted system safety concepts.
view that system safety literature and seminars on system safety may have turned
off generalist safety professionals because of the “exotica” they usually presented.
I believe that to be so.
En ~evert_heless, Browning went on to build The Loss Rate Concept In Safety
c~ be engineered at a level considerably below that required by the exotics,
using the mathematical capabilities possessed by average technically minded
persons, together with readily available input data. (p. 13)
he wrote ·his book- was loaded with governmental Jargon, and_ 1t easily repeUecttitne
uninitiated. It made more of the highly complex hazard analysis and risk asse the
techniques requiring extensive knowledge of mathematics and probability s~ment
than it did of concepts and purposes. · – , eory
1 • o tea That is changing. Texts on system safety that are tru Y pnmers and slanted toward h ·
. t e
system safety concepts, it is suggested that they concentrate oh those basics through
which gains can be made in an occupational, environmental, or product design setting
and avoid being repulsed by the more exotic hazard and risk assessment metho-
dologies. Ted Ferry said it well in the Preface he wrote for Richard Stephans’ book
System Safety for the 21st Century:
appreciate the potential value ‘of the systems approa:cli and system safety tech-
niques to general safety’ and health practice. (p. xiii) ·
. r ‘
idea In Safety Management, John V. Grimaldi’and ·RolHn H. Simonds wrote:
established system or subsystem. (p. 287)
subsystem” to identify, analyze, avoid, eliminate, reduce, or control hazards can be
successful in the less complex situations without using elaborate analytical methods.
‘ ‘ · t rest
in system safety concepts, the following reading list is offered, from which selecuons
can be made. ‘
back, published in 2011, is only a 140-page read, ‘yet it covers the system safety su
5Yst;ooo by Joe Stephenson. Stephans followed the advice given to “keep it as
pruner. . a •nto system safety program planning and management and system safety
an ys1
Stephans says:
safety, system safety, environm~ntal safety, industrial hygiene, health;
occupational medicine, fire protecti~n, reliability, maintainability, and quality
assurance
• Managers and planners
• Students and faculty in safety, engineering, and management (p. xv)
difficult to read.
tences are taken from the Preface: “It should be noted from the beginning that it is not
the intention of the Basic Guide to System Safety to provide any level of expertise
beyond that of novice. Those practitioners who desire complete knowledge of the
subject will not be satisfied with the information contained on these pages.”
utilizing system safety concepts and techn,iques as they apply to tht: general
safety arena. In fact the industrial workplace can be viewed as a natural extension
of the past growth experience (?f the system safety discipline .” (p. 5) Vin~oli ful-
filled his purpose. He has written a basic book on system s.afety that willr serve”the
novice well ‘ . ,.
D~fense, serves well as a primer. It is available on the Internet and can ~e downloaded
without charge at http://www.system-safety.org/. Click on 882E in the right-hand
column.
The Federal Aviation Adntinistration’s System Safety Handbook is also ~m the
~;d lO appendices~all individually dow~loadable as a separate PDF file. Enter
go ~h http://www.faa.gov/library/manuaWaviation/dsk_management/ss_handbook/.
go d Loss Rate Concept in Safety Engineering, by R. L. Browning, is a small but
ap 0
°0k that I have referred· to several times . Browning believes that one can int Y sy~tem safety concepts in an industrial setting without necessarily delving
oug q 1. . ua 1tat1ve and quantitative analytical systems.
2 , AND APPENDIX F
Brian Moriarty is a good but more involved book. It provides an extensive revie and
system safety program is given. The descnptions o sever an yt1c techniques
valuable. For the application of some of them, quite a bit of knowledge about ma:~
ematics is necessary.
occupational risk management system, readers are _asked to relate the prpvisions in
210 with what authors in system safety are writing.
process is continuously and unconditionally applied. (p . 2)
of a potential event, based on the event’s gain or loss and the event’s likelihood
of occurrence. Thus, how safe something is becomes a function of the amount
of risk involved. (p. 3) ·
effectively defined as freedom from unacceptable risk. (p. 4)
haps are identified, evaluated and controlled before they occur. Potential mishaps
and their causal factors are · anticipated during the design stage, and then design
safety features are incorporated into the design to control the occurrence of the
potential mishaps-safety is intentionally designed-in and mishaps are designed-
out. This proactive approach to safety involves hazard analysis, risk assessment,
risk mitig_ation through design and testing to verify design results. (p. 7)
tasks are performed in the safest manner possible,’ fr~ from unacceptable ~sk
or ~arm or daD;J-age. This forward-looking process occurs within a working
en~1~~nment w~ere p~ople, operati~g procedures, equipment/hardware, and
fac11It1es all. are mtegr~l factors that ~ay or may not affect the safe and success-
ful completion of the Job of task. (p. i2) ·
and the Hazard Probability . table to. provide an effective tool for approx.iJnaung
accepta~le and unacceptable levels or degrees of risk. Obviously, from a sySteIIlS
standpomt, use of such a matrix facilitates the risk .assessment process. (p. 12)
them through design or redesign changes. (p. 14)
acquisition process when any changes are increasingly more expensive. (p. 22)
concepts can be applied by generalists in the practice of safety to meet the provisions
in Zl0, outline ”The System Safety Idea,” and encourage generalists who have not
adopted system safety concepts to begin the inquiry and education to do so.
safety successes and be more effective in their work through adopting system safety
concepts. Their application in the occupational, environmental, and product safety
settings would result in significant reductions in incidents having adverse effects.
of their titles, is to manage their endeavors with respect to hazards so that the risks
deriving from those hazards are acceptable.
On the Practice of Safety. It has been modified significantly to relate particularly to
the provisions in ZlO.
IL: American Society of Safety Engineers, 2012. Also at https://www.asse.org/cartpage.
php?link=210_2005&utm_source=ASSE+Members&utm_campaign=3677c44444-210_
Standard_Announcement_9 _17 _129 _l 3_2012&utm_medium=email.
Hazards and Risks in Design and Redesign Procttsse~. Des Plaines, IL: American _Society of
Safety Engineers, 2011.
Society of Safety Engineers, 2011.
American Society of Safety Engineers, 2011.
Safety Engineers, 2011.
Leesburg, VA: Bl 1 Standards, Inc., 2010.
Packaging Machinery and Packaging-Related Converting Machinery. Arlington, VA:
Packaging Machinery Manufacturers Institute, 2011.
1980. ‘
London: BSI Group, 2007.
Instructional Module, A Guide for Engineering Educators. Cincinnati, OH: National
Institute for Occupational Safety and Health, 1998.
risk assessment and control. Toronto, Canada: Canadian Standards Association, 2012.
and Risk reduction. G 6neva, Switzerland: International Organization for Standardization,
2010.
Sized Organizations, 2nd ed. Access at http://www.fedcenter.gov/_kd/ltems/actions.
cfm?action=Show&item_id=598&destination=Showltem. Copyright is held by NSF
International Strategic ij.egistrations,. Ltd., Ann Arpor, MI.
bookseUers. , ,
or access at http://www.faa.gov/library/manuals/aviation/risk_management/ss_handbook/.
– Execution. Arlington, YA: Information Technology A_ssociation of America, 2008.
Guidance On The Principles Of Safe Design For Work. Canberra, Australia: Australian Safety
Machine Safety: Prevention of mechanical hazards. (2009). Quebec, Canada: The Institute for
work in Quebec, 2009. Also at www.irsst.qe.ca.en/home.htrnl.
on the Internet and can be downloaded at http://www.system-safety.org/. Click on 882B in
the right-hand column.’
1910.119. Washington, DC, OSHA, 1992.
Roland, Harold E. and Brian ~foriarty. System Safety Engineering and Management, 2nd ed.
“Scope and Funqtions of the Professional Safety Position” brochu;e. Des Plaines, IL. American
Stephans, Richard A. System Safety in the 21st Century. Hoboken, NJ: Wiley, 2004, . d
System Safety Analysis Handbook (for which Warner Talso and Richard A. Stephans provide
Vincoli, Jeffrey W. Basic Guide to System Safety. Hoboken, NJ: Wiley, 1993.
SECTIONS 5.1.1 TO 5.1.4 OF 2
This chapter, and ANSIIAIHA Z590.3-201 l, the Ameri~an National Standard titled
Prevention through Design: Guidelines for Addressing Occupational Hazards and
Risks in Design and Redesign Proce~ses, r~late to several provisions in ZlO: risk
assessment, Section 5.1.1; hierarchy of controls, Section 5.1.2; design requirements,
Section s: 1.3; and procurement, Section 5.1.4. lt 1 also pertains to the prevention of
serious injuries and fatalities. ‘ , ‘ We said earlier that applying. prevention through design principles early ‘in the
design and redesign processes reduces the p<>lential for incidents resulting in serious
harm or damage. In Chapter 3 “Inflovations in Serious Inj?ry and Fatality Prevention”,
presented “A Socio-Technicaf Model for Ari Operational Risk Management System”
pnnctples are offered in support of the premise that prevention ·through design should
have such importance. ·,
or controlled in the clesign and redesign ·pro_cesses. .
· Hazard analysis i the most iinportant safety process in that, if it fails, all other
3. Risk 885\’ssment should be the comerst~n~ of an operational risk management
© 201
Jo •tt on .. Fred A. Manuele. · ho Wiley & Sons, Inc. Published 2014 by John Wiley & Sons, Inc. 309
upstream ht the design
concepts l_=_J L.:::_j
design
maintenance
‘ •proc’:5s, prod,~c~, and faci~ity design.
Ease of safety
~lementation
, l ..
‘ specifications are develop~ that are applied in th~ _procurement process so~
potential for serious injuries is reduced ~ready. , . ‘
5. The entirety ofpprpose of th~ p~rsoni:iel re~pon~1ble for safety, re~ardless of
ris~ deriving from those hazar~s .are ac~eptaQle. . . .
applied sequentially in the risk avoidanc~, elimi~ation, reduction, and control
endeavors.
tliat hazard analysis is the most important safety process: Since all, risks ~nan
operational setting derive from hazards and s1nce the intent of an operauo~al
risk management system is to achie~e acceptable risk ·levels, it follows that nsk
assessment should be the cornerstone of an ·operational risk’ manageme?t syS!e_mk
The·core of prevention through design is hazard ·identification and an·alySrs allrl ns
assessment. ed
upstream in the design process. The intent is to have hazards and risks dealt wr the
th . · from e conceptual and design steps but that requires unattainable perfecoon . and
maintenance steps, for which redesign is necessary in a retrofitting process .
P
riv1 h . h . s an ar .
Jt ~111 In this chapter; we. . , . , -~· . . de a history of the safety through design/prevention through design movement.
• :::::Odard to all h~~ds-b~e~ init~atives: environ~ental controls, product
siuetY, •
and so on. . ..
thfOUgh design concepts ar~ 1m?lemented w~thin an operation~ risk management
, Encourage safety. professionals to bC?come involved in prevention through
the organizations to which they give counsel. . ·
investigation reports for occupational injuries and illne.sses that design cau~al factors
were not addressed adequately. For example, a study made by this author at that time
indicated that although there were implications of workplace and work method
design inadequacies in over 35% percent of the· investigation reports analyzed, the
corrective actions proposed did not relate to the design implications. That study is
supported by a later analysis made in Australia. · · ·
ments are made on the “contribution that the design of machinery and equipnienrhas
on the incidence of fatalities and injuries 1.n Australia.”
design-related issues involved. Design c’ontributes to a(least -30% of work-
related serious nonfatal injuries·. (p. 6) • ·· i · · ·
:~ to develop their own supportive data on incidents in which-design shortcomings
;
1
identified. That initiative should be followed by a major effort to have Z590.3-
I 1 be accepted as a design guide. · ·
uately · a£ . . terns t . in s et_y-r~lated literature, and that the safety and health management s~s-
c ures .
nnaco · · ‘d fh · llllnittee to study the feasibility of the Council promotmg the 1 ea o avmg
outcome was that the NSC established The Institute For ,Safet;~ess, In 1
9
.
9s, th
established by the advisory comnuttee: lnis 1s the _enteq ‘ ttJiss· · ion
decisio~s affecting safety, health, and the environment in : by :integrati
design process. · 8 of the
through design was used 1s contamed m its defirution: · . _term ~afety
The integration of hazard analysts and nsk assessment methods .
injury or damage are at an acceptable level. · , nsks of
would be obtained by applying safety through design concepts: mg enefits
• Decreased operating costs·
• Significant risk reduction
• Avoi~ce of expensive ~etrofitting • L
Two groups were identified by the Institute, tQ be given _primary !lttention:
were held; proceedings were issued; presentations were made at safety conferences;
and book entitled Saf~ty Through Design .w~s. publishecl. Operations of the In_s~tute
were ~scontinued in ~005, ,in ac<.:ord w)th a previously establisped sunset provtswn.
Through Design, and others, received an e-mail from an executive at the Nauo~ · · auon
!°5ti~~ Occupatioqal _Safety and Health (NIOSH) encouragi~g our P~::shop
ID an 1rutiative for Preyent1on. through Design. In July 2007, NIOSH held a te 8
. . . . . . . u·ve to crea
sustainable national strategy for Prev~ntion through Design. . of the
NIOSH initiative could be “transfonn’ative ” meaning that a fi,mdamental stb Jtigher
and more effective decision levels in the hierarchy of controls. “Devel0P
0
d .
1 volunteere.~as obtained from the Standards Development Committee at the
J\lllerican t for the learning experience .. that wo~ld provide. So TR-Z790.001,
repOrt j·Report on Prevention Through Design, was issued in 2009. .
A fech;:~ember 1, 2011, theAmeric.~ National ,Standard~ Institµte (ANSI)approved
the stan .
Occupatfonµl Hazards and Risks ir,, _the Design and Redesign Processes. :
th ‘Ibus, the focus of Z590.3 is work-related. But, by intent, the terminology in t9() 3 was kept broad enough so thatthe guidelines could be applicable to all hazards-baSed fields: product safety, environrnental ;cqntrol,’ property damage that -could result
:sign is work~related and identical;with .th~,.t in _the NIOSH literature. 1
fue,{lesign ffll.9 redesign process to. preve_nt or _mini.quie th.e work-related hazards
and risks, associated with the construction, manufacture, use, maintenance,
retrofitting, and disposal of facilities, processes, materials, and· equipment.
in concert·with the ASSE Position Paper ,on Designing •for Safety approved by its
board of directors in 1994,. the: opening paragraph of which follows.
eq_uipmen~ a.n’d qperatio.ns (pupµc, and private) to c~nserve hum~ and natµral
resources, and thereby protect people, property and the environrn~nt. DPS advo-
Cfltes .systelll:~!ic proces& to ens~e st~te-of-t.Qe:-¥1 engineering and µianagement
principles are used and incorporated into the design of facilities and overall
environment and compliance ,w,ith ~urrent cpd.es and standards.
!tis n · · ·. ·. . , · ‘ · · ‘· · · i: · . • •
In so!~ ~YJntention here to duplic~te the Z590_.,3 ,st,andfd; only hig~hght_s are given.
the instances, number or lett~r designatiO:ns may riot be e_xactly the same as in
and :ta.nd~d. It is expected that safety professionals who b~co’me involved in design
system. ~sign. concepts within an occupational safety and health management
a h” b redesj th ork Premises tools, equipment, mac mery, su stances, and Work &n of ew , . Proc
reuse. This standard provides guidance fo~ a hfe-cycle assessment and desi~0sa1 or
that balances environmental and occupational sa[ety and health goals ov ill0de1
span of a facility, process, or product. l!C . er the 1:,
11,e a,oidance, elimination, reduction, or “‘.’•trol of occupational safety .. ~~Yto
hazards and risks in the design and redesign processes, this important ext ~th
follows the purpose statement.
nesses can also result in damag~ to prol”:rty and .business i?te~ption, and darn~e
to the environment. Reference 1s made m several places m this standard to those
additional loss potentials which may require evaluation and resultant action . .
it relates directly to all of the four major stages of occupational risk management. ‘
and construction processes, where the opportunities are greatest and the costs
are lowest for hazard and risk .avoidance, elimination, reduction; or control.
mitigation actions are taken throµgh redesign initiatives or changes in work
methods before incidents or exposures occur.
to determine the causal factors that will lead to appropriate interventions and acceptable risk levels.
operations are undertaken:
c. Reduce the cost of retrofitting necessary to mitigate hazards and risks
at were
progress10n of occupational hygiene issues flow.
tain to the purpose of the standard are listed.
315
defilll
d’ · · al al · . e Y commenters fbe of the standar s pnnc1p go s ts to achieve acce’ptaole risk 1 1 thr .
out the es · . · . a goa only are
listed here.
a. c th •·t f h . .• d . . exposure
sonably practicable (ALA ) m the settmg bemg considered. ,
lowered further only by an increase m resource experlditu,re ‘that is dispropor-
tionate in relation to the resulting decrease ip ‘risk ‘ ‘ ,,. \’ . ‘ I
Note : Hazards include all aspects of technology and activity that produce
risk. Hazards include the characteristics of things (e.g., equipment, tech-
nology, processes, dusts, fibers, gases, matetjals? ~henµcals) ~d th.e .. actions
or inactions of people.
reducing, and coritr~lling risks, considering steps fo ”a ranked and sequenti.al
order, beginning with’ avoidance, elimination.’, and substitution. . .
that could result in harm or damage for a selected unit of time, events,
population, ite~~. or,. activiJ~ ~.eJng CQnsidered. , ;
f. Residual risk. The risk remaining aftei: risk r~duction measures have been
‘. f • • ‘ J . i , : • > ‘ ‘, , • •, I > ‘ ; , • ‘ ‘ > :
occurring and the severity of harm or damage that could result.
1
result from a hazard-related incident or exposure
• Roles and Reaponslbllltles
1
tam e ec ~ive
ns · ·, 1 t bl nsk levels 1n . ‘ assess risks; apply the hierarchy of controls to achieve accep e ·
· ote: 1’he processes of identifying and analyzing hazards • nd assesf.:;8 ns
ltnpr~ve if management establishes a culture where ·emplo7e~ know ge an f
expene . 1 b t . s1gmficant aspects o th nee Is valued and respected and they col .a ora e,Ul · · al bl
contrib . an redesign activities. Employees w O • • k · ssments and in
p ~hons in identifying and evaluating hazardS, m ns asse ‘
roposing risk reduction measures.
ECTIONS 5.1.1 TO 5.1.4 OF Z10
5 Relations W . were received that commenters wa • gesuons · . th ntect h apparent as sug . ·b . ging hazards mto e workplace ‘l’L elp i
It became avoid nn t th . … nat h I n . procedures . to . di cussions and arrangemen s at organizati e p ls creaung . The s th -6 th ons sh ‘ded in this section. , . i d guidance on e spec1 cs at should b . ou1d
prov1 ith suppliers are outime d ans recommended and the related addendu e expected
hfav~pwpliers is provided. PrOCe •~ments in ZlO. Addendum C provides prrn Pertains
0 S urement reqi.iµv ‘th li . , , 0Cllren,
directly to the proc · . . · aking arrangements w1 supp ers. ••1en1 . to assist m m . d th . guidelines. that are . . . this section recommen s at supp hers of, eq .
1
dn m’ aterials provide documentation establishing thuiprnent,
assessment has ~?- ·achieved. . , y the . aruzauon has been ., . .
procunng org . I ample of ‘a basic risk assessment report that can be u·
a guide for that purpo~e. ,· t. . ,
I ‘
tinuum. In addition, a formal design safety review proc~dur~ should be put in.place.
This section is supported by ~ddendum E, a safety desi~1,1 revi~w guide: Chapter 15
of this book is devoted entirely to design reviews. ·
This is the longest section in the stand~d. First, an outlin~ of the hazard analysis and
risk assessment process is given. Th~t is followed by the “how” for each element in the
outline. The tiutline follows .’ · · 1 · • • • • ‘ · ·
• Select.a risk ~sessmeQt matrix.
• Establish the analysis -~ar~~ters.
• Identify the hazards.
• Deternu·ne .
• Define initiaf risk. y . .
• Select ·a d · , ·
methods. avoidance, elimination, reduction, an .. c
• Risk acceptance d . .
• ec1s1on makin
• Follow-up on a t·
for JJJanY ther complex teams of people. Safety and health professionals and design
engineers V:1 t 5 acceptable risk. For more complex risk situations, management should
wbatc00stJtue: in place to seek the counsel of experienced personnel who are partic-
have pro~!~: in risk assessment for the category of the situation being considered.
uJarlY ski_ group consensus is a highly desirable goal. Sometimes, for what an
1ndi~1~ for the actions taken. Addenda A and B serve as examples of suggested
obtaln h s to the risk assessment processes.
appro_acs;ongly urged that an appropriate risk assessment matrix be selected for the
thod to categorize combmatlons of probab1hty of occurrence and seventy of harm,
~d prioritizing risks, and in effectively allocating mitigation resources. Addendum F
provides several examples of risk assessment matrices and descriptions of terms to
serve as a base for an organization to develop a matrix suitable for its operations.
Top management shall adopt and apply the hazard analysis and risk assessment tech-
niques suitable to the organization’s needs and provide the training necessary to
employees who will be involved in the process. Descriptions of eight selected tech-
niques are presented in Addendum G. Addendum H is a failure mode and effects
analysis form.
be sufficient to address most, but not all, risk situations: preliminary hazard analysis
and risk assessment, what-if/checklist analysis methods, and failure mod~ and effects
analysis. .
p atntaining a process to avoid, eliminate, reduce, and control hazards.and risks. The
rocess shall be based on the hierarchy of controls outlined in this standard, which is:
b. Elilllination
c. Substitution
d. Engin · eermg controls
e. War ·
f. A.ct . .
g. Personal .
. s 1s a th . f .. r ,, E -•ation .
hierarchy of controls to adapt to e_ meanhit~g of pretrveln tdo~. linunation Whi1_n the
6
, ch is the t ac on . o t With
eliminate, there has to. be something in place to rempve. . ng. 1o
. avemng. ,
. . “d h d . ai ed design system. Designers have ,opportumttes to av?• azar s tn all design sta .
hazards to be eliminated, reduced,. or controlled, so .av.oidance is a better match r:!
hierarchy of controls for a prevention standard.
Addendum J is the Bibliography. ,
design selected:
< ' ' • I t ' '
quacies is as. low as is reasonably practi,cable. .
prescf!bed is as low as is r~asonably pr~ticable.
( ergonomics )-the capabilities and limitations of the work population.
as low as is reasonably practical. ” ‘
1
‘ d ‘d · · · · t for uu an at IS1)rov1ded for its use where it is necessary (e.g., anchor pom s protection).
• Any r · ed d • ‘dered. ecogmz co e of practice, internal or external, has been const
. a saiety professionals use actual cases· m w · nan tnvolved to support th • . the des1g
redesign processes will result not only in achieving acceptable risk levels
higber prod I say to safety professionals: , JV rocess,
5ignP • . .
nvince designers to. allow you to work with them on a proiect so th t
you can . . . ,
, ShO ‘d . . d . When teams are consi ermg a given es1gn or redesign situation, try to
‘ courage input from all present who have knowledge of the process.
‘l!U’e . , ‘frY to involve operations personnel at al~ levels. Assume respectfully that those
:ork method redesign and encourage their input. . . ·
, Understand . that you are proposing a culture change-that designers may
to maintain their territorial prerogative.
and frustrating. Be patient. Utilize change management concepts. Be a good
listener. Be open to comment and criticism.
of its industry for support data showing that design shortcomings were among
the contributing factors for incidents t\lat have occurred.
executive level. Training programs should be consid.ered for th~,value tq.ey provide.
Also, ask if it will be advantageous in a particular situation, for a prevention through
design system to be written. ,
, e des1gn and redesign proce~ses is a long-term effort. On that point, Bruce Main
is eloq · . d
0
PPortunities, reproduced here with his permission. . ·
Or
sun 1 •· · ‘th ac P Y documenting that a company makes really good products wi
‘1’L ve~ents. The opportunities exist because risk assessment works.
1ue n k · that .8 assessment process is a .journey rather, than an event. Comparu~s
ire more ti’ · 1 &e A nnel . m~ anq •wjll. be less complete than later euorts. s perso
UGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF z10
process, ?1kore az ment process will improve and hasten in pace. epioYed and the ns assess . . . d . k
fi ed However some ttme an expenence is required for th es
depends on the company and its crrcumstances, u~ it typically takes rnonthse
business procedures. Until then, ip~ustry nee s time to fully and fortnally
implement these concepts (Introduction).
” f · k t h non “Implementing and D~plo~.ment o a ns ashses
s men system t at affects all design
mended. Bruce Main has given permission to duplicate the following key Points 0:;
of which should be considered in relation to procedures in place and the culture of an
organiz.ation.
deploying the risk assessment process.
follows a sequence of phases. (Three frameworks are discussed.)
more effectively move safety into design. Only by changing the design process
will risk assessment efforts succeed.
cess, allowing hazards ‘to be identified and risk reduction methods to be incor-
porated early in the design process. As with any new process or substantial
change, people may resist.
assessment process, and cultural acceptance stems from management leadership,
should perform nsk assessments and be jnvolved in the risk assessment proee .
0
responsible for c d • . . Pr duct users
I
~;;ally have ~o risk assessment responsibilitie~ beyond using the pro uc
th the product information. . gress
in the risk s are to help companies get started an rn toP risk
·as asses~ment process. Topics addressed include: when 10. s what
making h si ations, when to revise an existing ns
a e ns assessm t · . will ‘
aming on nsk assessment in some form. (p. 230)
Rev1euWG~ DESIGN . . . ~flO , n . , . ,
f k I is the coordinator of preventibn though design at NIOSH. ·Z590.3
painela flee .:; if personnel at NIOSH had not concluded that orie of its goals ,was to
would not eJUntion through Design (PtD) standard. Heckel was asked to provide a
have 8 rre;ethe relative activities at NIOSH ‘. which are ·extensive. This is what was
wntten .• . .
tion , through Design (PtD) was initiated · by the National Institute for
occup f ‘f1 ·1· . 1 . d d d . gn and redesign o · act tties, processes, too s, equtpment, pro ucts, an
;:iorgahlzation of work.’ Strategic partners included the American Industrial
Hygiene Association (AIHA), the. _American ~ociety of Safety Eng~~:ers
(ASSE), CPWR.:.,_ The Center for Construction · Research and_ Trammg,
Kaiser Permanente, Liberty Mutual, the National Safety Council (NSC), the
Occupational Safety ‘and Health Administratiori (OSHA), ORC World-wide,
and the Regenstrief Center for Healthcare Engineering. · . -· ·
tives from industry, labor, government, and academia. Proceedings were published
in 2008 in a dedicated· issue of the Journal of Safety Research. A PtD’ Council
was· formed to guide the new • initiative. Council members were specialists in
occupational ·safety and health and arranged strategic goals around the themes of
Research, Education, Practice, and , Policy; The Plan for the National Initiative
(http://www.cdc:gov/niosh/docs/20H-12l/) was publishedin 2009.
marking PtD regulations of designers in the• construction industry in the United
Kingdom (UK) to further understand the potential impacts and opportunities for
implementation of the PtD concept in the US. · The Education and Information
Division of NIOSH coordinated a workshop, titled “Making Green Jobs Safe,”
~hich developed 48 compelling activities· for including worker ·safety and health
~to green jobs and sustainable design. A summary of the workshop was published
inZOll : http://www.cdc.gov/niosh/docs/2011-201/pdfs/2011-201 ‘ ‘ •
~:~st !0l 1, included supportive business leaders, noted safety experts, and
or u~c researchers. At this stage, PtD concepts were included in 12 drafts
peep t~hed consensus standards. 1Two booklets, three textbooks, and 50
ate~·:ev~ewed papers had been published. Four case studies had been cre-
learne~ fr:monstrate t?e business value of PtD. ‘ Prese~ters_ shared lessons
Bil’lnih h ma Masters-level degree program at the University of Alabama-
offeredg am and a PtD course at Virginia · Tech. Half a dozen universities
I e at the conference · n 2011 h . . · . . .
om the American National Standards Institute (ANSI) for ANSI/
for Addressing Occupational _Hazar~s and Ris_ks in Design ~d : 1deU?es
Processes.” This standard provides gwdance on mcluding Prevent’ ~design
Design concepts within an pccupational safety and health manage~on through
cally on the avoidance, elimination,,reduction, and control of occupatioes~J>ecifi.
and health hazards and risks ii! the design process. n ,Safety
to collaborate on the inclusion of worker health and safety into Leade’ ?~
Energy and Environmental Design (LEED) credits for certification. ~s 2[ 1
tify opportumties f~r collaboration: Additional emphasis was placed on the
development of business case. studies. Three papers summarizing the 20l 1
conference presentations in the areas of practice, p.olicy, and research we
p_ublished in the January 2013 issue of Professional Safety. Three mo;:
were published in the Marcb 2013 issue, including one focused on business
value, one pertftining to OSH management system~. and the third, education.
PtD has been the topic_ at more tban 55 , professional development courses,
webinars, and roundtable.presentations since 2008.
(NTRC) collaboratecj with the State University New-York at Albany, College
of Nanos.cale Science & Engineering, to hold a Safe NanQ-Design workshop.
The purpose was to discuss the value pf. applying .PtD to safely synthesize
engineered nanoparticles and safely .commercialize nano-enabled products,
Applying PtD concepts in organizations handling engineered nanomaterials
assures that worker health and safety is considered at each step in the supply
chain, resulting in sustainable health and safety performance.
first generation publications were cited by 721 second generation public~tions,
Fifteen consensus standards containing PtD concepts have been publish_ed.
More than two dozen universities have expressed interest in the PtD Education
Modules for existing undergraduate classes. The first to be published was tbe
Architectural Design and Construction Instructor’s Manual (http://www.cdc.
gov/niosh/docs/2013-133). PtD
The focus is now on developing the process and related tools for de~ernu~:f
business value. Areas of interest include the methods to measure the impac
PtD concepts on actually reducing injury and illness. . roach
to assist safety and .health professionals in providing guidance for~ ~azard
without authoritative occupational exposure limits (OELs). The NIOS d can be
Banding process can be used with limited information and resources 8;ety spe·
performed quickly by in-house industrial hygienists and health and s pational
cialists. The outcome of the Health Hazard Banding process is an occu
exposure band (OEB).
geaitb I-lazal” facilitating a more rapid evaluation of health risks, providing
1:Jlljnatt0 . ,.,lable andatoolforthedevelopmentqfNIOSHRecommended
(llJniJll Lunits, . .
~p05ure . ctivities focus on-providing educational materials for students r,,1ucation a . . •
engine:• :ngineering students. ha:e Uttl~ practical experience wit:4 hazarli
grad~a · n risk assessment, and nsk avoidance or control methods. NIOSH
‘d nuficauo • . . h ed’ . .
1 e ki’ with ABET, the orgamzation t at acer its engmeenng and tech-. wor ng 1 • is urricula, to encourage facu ty to consider the safety and health of
nologytscand staff during the discovery phase of cutting-edge research.
stu:re are several areas where the incorporation of Prevention through Design
1 omes, specifically un er ntenon c. ncorporating concepts mto e OU c . . . “- c l d curriculum shows a comm1tment to continuous improvement uom 1acu ty an
Practice activities focus on stakeholder ability to access, share, and apply
CURf, NIOSH is collaborating with industry to identify Best Practices so
these can be front loaded into the Capital Design Process.
solution should be documented for future reference during the conceptual
design phase of similar facilities or equipment.
Including PtD into consensus standards is the first step in the development of
a PtD culture.
1
:m~nt of safety professionals in the design processes is hugely more extensive
COntrit P~•cipation m the design processes and for being perceived as a valued
Guidelines fi 90-3-20l 1. American National Standard, Prevention through Design:
Processes DorpAd~ressing Occupational Hazards and Risks in Design and Redesign
Nar ‘ ayne C and F 10nat Sat ty C · red A. Manuele, Editors. Safety Through Design. Itasca, IL:
Society of Safety Engineers, Des Plaines, 11, 1994. · ors, of the Arnen
and Compensation Council,’an entity of the Australian government, 2~tu
I , , · . , ety
1980. (Also published by Marcel Dekker, New York.) afety Couneil
Safety Engineering, Inc., 2012. · · or, MI: Design
Society of Safety Engineers, 2009. . es, D…. Arnencan
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