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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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UNIT x STUDY GUIDE

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
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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[.
Adoption of ISO 31,000:2009). The intent of this standard is to pr~n~~

· · Th d t ak · k · · n any hi.. organizaUon. e nee o m e ns assessments Is mtroduced in Se f ·Jpe of
Risk Assessment. c Ion 5.4,

ANSI/ASSE Z 690.3-2011. Risk Assessment Techniqut;s (N_ational Ad .
!EC/ISO 31,010:2009). For safety generalists who want an educati” qp~ion of

d h d d . on 1n risk assessment concepts an met o s an a ready reference, this sta d .
worth acquiring. It begins with a 15-page dissertation on rI”sk assn ard is

· · essrne concepts and methods. In fiv~ pages, Appendix A provides brief comp . nt
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 •

ANSI/ ASSE Z 690.3-2011 is a valuable resource. A list of the 31 risk assessment
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.

BOl
B03
BOS
B07

B09
Bll
B13
B15
B17
B19
B21
B23
B25

Brainstorming
Delphi
Preliminary Hazard Analysis
Hazard Analysis and Critical Control

Points
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

I
B27 FN Curves
B29 Consequence/Probability Matrix
B31 Multi-Criteria Decision Analysis

B02 Structured or Semi-Structured
Interviews

B04 Checklists
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

f. . , . ‘

In ANSI/ ASSE 2590.3-2011, th~ Prevention through Design standard, Addeo

• Preliminary Hazard Analysis
• What-IfAnalysis
• Checklist Analysis
• ~at-If Checklist Analysis
• Hazard and Operability Analysis . .,
• Failure Mode and Effects Analysis

THE HAZARD ANALYSIS AND RISK ASSESSMENT PROCESS

, Fault Tree Analysis
, Management Oversight and Risk Tree (MORT).

I ‘

It was also said in Z590.3 that:

333

As a practical matter, having knowledge of three risk assessment concepts will
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)

Having knowledg~ ~d capability with re~pect to ·.the above-mentioned three
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.”

[ ‘

THE HAZARD ANALYSIS AND RISK ASSESSMENT PROCESS

Section 7 in ANSI/ASSE Z590.3 is devoted to the hazard analysis and risk
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.

1. Select a risk assessment matrix
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

methods
9. Assess the residual risk

10. Risk acceptance decision making
l 1. Document the results
12. Follow-up on actions taken

Reaching group consensus in the risk assessment process is a highly desirable
g~al. Sometimes, for what an individual considers obvious, achieving consensus is
still desirable, so that buy-in is obtained for the actions taken.

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 .
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 °

d
• . . x used

should be the one that management l!lll users m an organization decide is b . – . bl . b . est for
them. It is strongly recommended that a smta . e matnx e c~osen because of .
al

. . k d . . aki ‘ Its v ue m ns ec1s1on m ng. . ..
A ri_sk assessment matrix_ provid~s ‘ fl inetl)od of catego~zi~~ c~mbinations of

probability of occurrence and seventy of h~, th_us est~bhshing nsk levels. 210
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. .

All personnel involved in the risk assessment processes must understand the
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’. ·

THE HIERARCHY OF CONTROLS
. I I • ,

It was said in the “The System Safety IC,ea” .-t~at if risk reduction was necessary after
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:

• Are preventive actions that eliminate or reduce risk by design, elimination,
substitution, and engineering measures ·

• Rely the least on human behavior-the performance of personnel
• Are less defeatable by unit managers, supervisors, or workers

Actions described in the fourth, fifth, and sixth levels are contingent actions and
rely greatly on the performance of personnel for their effectiveness. Inherently, tbeY
are less reliable. ·n

In applying the hierarchy of controls, the expectation is that consideration wdi
b

. h · · ·11 be ma e e given to eac step m descendmg order, and that reasonable attempts WI h
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.

WHY SYSTEM SAFETY CONCEPTS HAVE NOT BEEN WIDELY ADOPTED 335

plying the hierarchy of controls, the outcome should be an acceptable risk
10
1

~p achieving that goal, the following should be taken into consideration.
Jeve • n .

, Avoiding, elimina~ng, or reducing the probability of a hazard-related incident
or exposure occurring.

, Reducing the severity of harm or damage that may result if an incident or
exposure occurs .

• The feasibility and effectiveness of the risk reduction measures to be taken, and
their costs, in relation to the amount of risk reduction to be achieved.

, All of the requirements of ZlO.

WHY SYSTEM SAFETY CONCEPTS HAVE
NOT BEEN WIDELY ADOPTED

At least one other author expected a more widespread adoption of system safety con-
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:

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
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)

Although there were countless seminars· and a proliferation of papers on system
safety, the generalist in the practice of safety seldom adopted system safety concepts.

response to his owQ question-Why this rejection?-Browning expressed the
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

gmeenng on system safety concepts. He also gave this encouragement:

We have found through practical experience that industrial and general 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)

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 .
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

Some system safety literature did, and still does, give the appearance of ex t’
1 • o tea That is changing. Texts on system safety that are tru Y pnmers and slanted toward h ·

h
. t e

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
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:

Professional credentials or experience in “system safety” are not required to
appreciate the potential value ‘of the systems approa:cli and system safety tech-
niques to general safety’ and health practice. (p. xiii) ·

To paraphrase Browning:All hazards-related incidents result from interactions of
. r ‘

elements in a system. Therefore, all safety is system safety. Therein lies an important
idea In Safety Management, John V. Grimaldi’and ·RolHn H. Simonds wrote:

A reference to system analysis may merely imply an orderly examination of an
established system or subsystem. (p. 287)

Applying system safety as “an orderly examination of an established system or
subsystem” to identify, analyze, avoid, eliminate, reduce, or control hazards can be
successful in the less complex situations without using elaborate analytical methods.

Repeating for emphasis: Applying the fund~entals of system safety can meet a
‘ ‘ · t rest

huge percentage of the provisions of ZlO. For safety generalists who take an in~
in system safety concepts, the following reading list is offered, from which selecuons
can be made. ‘

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
back, published in 2011, is only a 140-page read, ‘yet it covers the system safety su

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
5Yst;ooo by Joe Stephenson. Stephans followed the advice given to “keep it as

Safe~ ,, The book begins with a history of system safe ty. Then the author
pruner. . a •nto system safety program planning and management and system safety

moalves_st techniques. About half of the book is devoted to those techniques.
an ys1
Stephans says:

‘fhis book is specifically written for:

• safety professionals, including people in industrial and occupational
safety, system safety, environm~ntal safety, industrial hygiene, health;
occupational medicine, fire protecti~n, reliability, maintainability, and quality
assurance

• Engineers, especially design engineers and architects
• Managers and planners
• Students and faculty in safety, engineering, and management (p. xv)

‘ A safety generalist w1;mld find this book to be a valuable source and not too
difficult to read.

Basic Guide to System Safety was written by Jeffrey W. Vincoli. These two sen-
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.”

Vincoli also says·: “The primary foc’ils pf this text shall be the advantages of
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 ‘ . ,.

MIL-STD-882E, Standard Practice for System Safety, issued by the Department of
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.

1
The Federal Aviation Adntinistration’s System Safety Handbook is also ~m the

ntemet as a free download. This is really a training manual. There, are 17 chapters
~;d lO appendices~all individually dow~loadable as a separate PDF file. Enter

ederal Aviation Administration System Safety.Handbook” into a search.Engine, or
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

1
°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

thro exhotic mathematics. He builds on “The Energy Cause Concept”, and works
oug q 1. . ua 1tat1ve and quantitative analytical systems.

r

338 A PRIMER ON SYSTEM SAFETY: SECTIONS 4.0, 4.2, 5.1.1, 5. 1.
2 , AND APPENDIX F

System Safety Engineering and Management, 2nd ed., by Harold E. Roland
Brian Moriarty is a good but more involved book. It provides an extensive revie and

· 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
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.

PROGRESS REVIEW

For an assessment of how system safe~y principle~ relate _to the requireme~ts for an
occupational risk management system, readers are _asked to relate the prpvisions in
210 with what authors in system safety are writing.

Clifton Ericson in System Safety P~mer:

A known and acceptable level of safety can be achieved when the system safety
process is continuously and unconditionally applied. (p . 2)

Relative safeness is calculated by the metric of risk. Risk is the estimated value
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) ·

1

Since 100% freedom from hazards and risk is not possible, safety is more
effectively defined as freedom from unacceptable risk. (p. 4)

System safety is a form of preemptive forensic engineering, whereby potential mis-
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)

Jeffrey ViJ,1coli in Basic Guide to Syi tem Safety:

The process of system safety revolves around a desire to ensure that jobs or
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) ·

The Hazard Risk Matrix incorporates the elements of the Hazard Se:verity ta?le
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)

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
them through design or redesign changes. (p. 14)

Design and build safety into a system rather than modifying the system later in the
acquisition process when any changes are increasingly more expensive. (p. 22)

CONCLUSION

The principal intent in this chapter is to establish that fundamental system safety
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.

I sincerely believe that generalists in the practice of safety can learn from system
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.

In summation: The entirety of purpose of those responsible for safety, regardless
of their titles, is to manage their endeavors with respect to hazards so that the risks
deriving from those hazards are acceptable.

Note: The substance of this chapter appears in the fourth edition of my book
On the Practice of Safety. It has been modified significantly to relate particularly to
the provisions in ZlO.

REFERENCES

ANSI/AIHA 210-2012. Occupational Health and Safety Management Systems. Des Plaines,
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.

• • I

ANSI/ ASSE 2590.3-2011. Prevention through Design: Guidelines for Addressing Occupational
Hazards and Risks in Design and Redesign Procttsse~. Des Plaines, IL: American _Society of
Safety Engineers, 2011.

ANSI/ASSE 2690.1-2011. ‘Vocabulary for Risk Management. Des Plaines, IL: American
Society of Safety Engineers, 2011.

ANSIIASSE 2690.2-2011. Risk Management Principles and Guidelines. Des Plaines, IL:
American Society of Safety Engineers, 2011.

ANSIJASSE 2690.3. Risk Assessment Techniques. Des Plaines, IL: American Society of
Safety Engineers, 2011.

ANSI B 11.0-2010. Safety of Machinery-General Safety Requirements and Risk Assessments.
Leesburg, VA: Bl 1 Standards, Inc., 2010.

ANSIIPMMI Bl55.1-2011. American National Standard for Safety Requirements for
Packaging Machinery and Packaging-Related Converting Machinery. Arlington, VA:
Packaging Machinery Manufacturers Institute, 2011.

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
1980. ‘

BS OHSAS 18001 :2007: Occupational health and safety management systems-Requirements.
London: BSI Group, 2007.

Clements, P.L. and Rodney J . Simmons. System Safety and Risk Management, NIOSH
Instructional Module, A Guide for Engineering Educators. Cincinnati, OH: National
Institute for Occupational Safety and Health, 1998.

CSA Z1002-12. Occupational health and safety-Hazard identification and elimination and
risk assessment and control. Toronto, Canada: Canadian Standards Association, 2012.

EN ISO 12100-2010. Safety of Machinery-General principles for Design. Risk assessment
and Risk reduction. G 6neva, Switzerland: International Organization for Standardization,
2010.

Environmental Management Systems: An Implementation Guide for Small and Medium-
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.

Ericson, Clifton A. II. System Safety Primer. Self-published, 2011. Available through Internet
bookseUers. , ,

Federal Aviation Administration System Safety [Jandbook. Enter the title into a search engine,
or access at http://www.faa.gov/library/manuals/aviation/risk_management/ss_handbook/.

GEIA-STD-0010-2008. Standard Best Practices for System Safety Program Development and
– Execution. Arlington, YA: Information Technology A_ssociation of America, 2008.

Grimaldi, John V. and Rollin H. .Simonds. Safety Management. Homewood, IL: Irwin, 1989.
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. (2009). Quebec, Canada: The Institute for

research for safety and security at work and The Commission for safety and security at
work in Quebec, 2009. Also at www.irsst.qe.ca.en/home.htrnl.

MIL-STD-882E. Department of Defenses $tandard P~actice System Safety, 2012. It is ‘available
on the Internet and can be downloaded at http://www.system-safety.org/. Click on 882B in
the right-hand column.’

OSHA’s Rule for Process Safety Management of Highly ·Hazardous Chemicals, 29 CFR
1910.119. Washington, DC, OSHA, 1992.

Risk Assessment. The Europelin Union, 2008. http://osha.europa.eW:en/topics/riskassessment.
Roland, Harold E. and Brian ~foriarty. System Safety Engineering and Management, 2nd ed.

Hoboken, NJ: Wiley, 1990. ‘ i · •
“Scope and Funqtions of the Professional Safety Position” brochu;e. Des Plaines, IL. American

Society of Safety Engineers, 1998. ‘
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

stewardship). Unionville, VA: Internatipnal System Safety Society, 1999.
Vincoli, Jeffrey W. Basic Guide to System Safety. Hoboken, NJ: Wiley, 1993.

ct-lAp’TER 16

PREVENTION THROUGH DESIGN:
SECTIONS 5.1.1 TO 5.1.4 OF 2

10


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”,

1
presented “A Socio-Technicaf Model for Ari Operational Risk Management System”

which gives prominence and Significance to preverition through Oesign. The following
pnnctples are offered in support of the premise that prevention ·through design should
have such importance. ·,

I. Hazards and nsks are most effectively and economically avoided, eliminated,
or controlled in the clesign and redesign ·pro_cesses. .

2
· Hazard analysis i the most iinportant safety process in that, if it fails, all other

processes are likely to be ineffective (Johnson, p. 245).
3. Risk 885\’ssment should be the comerst~n~ of an operational risk management

system. –

Adva11ced S

a

. . . Second Ed ‘ _rfery Management: Focusing on ZlO and Serious In111ry Prevention ,
© 201

4
Jo •tt on .. Fred A. Manuele. · ho Wiley & Sons, Inc. Published 2014 by John Wiley & Sons, Inc. 309

11111

310 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF z10

Movhtg prevention
upstream ht the design

. process

Business 1–:;:7
concepts l_=_J L.:::_j

Prevention – / –

through __l__ Retrofit
design

Operation
maintenance

Moving safety from afterthought to a forethought in
‘ •proc’:5s, prod,~c~, and faci~ity design.

·’ –
Ease of safety
~lementation

FIGURE 16.1 Theoretical ideal prevention through the de~ign process.
, l ..

4. If, through the hazard identificaticm and analysis and risk assessment processes
‘ specifications are develop~ that are applied in th~ _procurement process so~

to avoid bringing hazards and their accompanying risks into a workpjace, the
potential for serious injuries is reduced ~ready. , . ‘

, ‘I ( . J.’ ,. i : ”
5. The entirety ofpprpose of th~ p~rsoni:iel re~pon~1ble for safety, re~ardless of

their titles, is to manage tpeir endeavors with respect to hazards so that the
ris~ deriving from those hazar~s .are ac~eptaQle. . . .

J • (. •

6. To achieve acceptable risk levels, ~lements of a q.ierarchy of controls should be
applied sequentially in the risk avoidanc~, elimi~ation, reduction, and control
endeavors.

The priictice of ~afety is hazards-based. Thus, Johnson wrote approp~ately
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

F. 16 · · is mov 1gure .1 depicts the theoretical ideal. Prevention through Design ‘th in
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

• · ‘ · non people mvolved. Hazards and risks will also be identified in the build, opera ‘
maintenance steps, for which redesign is necessary in a retrofitting process .

HISTORY 311

. ·teged to be the chair of the committee that wrote the Z590 3 t d ·. d
P
riv1 h . h . s an ar .

1 was . us that what I ave wntten ere shows a bias in favor of its • 1 , . be obv10 . • imp emen-
Jt ~111 In this chapter; we. . , . , -~· . . de a history of the safety through design/prevention through design movement.

• proVl t highlights of Z590.3, emphasizing the applicability of the provisions of
• :::::Odard to all h~~ds-b~e~ init~atives: environ~ental controls, product

_t safety of the pubhc, avmdmg property damage artd business interruption
siuetY, •
and so on. . ..

, Discuss the cu~ture ,chang~ ,?ecessary -~~- ~ost _ orga~izations as prevention
thfOUgh design concepts ar~ 1m?lemented w~thin an operation~ risk management

system. . .
, Encourage safety. professionals to bC?come involved in prevention through

design fqr job satisfaction an a to b~ percf ived as providing additional vaiue in
the organizations to which they give counsel. . ·

HISTORY

In the early 1990s, several safety professionals recognized through _their studies of
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. · · ·

In Guidance On The Principles Of Safe Design For Work, issued in 2006, com-
ments are made on the “contribution that the design of machinery and equipnienrhas
on the incidence of fatalities and injuries 1.n Australia.”

Of the· 210 identified workplace fatalities~ 77 (37%) definitely or probably ·had
design-related issues involved. Design c’ontributes to a(least -30% of work-
related serious nonfatal injuries·. (p. 6) • ·· i · · ·

To provide the necessary education for designers, safety professionals are encour-
:~ to develop their own supportive data on incidents in which-design shortcomings

2
;
1
identified. That initiative should be followed by a major effort to have Z590.3-
I 1 be accepted as a design guide. · ·

eq t was also noted in the early l 990s that designing for safety was addressed inad-
uately · a£ . . terns t . in s et_y-r~lated literature, and that the safety and health management s~s-

Pro edhat organizations had in p’ lace infrequently included safety through design
c ures .

tof~ecisio~ makers at the National Safety Co~ncil (NSC) gave authority to this author
nnaco · · ‘d fh · llllnittee to study the feasibility of the Council promotmg the 1 ea o avmg

:1

312 PREVENTION THROUGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF 210

safety and environmental needs incorporated in the design
outcome was that the NSC established The Institute For ,Safet;~ess, In 1

An advisory committee for the institute was formed , whose 0 ugh be
9
.
9s, th

· d I b d th . tnernb 81&n e industry, academia, organize a ~r, an o er interested persons. . e~s repres .
established by the advisory comnuttee: lnis 1s the _enteq ‘ ttJiss· · ion

To reduce the risk of injury, illness and environmentai •
decisio~s affecting safety, health, and the environment in : by :integrati

. – ‘ . stage ng
design process. · 8 of the

The message ~e adv~sory c~~-tte~ ‘w~t~~. t~ COI}Y~y ,· .when the .
through design was used 1s contamed m its defirution: · . _term ~afety

• , • ‘ • , • . I •
The integration of hazard analysts and nsk assessment methods .

· · · d taki th l ‘ · early in th design and engmeenng stages an ng . e a~tions _n~cessary_ so that . e
injury or damage are at an acceptable level. · , nsks of

In the literature developed by the Institute it was said that the follow· b
would be obtained by applying safety through design concepts: mg enefits

• Improved productivity
• Decreased operating costs·
• Significant risk reduction
• Avoi~ce of expensive ~etrofitting • L

‘ . ‘
Two groups were identified by the Institute, tQ be given _primary !lttention:

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
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.

In 2006, several of the participants in the flCtivities of the Institute For S~e~
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

b
. . . . . . . u·ve to crea

to o tam the views . of a variety of stakeholders on a maJor mitia
sustainable national strategy for Prev~ntion through Design. . of the

Some of the participants expressed the yiew .that the long-term unp:~ could
NIOSH initiative could be “transfonn’ative ” meaning that a fi,mdamental stb Jtigher

· th · · ‘ • · ·ven to e occur m e practice of safc;ty, resulting in greater emphasis bemg gi ·
and more effective decision levels in the hierarchy of controls. “Devel0P

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

.
0

that is aligned with international design activities and practice”
d .

tbfou8 d io lead that en eavor.
1 volunteere.~as obtained from the Standards Development Committee at the

su~portsociety of Safety Engineer~ .(ASSE) .. It w~ decided to develop a technical
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

On dafd _ANSI/ASSE Z590.3-20ll,, Preve11tion Th,:ough Design: Guid.~fines for
the stan .

118
Occupatfonµl Hazards and Risks ir,, _the Design and Redesign Processes. :

Addressist. be understood that activities at NIOSH are limited to occupational safetv and It mu · · – ~J · ”
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

. business·interruption, and so on. in ·the standard, the definition of prevention through
:sign is work~related and identical;with .th~,.t in _the NIOSH literature. 1

Prevention-through design:: Addressing occupational safety. and .health .nee~ in
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.

• . l I

Promoting the acquisition of knowledge of prevention through design concepts is
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.

• I • •

Design,ing For Safety (DFS) is a principle for d,~sign planning for new facilities,
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

• I • ,

operations to assure safety and health of workers, as well as protection of the
environment and compliance ,w,ith ~urrent cpd.es and standards.

HIGHLIGHTS OF ANSI/ASSE Z590.3
!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

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
system. ~sign. concepts within an occupational safety and health management

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
a h” b redesj th ork Premises tools, equipment, mac mery, su stances, and Work &n of ew , . Proc

including their construction, manufacture, use: mamtenance, and ultimate dis esses,
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:,

Although the Purpose statement indicates that the standard pertains Prine·
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

ens1on
follows the purpose statement.

Note: Incidents that have the potential to result in occupational injuries and •u.
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 . .

Largely, this slandard is applicable to all hazard-based operational risks, Panicul,dy
it relates directly to all of the four major stages of occupational risk management. ‘

a Pre-operatiQnal stage:.in the initial planning, design, specification, prototYPing,
and construction processes, where the opportunities are greatest and the costs
are lowest for hazard and risk .avoidance, elimination, reduction; or control.

b. Operational stage: where •hazards and risks are identified and evaluated and
mitigation actions are taken throµgh redesign initiatives or changes in work
methods before incidents or exposures occur.

c. Post-incident stage: where investigations are made of incidents and exposures
to determine the causal factors that will lead to appropriate interventions and acceptable risk levels.

d. Post-operational stage: where demolition, decommissioning, or reusing/retiuilding
operations are undertaken:

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.
c. Reduce the cost of retrofitting necessary to mitigate hazards and risks

th
at were

not addressed sufficiently in the design or redesign processes.

Adde?dum A outlines the risk assessment process, and Addendum B gives tbe
progress10n of occupational hygiene issues flow.

2. Referenced and Related Standards

· · • • that per· Relative Amencan National Standards and other standards and guidebnes
tain to the purpose of the standard are listed.

HIGHLIGHTS OF ANSI/ASSE 2590.3

oet1n1t1ons . ;
315

3, ·t· 00 list grew to 27 in response · to suggestions mad b
defilll

1
d’ · · al al · . e Y commenters fbe of the standar s pnnc1p go s ts to achieve acce’ptaole risk 1 1 thr .

Since onde i·gn and redesign processes, the definitions relative to th teve sl ough-
out the es · . · . a goa only are
listed here.

A ceptable risk. That risk for which the probability of an incident or ,
a. c th •·t f h . .• d . . exposure

occurring an~ e seven yRPo or a~age t?at may result are as low as rea-
sonably practicable (ALA ) m the settmg bemg considered. ,

b. As lo~ ds reas~nably Pract!cable (~~). ‘That level of risk which can be
lowered further only by an increase m resource experlditu,re ‘that is dispropor-
tionate in relation to the resulting decrease ip ‘risk ‘ ‘ ,,. \’ . ‘ I

c. Hazard. ·The’ potential for harm. . . \’ ; . 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.

d. Hiera rchy ‘ of ‘controls. A systematic· approach to avoiding, . eliminating,
reducing, and coritr~lling risks, considering steps fo ”a ranked and sequenti.al
order, beginning with’ avoidance, elimination.’, and substitution. . .

e. Probability. An estimate of the likelih~od of ~n incident or exposure ~c~ng
that could result in harm or damage for a selected unit of time, events,
population, ite~~. or,. activiJ~ ~.eJng CQnsidered. , ;

1
f. Residual risk. The risk remaining aftei: risk r~duction measures have been

‘ • I • • • ” • • taken: ‘ ‘ · · · ,,, · · ” · ‘ · ‘ ·
‘. f • • ‘ J . i , : • > ‘ ‘, , • •, I > ‘ ; , • ‘ ‘ > :

g. Risk. An estimate of the probability of a ·hazard-relat~ inc1c!e~t ~r expos~e
occurring and the severity of harm or damage that could result.

h. Safety. Freedom from unacceptable risk. ,~-.
1

: . . . : .,

1. Severity. An estimate of the magnitude of harm or d~ag~ ~a~ ~?~ld_ re~~:m~bly
result from a hazard-related incident or exposure

4
• Roles and Reaponslbllltles

• I I ‘ To J ‘ • • ff t· P management shall provide the leadership to institute and m~~
1
tam e ec ~ive

s~sksterns for the design and redesign processes.’ Key p~ints: · anticiP;~te ha_zards and
ns · ·, 1 t bl nsk levels 1n . ‘ assess risks; apply the hierarchy of controls to achieve accep e ·

o]]oWing note> is significant iii the ro1eS• and responsibilities seelion. . . k
· 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

e design d h do the work can make v ua e
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.

id

316 PREVENTION TH
ECTIONS 5.1.1 TO 5.1.4 OF Z10

ROUGH DESIGN: S

Ith suppliers
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 .

One of the provisions
1
dn m’ aterials provide documentation establishing thuiprnent,

I • processes, an · bl . k 1 • atari k techno ogies, , ~onducted and that an accepta e ns evel, as outlinea b s
assessment has ~?- ·achieved. . , y the . aruzauon has been ., . .
procunng org . I ample of ‘a basic risk assessment report that can be u·

Addendum D 1s an ex · , sed as
a guide for that purpo~e. ,· t. . ,

6. Design Safety Reviews
I ‘

In the design proces$, ri~k assessments _~ould be made as ?fien as needed, on a con-
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. ·

7. The Hazard Analysis and Risk ‘Assessment Process ‘
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.

,, r . \’1

• !

• Consider failure modes.

• Assess the severity of consequences.
• Deternu·ne .

occurrence probabilit ·.
• Define initiaf risk. y . .
• Select ·a d · , ·

n implement hazard . . d ontrol
methods. avoidance, elimination, reduction, an .. c

• A_ssess the residual risk.
• Risk acceptance d . .
• ec1s1on makin

Document the results. g.
• Follow-up on a t·

c ions taken .

HIGHLIGHTS OF ANSI/ASSE 2590.3 317

hazards the proper level of acceptable risk can be attained without
for JJJanY ther complex teams of people. Safety and health professionals and design

bringing tog_~ the proper experience and education can reach the proper conclusions of
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

ReacJung · hi · . ·11 d . bl h b . . . . . ual considers obvious, ac evmg consensus 1s stl esrra e, sot at uy-m 1s
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

Ins d · k t A . k . “d hazard analysis an ns ~se~smen proces~. . ns assessment matnx. prov1 es a
thod to categorize combmatlons of probab1hty of occurrence and seventy of harm,

: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
~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.

e. Hazard Analysis and Risk Assessment Techniques
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.

As a practical matter, having knowledge of three risk assessment concepts will
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. .

9· Hierarchy of Controls

m~~gement shall achieve acceptable risk levels by adopting, implementing, and
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:

a. Risk avoidance
b. Elilllination
c. Substitution
d. Engin · eermg controls
e. War ·

ning systems
f. A.ct . .

mtn1strative controls
g. Personal .

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..: .
. s 1s a th . f .. r ,, E -•ation .
hierarchy of controls to adapt to e_ meanhit~g of pretrveln tdo~. linunation Whi1_n the

firs ti. to be taken in many hierarc es o con o s, 1d not seem t
6
, ch is the t ac on . o t With

meaning of prevention. · the

• Elimination means removal; purging; talcing away; to get rid of somethj
eliminate, there has to. be something in place to rempve. . ng. 1o

• Avoidance means to prevent something from happening; keeping aw
. avemng. ,

Designers start with a blank sheet of paper or an empty screen in,a computer. ‘d
. . “d h d . ai ed design system. Designers have ,opportumttes to av?• azar s tn all design sta .

conceptual, preliminary, and final. In the early design phases, there are not Yet ges.
hazards to be eliminated, reduced,. or controlled, so .av.oidance is a better match r:!
hierarchy of controls for a prevention standard.

Addendum I includes extensive comments on .each of the elements in the hierarchy.
Addendum J is the Bibliography. ,

GOALS TO BE ACHIEVED

2590.3 says that insofar as is practicable, the goal shall be to assure that for the
design selected:

• An acceptable risk level is achieved, as defined in this standard.
< ' ' • I t ' '

• The probability of personnel making human errors because of design inade-
quacies is as. low as is reasonably practi,cable. .

• The ability. of perso~nel ,tq defeat the . work. sys.tern and the work methods
prescf!bed is as low as is r~asonably pr~ticable.

• The work processes prescribed take into consideration human factors
( ergonomics )-the capabilities and limitations of the work population.

• Hazards and risks with respect to access and the means for maintenance are at
as low as is reasonably practical. ” ‘

• The need for personal protective equipment is as low as is reasonably practi:~
1
‘ d ‘d · · · · t for uu an at IS1)rov1ded for its use where it is necessary (e.g., anchor pom s protection).

• Applicable laws, codes, regulations, and standards have been met.
• Any r · ed d • ‘dered. ecogmz co e of practice, internal or external, has been const

GETTING INVOLVED

It is recommended th t c . . hich theY a.red
. a saiety professionals use actual cases· m w · nan tnvolved to support th • . the des1g

. e premise that addressing hazards and risks m but also
redesign processes will result not only in achieving acceptable risk levels

PATIENCE AND UNDERSTANDING 319

uctivity and operational_ efficiency. That may be done easier in the rede-
higber prod I say to safety professionals: , JV rocess,
5ignP • . .

O
nvince designers to. allow you to work with them on a proiect so th t

frY to c b’li d al J a ‘ demonstrate your capa i ty, an v ue.
you can . . . ,

w the value you bnng to the discussion. .
, 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.

~1r a holistic, macro view; include all ·hazard~based subjects if you can.
‘l!U’e . , ‘frY to involve operations personnel at al~ levels. Assume respectfully that those

ho do the work have knowle~ge and skill that can contribute to workplace and
:ork method redesign and encourage their input. . . ·

, Do yow; homework; includ~ alternative solutions al).d costs if that can be done.
, Understand . that you are proposing a culture change-that designers may

presume that you are intruding into their territory aµ,d will r~ist your involvement
to maintain their territorial prerogative.

, Do not play down the fact that implementing a new program can be challenging
and frustrating. Be patient. Utilize change management concepts. Be a good
listener. Be open to comment and criticism.

, Study the incident history in the entity to which counsel is being given and that
of its industry for support data showing that design shortcomings were among
the contributing factors for incidents t\lat have occurred.

A goal is to achieve buy-in by those who are involved, particularly at the senior
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. ,

PATIENCE AND UNDERSTANDING

~ple~enting the concepts of risk assessment and risk avoidance or reduction in
, e des1gn and redesign proce~ses is a long-term effort. On that point, Bruce Main
is eloq · . d
0

uent, as m the Introduction to his book -Risk Assessment: Challenges an
PPortunities, reproduced here with his permission. . ·

This is an · · · • · ·· hi u· ro ce exciting tlme in risk .assessment. Whether mac · nery ·up me, P –
Or

ss_throughput, cost savings -• new ideas for features, patentable innovations,
sun 1 •· · ‘th ac P Y documenting that a company makes really good products wi

ceptable · k d dri irnpro ns s, the opportunities abound to apply the process an ve
‘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

requ~e JUSl starting to complete risk assessmen~~ find their first efforts will
ire more ti’ · 1 &e A nnel . m~ anq •wjll. be less complete than later euorts. s perso

320 PREVENTION THAO
UGH DESIGN: SECTIONS 5.1.1 TO 5.1.4 OF z10

. 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
process, ?1kore az ment process will improve and hasten in pace. epioYed and the ns assess . . . d . k

are learned and expenence 1s game , ns assessment be As lessons . d • . cotn
fi ed However some ttme an expenence is required for th es

more re nt ~ess to ~come fully integrated into a company. How m he risk assessmen p . b . . uc tun
depends on the company and its crrcumstances, u~ it typically takes rnonthse

ks Eventually the risk assessment process will become a Part of , not wee . . d . nonna1
business procedures. Until then, ip~ustry nee s time to fully and fortnally
implement these concepts (Introduction).

For safety professionals who are interested in well-written dissertati~
” f · k t h non “Implementing and D~plo~.ment o a ns ashses

11
s men system t at affects all design

decisions, Chapter 16 m Risk Assessment: C a enges and Opportunities is rec
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.

1. Leadership is a key and critical factor in successfully implementing and
deploying the risk assessment process.

2. Integrating risk assessment in an organization is a process that generally
follows a sequence of phases. (Three frameworks are discussed.)

3. Engineering design needs to change to include the risk assessment process to
more effectively move safety into design. Only by changing the design process
will risk assessment efforts succeed.

4. Introducing the risk assessment process will explicitly change the design pro-
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.

5· To be effective, the company culture must _be willing to embrace the ri_sk
assessment process, and cultural acceptance stems from management leadership,

6 In· d ·al · dusers · m UStri pr~uct or process applications,, fx?th equipment suppliers an ss.
should perform nsk assessments and be jnvolved in the risk assessment proee .

7 • In consumer p d d ·
0

&acturer 15 · . ro uct an component product applications, the man 1′
responsible for c d • . . Pr duct users

. on uctmg the nsk assessment if• applicable. 0 d
I

in
~;;ally have ~o risk assessment responsibilitie~ beyond using the pro uc

8 Pr ~nnanc~ wi
th the product information. . gress

. actical guidance is h d d ake pro
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

sessment, the time to 1 . racuces; to do 1• • comp ete an assessment leaders m best P 55men1, n cross •industry • tu . • . . • k asse
making h si ations, when to revise an existing ns

9. To integrc t~~eks to the method, results of risk assessment, a. nd otherli~k-el” need
a e ns assessm t · . will ‘

education and tr . . en_ into the design process, engineers
aming on nsk assessment in some form. (p. 230)

REVIEW OF ACTIVITIES AT NIOSH ON PREVENTION THROUGH DESIGN 321

F ACTIVITIES AT NIOSH ON PREVENTION
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

approved at NIOSH for inclusion in this chapter.
wntten .• . .

, ,
tion , through Design (PtD) was initiated · by the National Institute for

Prevenational Safety and Health in 2007 to’ eliminate hazards through the
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. · . -· ·

Toe first PtD workshop was held in July-2007. Attenclees included representa-
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.

In 2010/ the PtD t ole of the •designer/engineer was investigated by -bench-
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 ‘ ‘ •

“Prevention through Design: A New Way of Doing Business,” was held in
~:~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

courses co t . . . . highlight d n ammg PtD content. The·se and -other success stones were
I e at the conference · n 2011 h . . · . . .

approved fr t e Amencan Society of Safety Engineers (ASSE) obtained
om the American National Standards Institute (ANSI) for ANSI/

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 .
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

. d . . al . Th entsyste and can be applie IQ any occupation setting. e standard focus _Ill,
cally on the avoidance, elimination,,reduction, and control of occupatioes~J>ecifi.
and health hazards and risks ii! the design process. n ,Safety

In 2011, NIOSH met with the US Green Building Council (USGBC)
to collaborate on the inclusion of worker health and safety into Leade’ ?~
Energy and Environmental Design (LEED) credits for certification. ~s 2[ 1

10

~OSH repre~~ntatives.met with_ the Con~~ction User’s Roundtable to ide;:
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.

In August 2012, PtD -and .. the NIOSH -Nanotechnology .Research Center
(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.

By the spring of 2013, two additional textbooks were published. A total of93
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

NIOSH is encouraging research in developing the business case for_ .
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

NIOSH i~ currently developing a systematic Health Hazard Banding :~cals
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).

REFEREN9ES 323

d Banding can be used to supplement and support OEL
geaitb I-lazal” facilitating a more rapid evaluation of health risks, providing

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
1:Jlljnatt0 . ,.,lable andatoolforthedevelopmentqfNIOSHRecommended

e~ . a1data1sav… • .
(llJniJll Lunits, . .
~p05ure . ctivities focus on-providing educational materials for students r,,1ucation a . . •

r:,c, d designers. The impact of these tools must be assessed. Most
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

Pts into the curriculum dovetails with ABET objectives to improve student conce d c· · 3 I · PtD · th
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

the learning community.
Practice activities focus on stakeholder ability to access, share, and apply

successful PtD practices. In addition to our continued dialog with USGBC and
CURf, NIOSH is collaborating with industry to identify Best Practices so
these can be front loaded into the Capital Design Process.

When a root cause analysis uncovers a design-related hazard, the design
solution should be documented for future reference during the conceptual
design phase of similar facilities or equipment.

Policy activities are focused on developing a PtD culture in industry.
Including PtD into consensus standards is the first step in the development of
a PtD culture.

CONCLUSION

:
1
:m~nt of safety professionals in the design processes is hugely more extensive

thro~ h n it 20_ ye8:s ago. There is opportunity here for professional satisfaction
COntrit P~•cipation m the design processes and for being perceived as a valued

utor m support of operational efficiency as well as risk management.

REl=ERENCEs

ANSIJASSE ZS
Guidelines fi 90-3-20l 1. American National Standard, Prevention through Design:
Processes DorpAd~ressing Occupational Hazards and Risks in Design and Redesign

Chr· · es lam IL 18tensen W es, : American Society of Safety Engineers, 2011.
Nar ‘ ayne C and F 10nat Sat ty C · red A. Manuele, Editors. Safety Through Design. Itasca, IL:

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
Society of Safety Engineers, Des Plaines, 11, 1994. · ors, of the Arnen

Guidance On The Principles’ Of Safe Design For Work. Canberra, Austral{ . can
and Compensation Council,’an entity of the Australian government, 2~tu

straJian Sat
I , , · . , ety

Johnson, William. ·MORT Safety Assurance Systems. Itasca,· IL: National S
1980. (Also published by Marcel Dekker, New York.) afety Couneil

Main, •Bruce w.i Risk’ Assessment: Challenges and Opportunities. Ann Arb ‘
Safety Engineering, Inc., 2012. · · or, MI: Design

TR•Z790.001.’ A Technical1Report on Ptevention ·Through Design. Des Plain , ‘
Society of Safety Engineers, 2009. . es, D…. Arnencan

,/

., ,’

t •

‘ l’

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