Title :
Accident cause analysis of complex systems based on safety control functions
Author :
Kohda, Takehisa ; Takagi, Yohei
Author_Institution :
Dept. of Aeronaut. Eng., Kyoto Univ.
Abstract :
State of the art computers have made many technology-based systems so complex that new types of accidents now result from dysfunctional interactions between system components, further adding to the number of accidents resulting from component failure. Other factors, such as management effectiveness and organizational constraints, also must be considered as part of a failure prevention strategy. Conventional event-based analysis methods such as fault trees and event trees cannot be applied to such types of accidents. This paper applies a concept of safety constraints in systems control to the accident cause analysis. The analysis shows the effectiveness of the proposed method for both the retrospective and prospective events
Keywords :
accident prevention; failure analysis; industrial accidents; preventive maintenance; accident cause analysis; complex systems; component failure; dysfunctional interactions; failure prevention strategy; management effectiveness; organizational constraints; prospective event; retrospective event; safety control functions; system components; Accidents; Control system synthesis; Control systems; Failure analysis; Fault trees; Feedback; Humans; Risk management; Safety; Sociotechnical systems;
Conference_Titel :
Reliability and Maintainability Symposium, 2006. RAMS '06. Annual
Conference_Location :
Newport Beach, CA
Print_ISBN :
1-4244-0007-4
Electronic_ISBN :
0149-144X
DOI :
10.1109/RAMS.2006.1677434