Systemic accident analysis models: A comparison study between AcciMap, FRAM, and STAMP

Nowadays, different accident causation models are used to explain how accidents happen, whereas most of them were developed long time ago. There is an argument that significant changes have occurred in the industry and traditional models may have limitations in identifying causes of accidents in modern industry within complex socio‐technical environment. Consequently, new accident models based on systems theory have been introduced, but they are mainly used by academic researchers. Among systemic accident models, Systems‐Theoretic Accident Model and Processes (STAMP), Functional Resonance Accident Model (FRAM), and AcciMap methods have been identified as the most frequently cited models.

[1]  Giulio Di Gravio,et al.  The Functional Resonance Analysis Method for a systemic risk based environmental auditing in a sinter plant: A semi-quantitative approach , 2017 .

[2]  Erik Hollnagel,et al.  Barriers And Accident Prevention , 2004 .

[3]  Zahid H Qureshi,et al.  A Review of Accident Modelling Approaches for Complex Critical Sociotechnical Systems , 2008 .

[4]  Nicolas Dulac,et al.  A framework for dynamic safety and risk management modeling in complex engineering systems , 2007 .

[5]  Erik Hollnagel,et al.  Cognitive reliability and error analysis method : CREAM , 1998 .

[6]  I. A. Herrera,et al.  Comparing a multi-linear (STEP) and systemic (FRAM) method for accident analysis , 2010, Reliab. Eng. Syst. Saf..

[7]  J. L. Coze Reflecting on Jens Rasmussen’s legacy. A strong program for a hard problem , 2015 .

[8]  Soshi Kawakami,et al.  Application of a systems-theoretic approach to risk analysis of high-speed rail project management in the US , 2014 .

[9]  J CHARLES,et al.  The epidemiology of accidents. , 1954, The Practitioner.

[10]  C. Gellings Electric power research institute. , 1983, Environmental science & technology.

[11]  Nancy G. Leveson,et al.  A systems approach to risk management through leading safety indicators , 2015, Reliab. Eng. Syst. Saf..

[12]  A. Williamson,et al.  Systems-based accident analysis in the led outdoor activity domain: application and evaluation of a risk management framework , 2010, Ergonomics.

[13]  P. Waterson,et al.  Recurring themes in the legacy of Jens Rasmussen. , 2017, Applied ergonomics.

[14]  Paulo Victor Rodrigues de Carvalho,et al.  The use of Functional Resonance Analysis Method (FRAM) in a mid-air collision to understand some characteristics of the air traffic management system resilience , 2011, Reliab. Eng. Syst. Saf..

[15]  Faisal Khan,et al.  SHIPP methodology: Predictive accident modeling approach. Part I: Methodology and model description , 2011 .

[16]  J.C. Williams,et al.  A data-based method for assessing and reducing human error to improve operational performance , 1988, Conference Record for 1988 IEEE Fourth Conference on Human Factors and Power Plants,.

[17]  Adam S. Markowski,et al.  “Bow-tie” model in layer of protection analysis , 2011 .

[18]  Nancy Leveson,et al.  System Theoretic Safety Analysis of the Sewol‐Ho Ferry Accident in South Korea , 2017 .

[19]  Maryam Tabibzadeh,et al.  Applying the AcciMap methodology to investigate the tragic Sewol Ferry accident in South Korea. , 2017, Applied ergonomics.

[20]  Manuel Rodríguez Hernández,et al.  System theory based hazard analysis applied to the process industry , 2016 .

[21]  Nancy G Leveson,et al.  Rasmussen's legacy: A paradigm change in engineering for safety. , 2017, Applied ergonomics.

[22]  Ioannis M. Dokas,et al.  EWaSAP: An early warning sign identification approach based on a systemic hazard analysis , 2013 .

[23]  工業講話会 安全装置工業事故豫防法 = Industrial accident prevention , 1918 .

[24]  Nahla Ben Amor,et al.  A Bayesian approach to construct bow tie diagrams for risk evaluation , 2013 .

[25]  John D Helferich A systems approach to food accident analysis , 2011 .

[26]  Tom Kontogiannis,et al.  A systemic analysis of patterns of organizational breakdowns in accidents: A case from Helicopter Emergency Medical Service (HEMS) operations , 2012, Reliab. Eng. Syst. Saf..

[27]  Faisal Khan,et al.  Accident modelling and analysis in process industries , 2014 .

[28]  Tariq S. Abdelhamid,et al.  Identifying Root Causes of Construction Accidents , 2001 .

[29]  Joseph R. Laracy A Systems Theoretic Accident Model Applied to Biodefense , 2006 .

[30]  Coen Van Gulijk,et al.  Towards BBN based risk modelling of process plants , 2014 .

[31]  Tieyu Li Systems Theoretic Accident Model and Process application : quality control in medical device manufacturing , 2012 .

[32]  Luiz Bueno da Silva,et al.  Modeling Bayesian Networks from a conceptual framework for occupational risk analysis , 2017 .

[33]  J. Shaoul Human Error , 1973, Nature.

[34]  Melissa B. Spencer,et al.  Engineering financial safety : a system-theoretic case study from the financial crisis , 2012 .

[35]  R. Sadiq,et al.  Analyzing system safety and risks under uncertainty using a bow-tie diagram: An innovative approach , 2013 .

[36]  Faisal Khan,et al.  SHIPP methodology: Predictive accident modeling approach. Part II. Validation with case study , 2011 .

[37]  Emmanuel Manatakis,et al.  Towards an evaluation of accident investigation methods in terms of their alignment with accident causation models , 2009 .

[38]  Peter Neumann,et al.  Safeware: System Safety and Computers , 1995, SOEN.

[39]  Chris W. Johnson,et al.  The ESA/NASA SOHO mission interruption: using the STAMP accident analysis technique for a software related ‘mishap’ , 2003, Softw. Pract. Exp..

[40]  Silje Frost Budde,et al.  Modeling Blowouts During Drilling Using STAMP and STPA , 2012 .

[41]  Nancy G. Leveson,et al.  A new accident model for engineering safer systems , 2004 .

[42]  J. L. Coze,et al.  Re fl ecting on Jens Rasmussen ' s legacy ( 2 ) behind and beyond , a ‘ constructivist turn , 2015 .

[43]  Erik Hollnagel,et al.  Introduction of the Concept of Functional Resonance in the Analysis of a Near-Accident in Aviation. , 2007 .

[44]  Gavriel Salvendy,et al.  Models of accident causation and their application: Review and reappraisal , 1991 .

[45]  Sidney Dekker,et al.  A Systems Approach to Analyzing and Preventing Hospital Adverse Events , 2016, Journal of patient safety.

[46]  Lauren Grim,et al.  CSB investigation of Chevron Richmond refinery pipe rupture and fire , 2015 .

[47]  Min Xie,et al.  Accident analysis model based on Bayesian Network and Evidential Reasoning approach , 2013 .

[48]  Allen J. Ball Identification of leading indicators for producibility risk in early-stage aerospace product development , 2015 .

[49]  Lucio Villarinho Rosa,et al.  Assessing risk in sustainable construction using the Functional Resonance Analysis Method (FRAM) , 2015, Cognition, Technology & Work.

[50]  Faisal Khan,et al.  Dynamic safety analysis of process systems by mapping bow-tie into Bayesian network , 2013 .

[51]  Francesco Costantino,et al.  A Monte Carlo evolution of the Functional Resonance Analysis Method (FRAM) to assess performance variability in complex systems , 2017 .

[52]  James T. Reason,et al.  Managing the risks of organizational accidents , 1997 .

[53]  G. McCarthy FRAM: the functional resonance analysis method, modelling complex socio-technical systems , 2013 .

[54]  Dan Petersen Human-error reduction and safety management , 1996 .

[55]  Meaghan O'Neil Application of CAST to hospital adverse events , 2014 .

[56]  Hans Christian Augustijn Wienen,et al.  Accident Analysis Methods and Models — a Systematic Literature Review , 2017 .

[57]  Scott A. Shappell,et al.  A HUMAN ERROR APPROACH TO AVIATION ACCIDENT ANALYSIS , 2003 .

[58]  A. D. Swain,et al.  Handbook of human-reliability analysis with emphasis on nuclear power plant applications. Final report , 1983 .

[59]  Benoît Iung,et al.  Overview on Bayesian networks applications for dependability, risk analysis and maintenance areas , 2012, Eng. Appl. Artif. Intell..

[60]  Jens Rasmussen,et al.  Risk management in a dynamic society: a modelling problem , 1997 .

[61]  Paul M. Salmon,et al.  Systems-based accident analysis methods: A comparison of Accimap, HFACS, and STAMP , 2012 .

[62]  Valerio Cozzani,et al.  Application of Bayesian Networks to Quantitative Assessment of Safety Barriers’ Performance in the Prevention of Major Accidents , 2016 .

[63]  Ranveig Kviseth Tinmannsvik,et al.  Multilevel learning from accidents - Case studies in transport , 2011 .

[64]  Cody H. Fleming Safety-driven early concept analysis and development , 2015 .

[65]  Erik Hollnagel,et al.  Study on Developments in Accident Investigation Methods: A Survey of the "State-of-the-Art , 2008 .

[66]  Walter Schön,et al.  Interdisciplinary safety analysis of complex socio-technological systems based on the functional resonance accident model: An application to railway trafficsupervision , 2011, Reliab. Eng. Syst. Saf..

[67]  R. L. Brune,et al.  Peer-review study of the draft handbook for human-reliability analysis with emphasis on nuclear-power-plant applications, NUREG/CR-1278 , 1983 .

[68]  Yuan Zhu,et al.  STAMP-based analysis of deepwater well control safety , 2018, Journal of Loss Prevention in the Process Industries.

[69]  Craig W. Johnson,et al.  An investigation into the loss of the Brazilian space programme’s launch vehicle VLS-1 V03 , 2008 .

[70]  P. Waterson,et al.  Accident analysis models and methods: guidance for safety professionals , 2013 .

[71]  Ibrahim A. Khawaji Developing system-based leading indicators for proactive risk management in the chemical processing industry , 2012 .

[72]  Brian Veitch,et al.  Occupational accident models—Where have we been and where are we going? , 2006 .

[73]  Hans J. Pasman,et al.  Bayesian networks make LOPA more effective, QRA more transparent and flexible, and thus safety more definable! , 2013 .

[74]  Andrew Hopkins,et al.  Lessons from Longford: The ESSO Gas Plant Explosion , 2000 .

[75]  Jaleh Samadi,et al.  Development of a systemic risk management approach for CO2 capture, transport and storage projects , 2012 .

[76]  A. D. Swain Accident Sequence Evaluation Program: Human reliability analysis procedure , 1987 .

[77]  Margareta Lützhöft,et al.  Learning from the past for pro-activity -A re-analysis of the accident of the MV Herald of Free Enterprise , 2011 .

[78]  D. L. Simms,et al.  Normal Accidents: Living with High-Risk Technologies , 1986 .