New Risk Methodology Based on Control Charts to Assess Occupational Risks in Manufacturing Processes
Abstract
:1. Introduction
- Prevention (P): be the process of avoiding or mitigating risks by reducing their probability of occurrence and their impacts on human and social; geographical and landscape; economic and infrastructure; environmental and ecosystem preservation; accident and safety (human, assets, production); perception and expectations.
- Simultaneity (S): is the ability to update the evolution of risk according to the operation in real time.
- Immediacy (I): is the ability to inform or infer the existence of a risk with sufficient anticipation to make the necessary corrections before the accident occurs.
2. Existing and Related Tools for Occupational Risk Management
2.1. Regulations and Traditional, Modern Models
- The first group corresponds to the standards and directives whose characteristics and degree of compliance with the three characteristics (P), (S), (I) are summarized in Table 1.
- The second group covers methodologies and models differentiating the traditional and the modern approaches [38]. The traditional approach includes the sequential and the epidemiological models, summarized in Table 2. The modern approach has five models: the systematic; cloud based; the fuzzy based, formal based and safety barrier based; summarized in Table 3.
- The third group, which is encompassed in the modern methodologies, is specific for dynamic models and it is discussed in the next subsection.
2.2. The Dynamic Risk Models
- Risk identification is similar as presented in the ISO/IEC 31010:2019. The identification of potential risks are performed by the application of HAZOP/HAZID and FMEA, FMECA techniques [95].
- Scenario consideration is similar to the answer to the “What if?” question. Scenarios reflecting the “best case”, “worst case” and “expected case” may be used for quantifying the probability of potential consequences and obtain a sensitivity analysis.
- After identification of causes of risk, their paths and sequences through the safety barriers are defined using the ETA or FTA methods under a bow-tie graph and ending at the final states. Reliability data bases can be applied for human, equipment or barriers failure, or using expert judgment [96,97].
- Observation of precursor data, events and situations from the workplace or the process under analysis.
- Posterior estimation is performed using Bayesian inference through the expression:
3. Statistical Risk Control (SRC) Methodology
3.1. General Application
- A bow-tie analysis is performed to provide a visual representation of the causes of initiation (ic) classified as basic, human and potential that affect preventive and mitigative safety barriers and the consequences or final states when an accident occurs, Figure 5.
- The identification and definition of the initiation causes (ic) which may be: basic events (ba) such as failures in control systems, equipment or processes; human risk factors (ha) which are human errors and the potential causes (pot), which will be defined in the following subsection. The process is iterative between step 1 and step 2 until the causes and consequences have been clearly established.
- From the previous steps 1 and 2, the statistical parameter p that expresses the risk probability is also identified and the prior statistical distribution that reflects it can be established. Also the prior transition and emission matrices governing changes in the mitigative safety barriers can be defined.
- The observation of the initiation causes (ic) and end states are put into effect according to a time interval.
- From the estimated prior f(p) and the observed initiation causes (ic), such as g(data/p) and applying Equation (1), the posterior function for the statistical parameter (p) can be obtained and if there is not an analytical expression for it then the Metropolis–Hastings sampling method can be applied to obtain the posterior distribution and its associated parameters [113,114]. Also corresponding to the hidden Markov chain, the prior transition and emission matrices are defined for the mitigative safety barriers and the posterior transition and emission matrices are obtained using the Baum–Welch algorithm, [115,116].
- Direct: uses the observed data up to the analyzed interval time, but with two possibilities: the mean established in the prior function that defines the statistical parameter (p) is constant in every interval, and the standard deviation is determined using the observed data collected up to the analyzed interval, (Direct–Mean Prior) or by modifying the mean and the standard deviation also using the observed data collected up to the analyzed interval (Direct–Mean Posterior).
- Recurrent: uses the observed data in every interval time, also with two possibilities: maintaining the mean posterior constant, and the standard deviation obtained in every interval is the new prior in the following interval (Recurrent–Mean Prior), or the mean and the standard deviation obtained in every interval are the prior values in the following interval (Recurrent–Mean Posterior).
- For the complete bow-tie scheme, Figure 6.
- a.1.
- Collecting the total of the initiation causes (ic) affecting all the preventive and mitigative safety barriers and their barrier sub-functions.
- a.2.
- Collecting only the first level for initiation causes (ic) and fails in first level of barrier sub-functions.
- Observing the fault tree (FT) and event tree (ET), and analyzing the response active (yes) or (no) for the preventive and mitigative safety barriers.
- 7.
- Analysis applying a hidden Monte Carlo Markov Chain for the mitigative safety barriers, also with two possibilities, Figure 7.
- Analyzing the behavior of the mitigative safety barriers based on the end states. In this case a transition matrix is defined for the mitigative barriers and an emission matrix for the observed end states in function of the barriers’ transition.
- Analyzing the behavior of the end states based on the action of the mitigative barriers. In this case a transition matrix is defined for the end sates and an emission matrix for the observed mitigative safety barriers in function of the end states.
3.2. Potential Causes (Pot)
3.3. General Application for Occupational Accidents
4. Case Study in a Medium-Density Fiberboard (MDF) Manufacturing Process Plant
4.1. Process
4.2. Results
4.2.1. Poisson–Gamma Model
4.2.2. Exponential–Gamma Model
4.2.3. Weibull–Gamma Model
4.2.4. Exponential–Normal Model
4.2.5. Poisson–Normal Model
4.2.6. Analysis of the Mitigative Safety Barriers Observing End States
4.2.7. Analysis of the End States Observing Mitigative Safety Barriers
5. Discussion
6. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Std’s / Directives | Application | P | S | I |
---|---|---|---|---|
89/391/EEC | Occupational - basic. [10] | + | - | - |
ISO 45001:2018 | Implementation of a system of occupational health & safety (OH&S). [16] | + | - | - |
NISHW | Spanish governmental organization of analysis and study for health and safety conditions in the workplace. [17] | + | - | - |
98/24/EC, 2004/37/EC | Occupational - Chemicals and carcinogens concentration. [18,19] | + | - | - |
ISO/IEC 31010:2019 | Risk management process, based on a iterative cycle. Risk assessment based on identification, analysis and evaluation. General application of (QRA). [4,5,38] | + | - | - |
PMBOK, PRINCE2 | Documentation tailored forprojects. Design, Start, Direction, Planning, Execution, Control. [39,40] | + | - | - |
CCPS | Layer of Protection Analysis (LOPA) methodology. A process deviation can lead to a hazardous consequence if not interrupted by an independent protection layer (IPL). Applied in chemical process. [14,41,42,43] | + | - | - |
NORSOK 2010 | Applied in the Norwegian petroleum industry, under the idea of Operational Risk Assessment, with the aim to follow the lifecycle of a project considering planning, execution and operation. [44,45,46] | + | - | - |
2012/18/EUCOMAH 2015 | European and British Control of Major Hazards for Seveso III Directive. Emergency plan withmajor accident prevention policy andinformation mechanism to authorities and population. A 5 years safety report. [47,48] | + | - | - |
CPR18E | Netherlands advisory council of dangerous substances, and the old (Commissie voor de Preventie van Rampenthat, CPR). Applied in hazardous installations and transport analyzing the loss of containment events and the modeling of the associated flammable clouds, their dispersion and toxic effects. [49] | + | - | - |
EN 16991:2018 | European standards for chemical, power generation and manufacturing providing guidance for the inspection and risk evaluation in operations and maintenance. [50,51] | + | - | - |
Models | Application | P | S | I |
---|---|---|---|---|
Sequential | Are representative of the Quantitative Risk Assessment (QRA) methodology regarding accidents as outcomes of a chain of discrete events or factors that take place in a temporal order. Analyzing causes and consequences of risk. | + | +/- | - |
ETA | Event Tree Analysis. Consequence analysis. General application. [14] | + | +/- | - |
FTA | Fault Tree Analysis. Causes of risks for human and technical systems. Applied in occupational risk analysis in the textile industry. [14,52] | + | +/- | - |
BOW-TIE | Graphic including FTA and ETA models to represent causes, safety barriers, and consequence events. [14] | + | +/- | - |
THERP | (Technique for Human Error Rate Prediction) a tool based on event-tree approach for evaluating human errors alone or in connection with equipment functioning, operational procedures and practices. [53] | + | +/- | - |
FMEA | Failure Mode Effect Analysis. Step-by-step approach for identifying potential failures. [54] | + | +/- | - |
Check list-What if | Systematic revision to find malfunctions and compliance with a list of requirements. [54] | + | +/- | - |
FMECA | Failure modes, Effects and Criticality Analysis. Upgrade of the FMEA. The criticality is determined classifying the degree of potential failures. Case application for a toxic exposure to contaminants in a drug industry. [54,55] | + | +/- | - |
RA | Reliability Assessment. Quantification of the probability of failure in a system. [56] | + | +/- | - |
Block Diagrams | Graphical procedure describing the function of the system and showing the logical connections of components needed to fulfill a specified system function. [57] | + | +/- | - |
HAZOP/HAZID | Technique for early identification of hazards usually applied in the design, the study is carried out by an experienced multi-discipline team using a checklist of potential hazards. [58] | + | +/- | - |
EBM | Energy Barrier Model defining a safety barrier management and considering that an accident occur when hazards succeed to penetrate the safety barriers deficiencies. [59,60] | + | +/- | - |
MORT | Management Oversight and Risk Tree. Root cause determination. Case for an elevator incident. [61] | + | +/- | - |
SCAT | Systematic Cause Analysis. Causal analysis using a poster schematic which enables the identification of relevant corrective and preventive actions. [62] | + | +/- | - |
STEP | Sequential Time Events Plotting. Identification of multiple causes in occupational accidents. [63] | + | +/- | - |
MTO | Man Technology and Organization. Root causes in occupational work affected by the organization; practice; management; procedures and deficiencies in work environment. [64] | + | +/- | - |
SOL | Safety through Organizational Learning. Event analysis in two steps: (1) description of the actual event situation, and (2) identification of contributing factors. Applicationin the nuclear industry. [65] | + | +/- | - |
Epidemiological | Propagation of events is analogous to a disease spreading considering their distribution and determinants. Accidents are caused by latent events under epidemic context. Applicationin helicopter and road accidents. [66,67] | + | +/- | - |
Models | Application | P | S | I |
---|---|---|---|---|
Systematic | General risk framework based on the Rasmussen’s model using control theory concepts and considering that social climate is affected by government policy and budgeting, regulatory associations, organization, staff and the work operation systems for which their limitations and their interactions can allow preconditions for accidents. [68,69] | + | +/- | - |
AcciMap | Cause event representation of the system interactions and how to control the hazardous processes originated into of the organizational and socio - technical system. [70] | + | +/- | - |
STAMP | Systems Theoretic Accident Model.The systems are subject to external disturbances and can cause accidents due to physical, social and economic pressures and control failures in safety barriers. Human action supports part or all of the operation and actions of the system. A checklist is applied to identify control failures in safety barriers. [71,72,73] | + | +/- | - |
CREAM | Cognitive Reliability and Error Analysis Method. Human performance is modeled to asses the consequences of the human errors. [74,75] | + | +/- | - |
DREAM | Driving Reliability and Error Analysis Method. Application in driving accidents. [76] | + | +/- | - |
FRAM | Functional Resonance Accident Model. As a result of the functional couplings appears resonance. The functional or basic processes in a risk scenario are identified, defining for each of them what are the inputs needed; the outputs produced; the needed resources (equipment, procedures, energy, materials and manpower); the controls to supervise, the preconditions to be fulfilled to carry the process and the time. The resonance can appear due to the variability in the dependence between processes. Application on aircraft, maritime and manufacturing. [77] | + | +/- | - |
AEB | Accident Evolution and Barrier Function. Interaction between technical and human-organizational systems which may lead to an accident. The analysis needs work-team by engineers and human accidents specialists. [78] | + | +/- | - |
Cloud based | Based on the FMECA . Perform a critical risk analysis based on the cloud by establishing a score based on expert knowledge. A case is presented for a gasification station. [79] | + | +/- | - |
Fuzzy based | Application of fuzzy logical for define human behavior in risk situations. | + | +/- | - |
HEART | Human Error and Assessment Technique.The reliability of any task can be modified by the influence of the Error Promotion Conditions (EPC). It is necessary to previously identify the tasks. For each task, with the help of a team of experts, a probability value of human error generation and the (EPC) that affect it and its relevance are defined. Fuzzy logic is applied to obtain a factor that modifies the probability of error. [53,80] | + | +/- | - |
CREAM-BN | Upgrade of the systemic CREAM model.Human behavior has five components: strategic, tactical, opportunistic and scrambled. It is affected by common performance conditions (CPC) defined as: adequacy of the organization, working conditions, human-machine interface, operational support, availability of procedures, number of simultaneous objectives, available time, time of day, training and experience and quality collaboration. A Bayesian network and fuzzy logic are applied to determine the probability of human error. Scramble and opportunistic are the ones with the highest probability. Cases and examples from nuclear industry, aircraft transportation, manufacturing, retail and chemicals. [81] | + | +/- | - |
Formal based | Accident causation is approached using probabilistic schemes and Bayesian networks to model the interaction between causes and effects. | |||
WBA | Why Because Analysis. Bayesian networks are applied considering that each component is a system is affected from the overall system environment. Application in transportation and aircraft accidents [82] | + | +/- | - |
Safety Barrier | ||||
PHPAM | Process Hazard Prevention Accident Models. Accidents are initiated by hydrocarbon release and propagation, and it is needed to establish safety barriers into five groups of prevention: release, ignition, escalation, harm and loss. Risk probabilities are evaluated before and after barriers implementation. [83] | + | +/- | - |
SHIPP | System Hazard Identification Prediction and Prevention.Update of the initial probability of risk according to the actual data collected and application of Bayesian inference. [84,85] | + | + | - |
Models | Application | P | S | I |
---|---|---|---|---|
Dynamic | Uses sequential models and the Bow-tie graph approach, performing a Bayesian inference analysis to update the failure probabilities from the information collected of the accident precursors. | + | + | - |
DyPASI | Dynamic Procedure for Atypical Scenarios Identification. Identification and assessment of the potential hazards based on information from atypical accident scenarios or situations, which are not captured by conventional HAZOP/HAZID techniques. [104,105] | + | + | - |
Dynamic Risk Analysis | Analysis process as a step of the Dynamic Risk Assessment methodology being a quantitative modern approach in which the frequency of accidents are updated by the application of the Bayesian theory. [106] | + | + | - |
Risk Barometer | For continuously monitor the risk of failure in safety barriers based on an existing Quantitative Risk Assessment (QRA) or a Dynamic Risk Assessment (DRA) and on the Barrier and Operational Risk Analysis (BORA). The safety barriers are analyzed through influencing factors, named Risk Influencing Factors, (RIFs), that are correlated to with theestimated probabilities of failure, followed by their visualization in an equivalent barometer graph. [107] | + | + | - |
Dynamic Operational Risk Assessment | Markov and MonteCarlo chain simulations applied to analyze the incidence of events and causes in each component of a system process and its behavior. The method simulates the visits in each of the four states in which they can be found: normal operation; abnormal not detected; abnormal detected and under repair. [108] | + | + | - |
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Folch-Calvo, M.; Brocal, F.; Sebastián, M.A. New Risk Methodology Based on Control Charts to Assess Occupational Risks in Manufacturing Processes. Materials 2019, 12, 3722. https://doi.org/10.3390/ma12223722
Folch-Calvo M, Brocal F, Sebastián MA. New Risk Methodology Based on Control Charts to Assess Occupational Risks in Manufacturing Processes. Materials. 2019; 12(22):3722. https://doi.org/10.3390/ma12223722
Chicago/Turabian StyleFolch-Calvo, Martin, Francisco Brocal, and Miguel A. Sebastián. 2019. "New Risk Methodology Based on Control Charts to Assess Occupational Risks in Manufacturing Processes" Materials 12, no. 22: 3722. https://doi.org/10.3390/ma12223722
APA StyleFolch-Calvo, M., Brocal, F., & Sebastián, M. A. (2019). New Risk Methodology Based on Control Charts to Assess Occupational Risks in Manufacturing Processes. Materials, 12(22), 3722. https://doi.org/10.3390/ma12223722