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Seventh Interntational 
System Safety Conference

"Principles and Applications for Safer Systems
	
San Jose, California o July 25, 2985
Proceedings
Volume II

CORRECTIVE ACTION EVALUATION

Leslie M White and Ludwig Benner Jr.
Events Analysis Inc., Oakton, Virginia 22124

ABSTRACT

This paper describes a set of procedures designed to assess the relative safety effectiveness of candidate controls for identified hazards. The procedure was developed in response to an objective to develop a systematic process to assess the relative safety effectiveness of alternative corrective actions, which considers both the type of hazard to be controlled as well as the degree of risk involved. Development of the process involved integrating: the existing DOD risk assessment scheme; the corrective action precedence process prescribed by Military Standard 882-B and; a prioritized “MORT” type energy control assessment. The decision parameters are displayed in a matrix format called a Control Rating Code (CRC), with supporting instructions, to assist in understanding the decision process, and to ensure a consistent approach between competing projects. While developed primarily for the U.S. Corps of Engineers Facility System Safety Program (FASS), this corrective action evaluation process can also be used in other system safety programs, or to assist in the selection of controls for industrial safety/occupational health hazards in more traditional safety and health programs.

INTRODUCTION

Given the objective of developing a systematic process for evaluating candidate corrective actions which considers both the type of hazard and the degree of risk, the authors explored the analytical tools available in existing system safety programs. Military Standard 882B offers system safety engineers several methods to help assess the priority for, and potential effectiveness of, corrective actions. The first of these methods involves the assessment of hazard severity and probability to assist in the establishment of priorities for corrective action and the resolution of identified hazards. The second method, System Safety Precedence 1/, provides an order of precedence for applying corrective actions to identified hazards. Beyond the scope of MIL-STND 882B, several other methodologies also appeared to be useful in assisting in the selection of corrective actions. The first of these additional methodologies is the DOD Risk Assessment Code (RAC) 2/. This process, an off shoot of the MIL-STND 882B Risk Assessment process, provides a relative assessment of risk by assigning a RAC rating to an identified hazard based on a qualitative or quantitative assessment of the probability and severity of potential mishaps. The second additional methodology considered was the Energy Barrier concept of hazard control used by the Department of Energy and the Naval Facilities Engineering Command.

We would also like to acknowledge the work of the late Dr. William Haddon Jr. for his pioneering work in the barrier concept.] As each of these methods have value, individually, in helping to select effective corrective actions, the authors attempted to incorporate the best features of each method for the Facility System Safety Program. Accordingly, CRC links the Energy Barrier Concept to the System Safety Precedence, and links this combination in turn to the DOD Risk Assessment Code. . We believe that the CRC is an improvement on existing methodologies in that it directs the analysts thinking towards an understanding of what hazard type is being controlled, how it is being controlled and, the relation of the relative effectiveness to the original risk level. Further, the results are couched in measurable, management oriented terms, to encourage action on the recommended solutions. The result of this marriage of methodologies is described in the following paragraphs

BIOGRAPHIES

Leslie M White President
Events Analysis Inc
12101 Toreador Lane Oakton, Virginia 22124

Mr. White, a retired Air Force pilot, has been involved in safety analysis, safety management and accident investigation on a full-time basis for more than 18 years. While serving as the Assistant for Safety Policy in the Office of Secretary of Defense he was the principal author of several current DOD safety related Directives and Instructions including DODI 5000.36, “ System Safety Engineering and Management." As President of EVA he is currently Project Director on projects to develop system safety programs for the U.S. Corps of Engineers and the Navy Surface Weapons Center..

Ludwig Benner Jr. Vice President
Events Analysis Inc
12101 Toreador Lane Oakton, Virginia 22124

Mr. Benner, a Fellow of the System Safety Society, has long been active in developing, documenting and teaching advanced techniques for safety analysis and accident investigation. The former Director of the Hazardous Materials Division of the NTSB, he currently serves as the Chairmen of the Accident Investigation Sub—committee, Hazardous Materials Committee, Transportation Research Board. He also serves as the Program Director for the Washington, DC Chapter of the society. As Vice President and senior researcher for EVA, he is project director for a program to develop a risk analysis/decision process for general aviation pilots for the FAA under sub-contract to the Aircraft Owners and Pilots Association.