accident investigation
DESCRIPTION
INVESTIGASI KECELAKAANTRANSCRIPT
Accident Investigation
Cinthya Theresia Tambunan
1106087231
M. Rosiawan Yulia 1106006801
Muhammad Rafiq Daulay 1106017566
Patricia Bebby Yolla 1106009974
Sistia Fitriana 1106006341
What is an Accident ??
Accident •An unplanned and unwelcome event which disrupts normal routine
Result•Death, injury, illness or a ‘near miss’•Damage to equipment or property•Disruption of work•Legal cost
NB: Most accidents are preventable by eliminating one or more causes
Definition• Determine not only what happend, but also how and
why these accident occur
Main aim• To prevent a recurrence of the same accident
and NOT to assign blame to individuals
Spesific aim• Prevent similar accidents occuring in the future• Revise and improve risk assessments• Enhance working environment and layout• Increase safety awareness
Accident Investigation
Metode Investigasi Kecelakaan
(Center for Chemical Process Safety (CCPS), antara lain:
Accident Anatomy method (AAM),
Action Error Analysis (AEA)
Accident Evolution and Barrier
Analysis (AEB)
Change Evaluation/Analysis,
Cause-Effect Logic Diagram (CELD)
Causal Tree Method (CTM)
Fault Tree Analysis (FTA)
Hazard and Operability Study (HAZOP)
Human Performance Enhancement System
(HPES)Human Reliability Analysis
Event Tree (HRA-ET) Multiple-Cause
Systems-oriented Incident Investigation (MCSOII)
Multi linear Events Sequencing (MES)
Management Oversight Risk Tree (MORT)
Systematic Cause
Analysis Technique
(SCAT)
Sequentially Timed
Events Plotting (STEP)
TapRoot Incident
Investigation System
Technique of Operations
Review (TOR)
Work Safety Analysis
Department of Energy (DOE) Amerika menyebutkan metode investigasi kecelakaan lainnya
sebagai berikut:
Events and Causal Factors Charting and Analysis, Barrier Analysis, Change Analysis, Root Cause Analysis, Fault Tree Analysis, Management Oversight and Risk Tree (MORT), Project Evaluation Tree Analysis (PET),
Specific Analytical Techniques,Human Factors Analysis, Integrated Accident Event Matrix, Failure Modes and Effects Analysis, Software Hazards Analysis, Common Cause Failure Analysis, Sneak Circuit Analysis, 72-Hour Profile, Materials and Structural Analysis, dan Scientific Modeling.
Metode Investigasi Kecelakaan
Daftar metode-metode kecelakaan lain yang belum tercantum di atas:
(Hu)Man-Technology and Organisation (MTO) analysis, Accident Analysis and Barrier Function (AEB) Method, TRIPOD-Delta, Acci-Map → digunakan di beberapa negara Eropa.
Syarat Investigasi Kecelakaan yang Baik
Melibatkan pihak-pihak yang relevan
Melibatkan tim investigasi yang relevan dan multi-disiplin ilmu
Mengumpulkan informasi yang relevan dan sebanyak mungkin
Human Reliability Associates sebagaimana dikutip Health and Safety Executive (HSE) Inggris dilaporan penelitian setebal 440 halaman yang berjudul “Accident
investigation - The drivers, Methods and Outcomes”
Mempunyai prosedur atau rencana investigasi terstruktur
Mengidentifikasi penyebab langsung maupun tidak langsung
Membuat rekomendasi dan menindaklanjuti penyebab kecelakaan
Human Reliability Associates sebagaimana dikutip Health and Safety Executive (HSE) Inggris dilaporan penelitian setebal 440 halaman yang berjudul “Accident
investigation - The drivers, Methods and Outcomes”
Syarat Investigasi Kecelakaan yang Baik
Human Reliability Associates sebagaimana dikutip Health and Safety Executive (HSE) Inggris dilaporan penelitian setebal 440 halaman yang berjudul “Accident
investigation - The drivers, Methods and Outcomes”
Syarat Investigasi Kecelakaan yang Baik
Menerapkan rekomendasi dan analisa resiko lanjutan setelah penerapan rekomendasi
Memastikan bahwa langkah-langkah pencegahan terbukti menurunkan resiko kecelakaan serupa
Membagikan pelajaran yang didapat dari sebuah kecelakaan (lesson learned) kepada pihak-pihak terkait
Mempunyai database kecelakaan yang mudah diakses
• U.S. Department of Labor. Accident Investigation. Akses di
http://www.labtrain.noaa.gov/osha600/refer/menu16a.pdf pada 22 Oktober
2013
• University of Greenwich. Accident Investigation. Akses di
http://www.gre.ac.uk/__data/assets/pdf_file/0011/84746/Accident-Investigatio
n-May-2012.pdf
pada 22 Oktober 2013
• Sklet, Snorre. Methods for accident investigation. 2002. Norwegia
• Health and Safety Executive. Accident Investigation - The Drivers, Methods
and Outcomes. 2001. United Kingdom
• Benner Jr, Ludwig. Investigating Investigation Methodologies. 2003. Virginia,
Amerika
• Department of Energy (DOE). Workbook Conducting Accident Investigations.
1999. Washington, DC. Amerika
• Center for Chemical Process Safety (CCPS). Guidelines for Investigating
Chemical Process Incidents. 2003. Knovel online version. P
Referensi