| Literature DB >> 31861332 |
Xiaowei Li1, Tiezhong Liu1, Yongkui Liu2.
Abstract
Hazardous chemical accidents (HCAs) seriously endanger public life, property, and health. Human and organizational factors are important causes of many kinds of accidents. In order to systematically explore the influencing factors of unsafe behaviors in HCAs in China, the method of human factors analysis and classification system based on the Bayesian network (BN-HFACs) was introduced. According to the 39 investigation reports of HCAs in China, the origin Bayesian network (BN) was obtained and the failure sensitivity of every node in BN was calculated. The results have shown that hazardous material environment (1.63) and mechanical equipment (0.49) in the level of preconditions of unsafe behavior have the same direction failure effect with operation error, while there is no factor has the same direction failure effect with operation violate. Some factors in organization influence and unsafe supervision, such as organization climate (0.34), operation guidance (0.37), planned operation (0.22), and legal supervision (0.19), are also important reasons for operational errors, while resource management (0.12), hidden investigation (0.18) and legal supervision (0.13) have an impact on operation violates. Moreover, there are still close relationships between other hierarchical elements, such as the operation guidance effect on the hazardous material environment (6.60), and the organizational climate has the most obvious impact on other factors at the level of organizational factors. Based on the above research conclusions, suggestions for individual, enterprise, and government were put forward, respectively, and the limitations of this study were also clarified.Entities:
Keywords: Bayesian network; hazardous chemical accidents; human factors analysis and classification system; operation error; operation violate
Mesh:
Substances:
Year: 2019 PMID: 31861332 PMCID: PMC6981700 DOI: 10.3390/ijerph17010011
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Figure 1Revised human factors and classification systems (HFACs) for hazardous chemical accidents (HCAs).
Explanation of subdivision indexes of HFACs for HCAs.
| Level | Subdivision Index | Explanation of Subdivision Index |
|---|---|---|
| UB | OE | OE refers to the operator’s unintentional wrong behavior |
| OV | OV refers to the operator’s non-compliance with the established plant regulations | |
| PUB | HME | HME means environmental factors related to hazardous chemicals, and there are three kinds of environmental factors including chemical gas leakage, chemical reactions, and meteorological conditions |
| ME | ME refers to the safety state of equipment with the functions of production and storage | |
| HF | HF includes risk identification ability, safety awareness, safety skills, and mutual rescue consciousness | |
| US | OG | OG includes three aspects, they are safety instruction from managers to operators, the supervision of managers about confined space, the supervision of managers to urge the operators to comply with the regulations |
| PO | PO mainly involves the operability of the operating procedures | |
| HI | HI includes two aspects, one is the risk perception of managers, and the other is that the managers do not eliminate the known hidden dangers timely | |
| LS | LS divides two facets, including operating tickets’ management conforms to regulation and managers obey the rules and regulations | |
| OI | RM | RM mainly refers to the input of safety production |
| OC | OC includes three aspects, they are enterprise safety responsibility, enterprise awareness of production safety, enterprise rules, and regulations about safety | |
| OP | OP includes safety management, safety education and training, emergency management, third-party evaluation, and so on |
Figure 2The topological structure of BN-HFACs for HCAs.
Conditional probability matrix of Level 3.
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| OG-S | 0.67 | 0.70 | 1.00 | 0.50 | 0.00 | 1.00 | 0.00 | 0.50 |
| OG-F | 0.33 | 0.30 | 0.00 | 0.50 | 1.00 | 0.00 | 1.00 | 0.50 |
| PO-S | 0.67 | 1.00 | 0.67 | 0.71 | 0.00 | 0.75 | 0.00 | 0.50 |
| PO-F | 0.33 | 0.00 | 0.33 | 0.29 | 1.00 | 0.25 | 1.00 | 0.50 |
| HI-S | 0.67 | 0.50 | 0.67 | 0.71 | 0.50 | 0.75 | 0.00 | 0.50 |
| HI-F | 0.33 | 0.50 | 0.33 | 0.29 | 0.50 | 0.25 | 1.00 | 0.50 |
| LS-S | 1.00 | 0.90 | 1.00 | 0.86 | 0.50 | 0.75 | 1.00 | 0.50 |
| LS-F | 0.00 | 0.10 | 0.00 | 0.14 | 0.50 | 0.25 | 0.00 | 0.50 |
Notes: S stands for the non-failure state, F stands for failure state, * represents no corresponding state.
Conditional probability matrix of Level 2.
| Nodes Status | OG-S | |||||||
|---|---|---|---|---|---|---|---|---|
| PO-S | PO-F | |||||||
| HI-S | HI-F | HI-S | HI-F | |||||
| LS-S | LS-F * | LS-S | LS-F | LS-S | LS-F | LS-S | LS-F | |
| HME-S | 0.93 | 0.50 | 0.67 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| HME-F | 0.07 | 0.50 | 0.33 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| ME-S | 0.86 | 0.67 | 1.00 | 0.67 | 1.00 | 1.00 | 1.00 | 1.00 |
| ME-F | 0.14 | 0.33 | 0.00 | 0.33 | 0.00 | 0.00 | 0.00 | 0.00 |
| HF-S | 0.36 | 0.00 | 0.00 | 0.67 | 0.00 | 0.00 | 0.50 | 0.00 |
| HF-F | 0.64 | 1.00 | 1.00 | 0.33 | 1.00 | 1.00 | 0.50 | 1.00 |
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| HME-S | 1.00 | 0.50 | 0.50 | 1.00 | 1.00 | 0.50 | 0.67 | 0.50 |
| HME-F | 0.00 | 0.50 | 0.50 | 0.00 | 0.00 | 0.50 | 0.33 | 0.50 |
| ME-S | 0.83 | 0.67 | 1.00 | 1.00 | 1.00 | 0.67 | 1.00 | 0.67 |
| ME-F | 0.17 | 0.33 | 0.00 | 0.00 | 0.00 | 0.33 | 0.00 | 0.33 |
| HF-S | 0.33 | 0.00 | 0.50 | 0.00 | 0.00 | 0.00 | 0.67 | 0.00 |
| HF-F | 0.67 | 1.00 | 0.50 | 1.00 | 1.00 | 1.00 | 0.33 | 1.00 |
Notes: S stands for the non-failure state, F stands for failure state, * represents no corresponding state.
Conditional probability matrix of Level 1.
| Nodes Status | HME-S | HME-F | ||||||
|---|---|---|---|---|---|---|---|---|
| ME-S | ME-F | HME-S | HME-F | |||||
| HF-S | HF-F | HF-S * | HF-F | HF-S | HF-F | HF-S | HF-F | |
| OE-S | 0.50 | 0.68 | 0.00 | 0.33 | 0.00 | 0.00 | 1.00 | 0.00 * |
| OE-F | 0.50 | 0.32 | 1.00 | 0.67 | 1.00 | 1.00 | 0.00 | 1.00 * |
| OV-S | 0.40 | 0.27 | 0.00 | 0.67 | 1.00 | 1.00 | 0.00 | 0.00 * |
| OV-F | 0.60 | 0.73 | 1.00 | 0.33 | 0.00 | 0.00 | 1.00 | 1.00 * |
Notes: S stands for the non-failure state, F stands for failure state, * represents no corresponding state.
Figure 3The initial BN of HFACs for HCAs.
Figure 4Node state probability changes when RM state is non-failure.
Figure 5Node state probability changes when RM state is failure.
Failure sensitivity of nodes in BN-HFACs.
| RM | OC | OP | OG | PO | HI | LS | HME | ME | HF | |
|---|---|---|---|---|---|---|---|---|---|---|
| OG | 0.00 | 4.73 | 0.00 | — | — | — | — | — | — | — |
| PO | 0.00 | 1.81 | 0.10 | — | — | — | — | — | — | — |
| HI | 0.24 | 0.00 | 0.00 | — | — | — | — | — | — | — |
| LS | 5.20 | 4.67 | 0.00 | — | — | — | — | — | — | — |
| HME | 0.00 | 4.29 | 0.39 | 6.60 | 3.71 | 0.00 | 0.00 | — | — | — |
| ME | 1.20 | 0.00 | 0.00 | 0.00 | 0.00 | 1.25 | 2.4 | — | — | — |
| HF | 0.00 | 0.25 | 0.01 | 0.22 | 0.21 | 0.00 | 0.03 | — | — | — |
| OE | 0.00 | 0.34 | 0.08 | 0.37 | 0.22 | 0.00 | 0.19 | 1.63 | 0.49 | 0.00 |
| OV | 0.12 | 0.00 | 0.00 | 0.00 | 0.00 | 0.18 | 0.13 | 0.00 | 0.00 | 0.00 |
Note: columns indicate cause events, rows indicate result events.