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List of figures | |
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List of tables | |
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Preface | |
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Acknowledgements | |
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Introduction | |
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Introducing the concept of SHE information systems | |
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Model of a SHE information system | |
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Human information-processing analogy | |
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What does research tell us about the effects of SHE information systems? | |
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Developing the model further | |
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Boundary conditions | |
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Conditions inside the company | |
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Size, type of technology and resources | |
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The organisational context | |
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The outer context | |
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The employer's responsibilities | |
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Regulations on record keeping and on the reporting of injuries and incidents to the authorities | |
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Workers' compensation systems | |
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International standards and guidelines | |
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Other non-governmental organisations | |
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Alternative accident-prevention approaches | |
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Barriers against hazards | |
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Administrative system for feedback control | |
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Arenas for organisational learning | |
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Risk homeostasis | |
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Case study: Reducing emissions to the air from a fertiliser plant | |
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Theoretical foundation | |
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Accident models | |
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On the need for accident models | |
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Causal-sequence models | |
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Process models | |
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Energy model | |
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Logical tree models | |
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Human information-processing models | |
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Moving the perspective to the organisational context | |
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SHE management models | |
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The SHE culture | |
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Framework for accident analysis | |
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Characteristics of the accident sequence | |
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Consequences of accidents | |
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Types of consequences | |
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Consequence measures | |
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Economic consequences of accidents | |
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Actual versus potential losses | |
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Incident (uncontrolled energy flow) | |
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Deviations | |
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Heinrich's classical man-environment taxonomy | |
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Ergonomics and industrial-engineering systems views | |
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Contributing factors and root causes | |
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Contributing factors at the functional department and work-system levels | |
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Root causes at the general and SHE-management-systems levels | |
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Problems in identifying causal factors | |
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Accident counter-measures | |
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Barriers against losses | |
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Prevention of occupational accidents | |
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Prevention of major accidents due to fires and explosions | |
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Active and passive barriers | |
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Different time frames in the implementation and maintenance of barriers | |
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The role of experience transfer | |
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Designing for safety of machinery | |
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Safety measures in operation | |
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The permit-to-work system | |
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The human element in accident control | |
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Human information processing | |
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Human errors | |
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Definition | |
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Human-error taxonomies | |
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Error recovery | |
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The influence of emotion | |
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Preventing human errors and promoting error recovery | |
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The role of the operators in major-accident prevention | |
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Unscheduled manual interventions | |
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Fallacy of the defences-in-depth philosophy | |
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High-reliability organisations | |
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The occurrence of accidents over time | |
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Feedback and use of experiences in decision-making | |
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Overview of feedback mechanisms | |
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Uses of SHE-related information in decision-making | |
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The diagnostic process | |
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Effects of limitations in human information-processing capacity | |
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Hale's problem-solving cycle | |
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Deming's circle | |
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Persistent feedback control | |
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Ashby's law of requisite variety | |
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Van Court Hare's hierarchy of order of feedback | |
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Obstacles to an efficient learning from experience | |
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Organisational defences | |
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Local information and the SHE information system | |
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Culpability and liability | |
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A balanced approach | |
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Requirements for a SHE information system | |
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Requirements for SHE performance indicators | |
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Requirements for the SHE information system as a whole | |
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Data collection | |
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Distribution and presentation of information | |
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The SHE information system as a whole | |
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Learning from incidents and deviations | |
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Sources of data on accident risks | |
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The ideal scope of different data-collection methods | |
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Filters and barriers in data collection | |
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Accident and near-accident reporting and investigation | |
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Why report and investigate accidents and near accidents? | |
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Investigations at three levels | |
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Reporting | |
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Reporting to the authorities | |
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Problems of under-reporting | |
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Near-accident reporting | |
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Immediate investigation and follow-up | |
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Quality of the supervisor's first report | |
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Use of checklists and reporting forms | |
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Displaying the sequence of events | |
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Computer-supported accident investigations | |
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Registration of accident costs | |
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Group problem-solving | |
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In-depth accident and near-accident investigations | |
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The steps in an in-depth investigation | |
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Applying SMORT in in-depth investigations | |
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Legal aspects of the commission's report | |
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Computer-supported distribution of the investigation report | |
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A procedure for accident and near-accident reporting and investigation | |
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SHE inspections and audits | |
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Inspections | |
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Workplace inspections | |
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Inspecting and testing barrier integrity | |
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SHE audits | |
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Application of SMORT in audits | |
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Accumulated accident experience | |
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Database on accidents and near accidents | |
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Database definition | |
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Accessing the database | |
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Coding of accident and near-accident data | |
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Analysis of accident and near-accident data | |
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Finding accident repeaters | |
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Uni- and bi-variate distribution analyses | |
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Accident-concentration analysis | |
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Analysis of accident causes | |
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Severity-distribution analysis | |
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Extreme-value projection | |
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Experience carriers | |
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Monitoring of SHE performance | |
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Overview of SHE performance indicators | |
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Loss-based SHE performance indicators | |
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The lost-time injury frequency rate | |
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The control chart | |
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The problems of SHE performance measurement | |
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Zero-goal mindset | |
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Other loss-based SHE performance indicators | |
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Measures of risk | |
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Standard loss-based SHE performance indicators | |
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Untraditional SHE performance indicators | |
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Process-based SHE performance indicators | |
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SHE performance indicators based on near-accident reporting | |
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Behavioural sampling | |
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Causal factor-based SHE performance indicators | |
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Rating the elements of a company's SHE management system | |
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International Safety Rating System (ISRS) | |
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Self-rating as a means of improving SHE management | |
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Tripod Delta | |
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Measurement of safety climate | |
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Measuring the degree of learning from incidents | |
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Selecting key SHE performance indicators | |
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Combinations of SHE performance indicators | |
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Indicators of barrier availability | |
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Risk analysis | |
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The risk-analysis process | |
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What is risk analysis? | |
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Acceptance criteria for the risk of losses due to accidents | |
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Methods of risk analysis | |
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Coarse or energy analysis | |
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Planning | |
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Execution and documentation | |
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Identification of hazards and causes | |
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Risk estimation | |
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Development of safety measures | |
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Documentation and follow-up of results | |
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Establishing a database on potential accidents | |
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Detailed job-safety analysis | |
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Analysis object | |
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Resource needs and scheduling | |
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Description of the steps of the job | |
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Subsequent steps | |
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Accidental exposure to chemicals | |
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Systematic mapping of hazards within an organisation | |
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Risk assessments of machinery | |
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Requirements as to risk assessments | |
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Method for risk assessment | |
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Determination of the limits of the machinery (Step 1) | |
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Coarse risk assessment (Step 2) | |
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Detailed risk assessment of the machinery (Step 3) | |
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Comparison risk analysis | |
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Acceptance criteria for the risk of occupational accidents | |
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Risk-assessment model | |
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Assumptions | |
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The steps of the analysis | |
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Criop | |
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Putting the pieces together | |
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The oil and gas industry | |
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Accidents in offshore oil and gas production | |
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The Ymer Platform | |
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Design | |
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Organisation and manning | |
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Prevention of accidents in design | |
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The phase model for offshore field exploration and development | |
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SHE management principles | |
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Prevention of major accidents | |
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Prevention of occupational accidents | |
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Construction-site safety | |
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SHE management principles | |
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Step 1: Pre-qualification | |
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Step 2: Tender evaluation and clarification, contract award | |
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Step 3: Evaluation of the SHE programmes | |
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Step 4: Follow-up during construction | |
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Safety during plant operation | |
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SHE management principles | |
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Policy and goals | |
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Implementation | |
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Control and verification | |
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The trucking industry | |
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Accidents in road transportation | |
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Measures of the risk of traffic accidents | |
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The man-vehicle-road-environment model | |
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The driver | |
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The vehicle | |
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The traffic environment | |
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Sources of information on traffic-accident risks | |
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Feedback mechanisms | |
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The trucking company | |
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The truck manufacturer | |
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The roads administration | |
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Improving the corporate SHE information system | |
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The improvement process | |
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Evaluation of existing conditions | |
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Establishing goals and defining user needs | |
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Developing solutions and following up results | |
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Design of the system | |
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Database definition | |
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Organisation and routines | |
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Personnel | |
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Instruments and tools | |
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Epilogue | |
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Definitions | |
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SMORT questionnaire | |
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Bibliography | |
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Name index | |
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Subject index | |