A1564 Designing the miss and near miss report soft ware with aim of finding the roots of causes; a preventive and controller approach

Wednesday, March 21, 2012
Ground Floor (Cancun Center)

Fatemeh Amini Fard, HSE, Mapna Co., Tehran, Iran, Islamic Rep.
Seyedeh Fatemeh Shams Zadeh Alavi, safety, shahid beheshti university, tehran, Iran, Islamic Rep.
Handouts
  • FATEME AMINIFARD-IRAN.pdf (335.3 kB)
  • Introduction
    With regard to, the miss and near miss, despite of all efforts to prevent them, in any way, will happen in organizations, we should planning an appropriate program for prevent and control them, with exact study on roots of causes of miss and near miss. 

    Methods
    This paper introduce the designed software and installable on all programmable electronic portable devices (such as lab top, tablet, i-pad, mobile and …), for immediate record of miss and near miss reports, with determining the root-causes of them during record a report, with capability of filming and taking photo from the place that event was accrued in it, and recording voice of witnesses of event. And finally sending final report in a short time, to safety experts, Middle or senior managers for deciding about preventive and improved actions. This software is written by an under network programming language(C#). For finding the roots of miss and near miss causes, we used from tripod-β logic. This software has capability of quick electronic sending of incident reports with identified roots of causes.

    Results
    This software is tested for several near miss and an assumed miss in some MAPNA group companies in Iran. And identified and modified their failures and now it's available and useable. In This software we can update and edit the information's and was defined the level of access, for it.

    Discussion
    One of the other capabilities of this software is implementing statistic operations on recorded information in their database and calculating some safety indexes such as AFR, ASR, Safe-T-score and etc. one of the future improve program is predicting the cost of accident.