Bow-Tie Industrial Risk Management Across Sectors. Luca Fiorentini
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Table of Contents
1 Cover
10 Preface 3
11 Preface 4
12 Preface 5
13 Preface 6
14 Preface 7
15 Preface 8
18 1 Introduction to Risk and Risk Management 1.1 Risk Is Everywhere, and Risk Management Became a Critical Issue in Several Sectors 1.2 ISO 31000 Standard 1.3 ISO 31000 Risk Management Workflow 1.4 Uncertainty and the Human Factor 1.5 Enterprise Complexity and (Advanced) Risk Management (ERM) 1.6 Proactive and Reactive Culture of Organizations Dealing with Risk Management 1.7 A Systems Approach to Risk Management
19 2 Bow‐Tie Model 2.1 Hazards and Risks 2.2 Methods of Risk Management 2.3 The Bow‐Tie Method 2.4 The Bow‐Tie Method and the Risk Management Workflow from ISO 31000 2.5 Application of Bow‐Ties 2.6 Level of Abstraction 2.7 Building a Bow‐Tie 2.8 Hazards 2.9 Top Events 2.10 Threats 2.11 Consequences 2.12 Barriers 2.13 Escalation Factors and Associated Barriers 2.14 Layer of Protection Analysis (LOPA): A Quantified Bow‐Tie to Measure Risks 2.15 Bow‐Tie as a Quantitative Method to Measure Risks and Develop a Dynamic Quantified Risk Register 2.16 Advanced Bow‐Ties: Chaining and Combination
20 3 Barrier Failure Analysis 3.1 Accidents, Near‐Misses, and Non‐Conformities in Risk Management 3.2 The Importance of Operational Experience 3.3 Principles of Accident Investigation 3.4 The Barrier Failure Analysis (BFA) 3.5 From Root Cause Analysis (RCA) to BFA 3.6 BFA from Bow‐Ties
21 4 Workflows and Case Studies 4.1 Bow‐Tie Construction Workflow with a Step‐by‐Step Guide 4.2 LOPA Construction Workflow with a Step‐by‐Step Guide 4.3 BFA Construction Workflow with a Step‐by‐Step Guide 4.4 Worked Examples
22 Conclusions
23 Appendix 1: Bow‐Tie Easy Guide
25 Appendix 3: Human Error and Reliability Assessment (HRA) Human Errors and Violations The Rasmussen Skills‐Rules‐Knowledge Model of Human Error
26 References and Further Reading References Further Reading
27 Index
List of Tables
1 Chapter