bowtie curso bscat
TRANSCRIPT
BSCATBarrier based
Systematic Cause Analysis Technique
Immediate causes
Basic causes
Management system factors
SCAT
EventEventEvent
Barrier
Immediate CauseBasic Cause
Management System Factor
Barrier
Immediate CauseBasic Cause
Management System Factor
BSCAT no confundir bowtie con bscat…bscat es un solo escenario
Immediate cause
Basic cause
Management system factor
Immediate cause
Basic cause
Management system factor
Main Cause – Effect
relationships
SCAT causation path
Barriers: failed, missing,
unreliable, effective
EventEventEvent
Barrier
Immediate CauseBasic Cause
Management System Factor
Barrier
Immediate CauseBasic Cause
Management System Factor
EventEventEvent
Barrier
Immediate CauseBasic Cause
Management System Factor
Barrier
Immediate CauseBasic Cause
Management System Factor
Highway: Losing control over the car
H01 Driving a car
Regular driving breaks
Driver loss of attention (due to phone, controlling radio, fatigue, eating etc.)
Tyre integrity system
Blowout (tire)
ABS
Slippery road conditions
Competence in confined space rescue
Crash into deep water resulting in confined space
External airbag
Hitting a pedestrian/cyclist
Roll-over protection
Vehicle roll-over
B4 C1 C0 C0
C3 C0 C0 C1
C4 C1 C0 C0BSCAT no confundir bowtie con bscat…bscat es un solo escenario