安全生产事故往往由多组织交互、多因素耦合造成,事故原因涉及多个组织。为预防和遏制多组织生产安全事故的发生,基于系统理论事故建模与过程模型(Systems-Theory Accident Modeling and Process,STAMP)、24Model,构建一种用于多组织事...安全生产事故往往由多组织交互、多因素耦合造成,事故原因涉及多个组织。为预防和遏制多组织生产安全事故的发生,基于系统理论事故建模与过程模型(Systems-Theory Accident Modeling and Process,STAMP)、24Model,构建一种用于多组织事故分析的方法,并以青岛石油爆炸事故为例进行事故原因分析。结果显示:STAMP-24Model可以分组织,分层次且有效、全面、详细地分析涉及多个组织的事故原因,探究多组织之间的交互关系;对事故进行动态演化分析,可得到各组织不安全动作耦合关系与形成的事故失效链及管控失效路径,进而为预防多组织事故提供思路和参考。展开更多
To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA...To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA)and cognitive reliability and error analysis method(CREAM)is proposed.STPACREAM can identify unsafe control actions and find the causal path during the interaction of avionics systems and pilot with the help of formal verification tools automatically.The common performance conditions(CPC)of avionics systems in the aviation environment is established and a quantitative analysis of human failure is carried out.Taking the head-up display(HUD)system interaction process as an example,a case analysis is carried out,the layered safety control structure and formal model of the HUD interaction process are established.For the interactive behavior“Pilots approaching with HUD”,four unsafe control actions and35 causal scenarios are identified and the impact of common performance conditions at different levels on the pilot decision model are analyzed.The results show that HUD's HCI level gradually improves as the scores of CPC increase,and the quality of crew member cooperation and time sufficiency of the task is the key to its HCI.Through case analysis,it is shown that STPACREAM can quantitatively assess the hazards in HCI and identify the key factors that impact safety.展开更多
为分析化学品船智能液货系统的安全性,采用系统理论事故模型与过程(System-Theoretic Accident Model and Processes, STAMP)方法,构建了化学品船智能液货系统控制反馈模型;基于系统理论过程分析(System-Theoretic Process Analysis, ST...为分析化学品船智能液货系统的安全性,采用系统理论事故模型与过程(System-Theoretic Accident Model and Processes, STAMP)方法,构建了化学品船智能液货系统控制反馈模型;基于系统理论过程分析(System-Theoretic Process Analysis, STPA),确定系统级事故,识别不安全控制行为并分析不安全控制行为关键致因;将不安全控制行为作为风险因素,利用三角模糊数对不安全控制行为风险进行量化。结果表明,26种不安全控制行为中,泵管阀动态调节、人员监测、数据采集、货品相容性判定等因素对风险影响程度较高。该分析结果可为化学品船智能液货系统的应用和安全管理提供参考。展开更多
The wheel brake system safety is a complex problem which refers to its technical state, operating environment, human factors, etc., in aircraft landing taxiing process. Usually, professors consider system safety with ...The wheel brake system safety is a complex problem which refers to its technical state, operating environment, human factors, etc., in aircraft landing taxiing process. Usually, professors consider system safety with traditional probability techniques based on the linear chain of events. However, it could not comprehensively analyze system safety problems, especially in operating environment, interaction of subsystems, and human factors. Thus,we consider system safety as a control problem based on the system-theoretic accident model, the processes(STAMP) model and the system theoretic process analysis(STPA) technique to compensate the deficiency of traditional techniques. Meanwhile,system safety simulation is considered as system control simulation, and Monte Carlo methods are used which consider the range of uncertain parameters and operation deviation to quantitatively study system safety influence factors in control simulation. Firstly,we construct the STAMP model and STPA feedback control loop of the wheel brake system based on the system functional requirement. Then four unsafe control actions are identified, and causes of them are analyzed. Finally, we construct the Monte Carlo simulation model to analyze different scenarios under disturbance. The results provide a basis for choosing corresponding process model variables in constructing the context table and show that appropriate brake strategies could prevent hazards in aircraft landing taxiing.展开更多
针对气象雷达系统任务过程安全性问题,以基于系统论的事故模型及过程(systems-theoretic accident model and process)理论方法为基础,提出了一种案例激励安全性分析方法。在进近阶段机载气象雷达任务过程中,通过构建系统分层控制结构,...针对气象雷达系统任务过程安全性问题,以基于系统论的事故模型及过程(systems-theoretic accident model and process)理论方法为基础,提出了一种案例激励安全性分析方法。在进近阶段机载气象雷达任务过程中,通过构建系统分层控制结构,识别系统任务过程中存在的不安全控制行为,并辨识与不安全控制行为关联的潜在危险致因;构建安全飞行控制结构模型,以达美航空事故为例,提出安全约束建议控制事故衍变机制来优化模型,以提高系统任务过程安全。以上分析表明,该方法能更全面地识别系统深层危险致因,为机载气象雷达的安全性设计提供技术支持。展开更多
文摘安全生产事故往往由多组织交互、多因素耦合造成,事故原因涉及多个组织。为预防和遏制多组织生产安全事故的发生,基于系统理论事故建模与过程模型(Systems-Theory Accident Modeling and Process,STAMP)、24Model,构建一种用于多组织事故分析的方法,并以青岛石油爆炸事故为例进行事故原因分析。结果显示:STAMP-24Model可以分组织,分层次且有效、全面、详细地分析涉及多个组织的事故原因,探究多组织之间的交互关系;对事故进行动态演化分析,可得到各组织不安全动作耦合关系与形成的事故失效链及管控失效路径,进而为预防多组织事故提供思路和参考。
基金supported by the National Key Research and Development Program of China(2021YFB1600601)the Joint Funds of the National Natural Science Foundation of China and the Civil Aviation Administration of China(U1933106)+2 种基金the Scientific Research Project of Tianjin Educational Committee(2019KJ134)the Natural Science Foundation of TianjinIntelligent Civil Aviation Program(21JCQNJ C00900)。
文摘To solve the problem of risk identification and quantitative assessment for human-computer interaction(HCI)in complex avionics systems,an HCI safety analysis framework based on system-theoretical process analysis(STPA)and cognitive reliability and error analysis method(CREAM)is proposed.STPACREAM can identify unsafe control actions and find the causal path during the interaction of avionics systems and pilot with the help of formal verification tools automatically.The common performance conditions(CPC)of avionics systems in the aviation environment is established and a quantitative analysis of human failure is carried out.Taking the head-up display(HUD)system interaction process as an example,a case analysis is carried out,the layered safety control structure and formal model of the HUD interaction process are established.For the interactive behavior“Pilots approaching with HUD”,four unsafe control actions and35 causal scenarios are identified and the impact of common performance conditions at different levels on the pilot decision model are analyzed.The results show that HUD's HCI level gradually improves as the scores of CPC increase,and the quality of crew member cooperation and time sufficiency of the task is the key to its HCI.Through case analysis,it is shown that STPACREAM can quantitatively assess the hazards in HCI and identify the key factors that impact safety.
文摘为分析化学品船智能液货系统的安全性,采用系统理论事故模型与过程(System-Theoretic Accident Model and Processes, STAMP)方法,构建了化学品船智能液货系统控制反馈模型;基于系统理论过程分析(System-Theoretic Process Analysis, STPA),确定系统级事故,识别不安全控制行为并分析不安全控制行为关键致因;将不安全控制行为作为风险因素,利用三角模糊数对不安全控制行为风险进行量化。结果表明,26种不安全控制行为中,泵管阀动态调节、人员监测、数据采集、货品相容性判定等因素对风险影响程度较高。该分析结果可为化学品船智能液货系统的应用和安全管理提供参考。
文摘The wheel brake system safety is a complex problem which refers to its technical state, operating environment, human factors, etc., in aircraft landing taxiing process. Usually, professors consider system safety with traditional probability techniques based on the linear chain of events. However, it could not comprehensively analyze system safety problems, especially in operating environment, interaction of subsystems, and human factors. Thus,we consider system safety as a control problem based on the system-theoretic accident model, the processes(STAMP) model and the system theoretic process analysis(STPA) technique to compensate the deficiency of traditional techniques. Meanwhile,system safety simulation is considered as system control simulation, and Monte Carlo methods are used which consider the range of uncertain parameters and operation deviation to quantitatively study system safety influence factors in control simulation. Firstly,we construct the STAMP model and STPA feedback control loop of the wheel brake system based on the system functional requirement. Then four unsafe control actions are identified, and causes of them are analyzed. Finally, we construct the Monte Carlo simulation model to analyze different scenarios under disturbance. The results provide a basis for choosing corresponding process model variables in constructing the context table and show that appropriate brake strategies could prevent hazards in aircraft landing taxiing.
文摘针对气象雷达系统任务过程安全性问题,以基于系统论的事故模型及过程(systems-theoretic accident model and process)理论方法为基础,提出了一种案例激励安全性分析方法。在进近阶段机载气象雷达任务过程中,通过构建系统分层控制结构,识别系统任务过程中存在的不安全控制行为,并辨识与不安全控制行为关联的潜在危险致因;构建安全飞行控制结构模型,以达美航空事故为例,提出安全约束建议控制事故衍变机制来优化模型,以提高系统任务过程安全。以上分析表明,该方法能更全面地识别系统深层危险致因,为机载气象雷达的安全性设计提供技术支持。
