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Error types.......................................................................................................... 4-17
Control of human error....................................................................................... 4-19
4.7 Safety cycle .............................................................................................................. 4-20
4.8 Cost considerations .................................................................................................. 4-22
Costs of accidents.............................................................................................. 4-23
Costs of incidents............................................................................................... 4-24
Costs of safety ................................................................................................... 4-24
Chapter 5. BASICS OF SAFETY MANAGEMENT .................................................................. 5-1
5.1 The philosophy of safety management .................................................................... 5-1
Core business function ...................................................................................... 5-1
Systems approach ............................................................................................. 5-1
System safety..................................................................................................... 5-2
5.2 Factors affecting system safety................................................................................ 5-2
Active failures and latent conditions................................................................... 5-2
Equipment faults ................................................................................................ 5-2
Human error ....................................................................................................... 5-3
System design.................................................................................................... 5-3
5.3 Safety management concepts.................................................................................. 5-4
Cornerstones of safety management................................................................. 5-4
Strategies for safety management ..................................................................... 5-5
Key safety management activities ..................................................................... 5-6
Safety management process ............................................................................. 5-6
Safety oversight ................................................................................................. 5-8
Safety performance indicators and targets ........................................................ 5-9
Appendix 1. Three cornerstones of safety management ............................................................ 5-APP 1-1
Chapter 6. RISK MANAGEMENT.............................................................................................. 6-1
6.1 General ..................................................................................................................... 6-1
6.2 Hazard identification ................................................................................................. 6-1
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6.3 Risk assessment ...................................................................................................... 6-3
Problem definition .............................................................................................. 6-4
Probability of adverse consequences ................................................................ 6-5
Severity of the consequences of occurrence..................................................... 6-5
Risk acceptability ............................................................................................... 6-6
6.4 Risk mitigation .......................................................................................................... 6-8
Defence analysis................................................................................................ 6-8
Risk mitigation strategies ................................................................................... 6-9
Brainstorming ..................................................................................................... 6-9
Evaluating risk mitigation options....................................................................... 6-9
6.5 Risk communication ................................................................................................. 6-10
6.6 Risk management considerations for State administrations .................................... 6-11
Occasions warranting risk management by State administrations .................... 6-11
Benefits of risk management for State administrations ..................................... 6-12
　
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