Using Fault Tree Analysis to Identify Contributing Factors to Engulfment in Flowing Grain in On-Farm Grain Bins

2005 ◽  
Vol 11 (4) ◽  
pp. 395-405 ◽  
Author(s):  
D. M. Kingman ◽  
W. E. Field
Author(s):  
Jyh-Cherng Jong ◽  
Yung-Cheng (Rex) Lai ◽  
Cheng-Chung Young ◽  
Yu-Fu Chen

On October 21, 2018, a Puyuma express train went overspeed through a sharp curve and derailed in Yilan, Taiwan. This accident resulted in 18 fatalities and 267 injuries. Although such accidents occur once in a while worldwide, this case of an overspeed derailment from a train-set equipped with an automatic train protection (ATP) system (similar to the function of Positive Train Control (PTC) in the U.S.) is rare. A temporary investigation team was appointed by the Executive Yuan, the highest administrative organ in Taiwan, and the investigation was completed within 2 months. This paper presents the process, analysis, findings, and recommendations from the accident investigation. The accident was first analyzed using fault tree analysis to identify potential causes and contributing factors of this derailment. The results were then categorized into layers of defenses by using a Swiss cheese model. We further extended the original Swiss cheese model to a “time-dependent Swiss cheese model” to demonstrate how the barriers were penetrated at different times by incorporating the timestamps of important events. Another modified Swiss cheese model called “causal relationship Swiss cheese model” was presented to further demonstrate the causal relationships. With the proposed process and models, the immediate causes and contributing factors were quickly identified and presented in a way that could be easily understood by the general public. The results showed that the ATP system (or the PTC) cannot guarantee 100% safety. A review of the safety culture and corresponding procedures is important to ensure the safety of railway operations.


2020 ◽  
Vol 18 (3) ◽  
Author(s):  
Ahmad MA ◽  
Razali A

Introduction: Factory and Machinery Act (Noise Exposure) Regulation 1989 (FMA [Noise] 1989) has been implemented in Malaysia for nearly 30 years, but noise-induced hearing loss (NIHL) cases is still rising. Fault tree analysis is a top-down approach to analyzing incidences of 'failures', starting with establishing the single top event that will eventually cause NIHL, followed by identification of the contributing factors to the top event which are the immediate or basic events. Through its visual, structural and deductive approach; FTA is able to depict the temporal sequence of events and their interactions in a formal and logical hierarchy. Materials and Methods: Employees with permanent standard threshold shifts (PSTS) underwent further assessment confirming the presence of NIHL. A single common fault tree was constructed based on six cases of PSTS. The top event is the PSTS. Intermediate and basic events were identified and mapped with relevance to the provisions in the FMA (noise) 1989 indicating how failed control measures have resulted in the PSTS cases. Results: The constructed fault tree with its branches illustrated how breach or noncompliance of FMA (Noise) 1989 resulted in the eventual top event (NIHL). Conclusion: FTA provides a standardized perspective of errors within the system in preventing NIHL.


Author(s):  
Kamal Hamid ◽  
Nadim Chahine

Wireless communications became one of the most widespread means for transferring information. Speed and reliability in transferring the piece of information are considered one of the most important requirements in communication systems in general. Moreover, Quality and reliability in any system are considered the most important criterion of the efficiency of this system in doing the task it is designed to do and its ability for satisfactory performance for a certain period of time, Therefore, we need fault tree analysis in these systems in order to determine how to detect an error or defect when happening in communication system and what are the possibilities that make this error happens. This research deals with studying TETRA system components, studying the physical layer in theory and practice, as well as studying fault tree analysis in this system, and later benefit from this study in proposing improvements to the structure of the system, which led to improve gain in Link Budget. A simulation and test have been done using MATLAB, where simulation results have shown that the built fault tree is able to detect the system’s work by 82.4%.


Sign in / Sign up

Export Citation Format

Share Document