| Course Unit Code | 040-0160/01 |
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| Number of ECTS Credits Allocated | 3 ECTS credits |
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| Type of Course Unit * | Choice-compulsory type B |
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| Level of Course Unit * | Second Cycle |
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| Year of Study * | First Year |
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| Semester when the Course Unit is delivered | Winter Semester |
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| Mode of Delivery | Face-to-face |
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| Language of Instruction | Czech |
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| Prerequisites and Co-Requisites | There are no prerequisites or co-requisites for this course unit |
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| Name of Lecturer(s) | Personal ID | Name |
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| DAN40 | prof. RNDr. Pavel Danihelka, CSc. |
| RAS03 | Ing. Pavel Raška, Ph.D. |
| BAU020 | Ing. Barbora Martiníková, Ph.D. |
| Summary |
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| The course explains the process of investigation of accidents and incidents, elaborates on the typology of accidents and obtaining information about the mechanism of the accident in wider context, including the proper operation of the process and root causes. It provides information on the steps, evidence and procedures needed in the investigation, from the formation of the team throw the creation and verification of hypotheses to the processing of lessons learned from the accident. The subject is supplemented by case studies. |
| Learning Outcomes of the Course Unit |
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| Understand and apply basic methods of determining the course of incidents and accidents and their causes (including root causes) and context. Apply incident and accident investigation methods to specific situations and draw lessons learned from them. |
| Course Contents |
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1. What is an accident and accident investigation and what is it for?
2. Typology of accidents
3. Process of investigation of accidents
4. Obtaining information about the course of the accident and its context, including the proper operation of the process
5. Analysis of information obtained
6. Evidence and hypothesis, hypothesis evaluation
7. Confirmation and refutation of hypotheses
8. Identification of risk control mechanisms and their failure
9. Methods of analysis: DOE, FTA, ETA,
10. Methods of analysis: MORT, security barriers analysis
11. Primary and root causes, their relationship and importance
12. Lessons learned
13. Action plan and its implementation. Importance of accident and accident investigation for enterprise, industrial segment and for society. |
| Recommended or Required Reading |
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| Required Reading: |
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Investigating accidents and incidents, A workbook for employers, unions, safety representatives and safety professionals, HSE, UK, HSG245, published 2004
Snorre Sklet, Methods for accident investigation, NTU Trondheim 2002, ISBN 82-7706-181-1
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Bartosz, D., Martiníková, B.: Základní vhled do problematiky vyšetřování průmyslových havárií s účastí nebezpečných látek, VŠB-Technická univerzita Ostrava, Fakulta bezpečnostního inženýrství, Ostrava 2019
Pracovní úrazy - Identifikace kořenových příčin úrazů, VUBP Praha, Dostupné na https://zsbozp.vubp.cz/zdravi/pracovni-urazy/476-identifikace-korenovych-pricin-urazu
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| Recommended Reading: |
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P.Danihelka: Analysis and management of risks of dangerous chemicals in industry, VŠB TU Ostrava 2002, ISBN 80-248-0084-5
Trevor Kletz, WHAT WENT WRONG? Case Histories of Process Plant Disasters, Elsevier 1999
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Pavel Danihelka a kol.: Analýza a management rizik závažných havárií s nebezpečnými látkami v energetice, VŠB TU Ostrava - VEC 2015, ISBN 978-80-248-3428-3
SKŘEHOT, Petr…[et al.]. 2009. Prevence nehod a havárií; 1. díl: Nebezpečné látky
a materiály. Praha: Výzkumný ústav bezpečnosti práce a T-SOFT, 2009, 341 s.,
ISBN 978-80-86973-70-8.
SKŘEHOT, Petr…[et al.]. 2009. Prevence nehod a havárií; 2. díl: Mimořádné události a prevence nežádoucích následků. Praha: Výzkumný ústav bezpečnosti práce
a T-SOFT, 2009, 595 s., ISBN 978-80-86973-73-9.
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| Planned learning activities and teaching methods |
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| Lectures, Seminars, Tutorials |
| Assesment methods and criteria |
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| Task Title | Task Type | Maximum Number of Points
(Act. for Subtasks) | Minimum Number of Points for Task Passing |
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| Credit and Examination | Credit and Examination | 100 (100) | 51 |
| Credit | Credit | 30 | 16 |
| Examination | Examination | 70 | 35 |