Bow ties in risk management : a concept book for process safety

Content: Intro
 BOW TIES IN RISK MANAGEMENT
 CONTENTS
 LIST OF TABLES
 LIST OF FIGURES
 ACRONYMS AND ABBREVIATIONS
 GLOSSARY
 ACKNOWLEDGMENTS
 ONLINE MATERIALS ACCOMPANYING THIS BOOK
 PREFACE
 1 INTRODUCTION
 1.1 PURPOSE
 1.2 SCOPE AND INTENDED AUDIENCE
 1.3 ORGANIZATION OF THIS CONCEPT BOOK
 1.4 INTRODUCTION TO THE BOW TIE CONCEPT
 1.4.1 Reason's Swiss Cheese, Models of Accident Causation and Bow Ties
 1.4.2 History and Regulatory Context of Bow Ties
 1.4.3 What Bow Ties Address
 1.4.4 Key Elements of a Bow Tie
 1.4.5 Benefits of Bow Ties
 1.4.6 Linkage between Bow Ties, Fault Trees, and Event Trees
 1.5 CONCLUSIONS2 THE BOW TIE MODEL
 2.1 BOW TIE MODEL ELEMENTS
 2.2 HAZARD
 2.2.1 Hazard: Characteristics
 2.2.2 Formulating the Hazard
 2.2.3 Hazard Examples
 2.3 TOP EVENT
 2.3.1 Top Event: Characteristics
 2.3.2 Formulating the Top Event
 2.3.3 Top Event Examples
 2.4 CONSEQUENCES
 2.4.1 Consequences: Characteristics
 2.4.2 Formulating Consequences
 2.4.3 Consequence Examples
 2.5 THREATS
 2.5.1 Threats: Characteristics
 2.5.2 Formulating Threats
 2.5.3 Threat Examples
 2.6 BARRIERS
 2.6.1 Barriers: Concept and Location on Bow Tie
 2.6.2 Barriers: Type and Characterization
 2.6.3 Barrier Properties2.6.4 Metadata
 2.6.5 Barrier Examples
 2.7 DEGRADATION FACTORS AND DEGRADATION CONTROLS
 2.7.1 Degradation Factors: Characteristics
 2.7.2 Degradation Controls: Concept and Location on Bow Tie
 2.7.3 Use Degradation Factors and Degradation Controls Sparingly
 2.7.4 Degradation Factors and Degradation Control Examples
 2.7.5 The Level of Detail Should Match the Goal and Audience of the Bow Tie
 2.8 CONCLUSIONS
 3 BOW TIE DEVELOPMENT
 3.1 RATIONALE FOR BOW TIE DEVELOPMENT
 3.2 BOW TIE WORKSHOP
 3.2.1 Bow Tie Workshop Pre-Work
 3.2.2 Workshop Team
 3.2.3 The Bow Tie Workshop3.3 POST-BOW TIE WORKSHOP ACTIVITIES AND QUALITY CHECKS
 3.4 CONCLUSIONS
 4 ADDRESSING HUMAN FACTORS IN BOW TIE ANALYSIS
 4.1 HUMAN AND ORGANIZATIONAL FACTORS FUNDAMENTALS
 4.1.1 Introduction
 4.1.2 Human and Organizational Factors --
Conventional Approach
 4.1.3 Human and Organizational Factors --
New Paradigm
 4.1.4 Human Failure as a Degradation Factor
 4.2 STANDARD AND MULTI-LEVEL BOW TIE APPROACHES
 4.2.1 Standard Bow Tie Approach
 4.2.2 'Multi-Level Bow Tie' Extension
 4.2.3 Comparison of Multi-Level and Generic Human Factors Bow Ties
 4.3 HUMAN AND ORGANIZATIONAL FACTORS AS A BARRIER OR DEGRADATION CONTROL4.3.1 Barriers
 4.3.2 Degradation Controls
 4.3.3 Training and Competence
 4.4 VALIDATING HUMAN PERFORMANCE IN BARRIERS AND DEGRADATION CONTROLS
 4.5 QUANTIFYING HUMAN RELIABILITY IN BOW TIES
 4.6 CONCLUSIONS
 5 PRIMARY USES OF BOW TIES
 5.1 PRIMARY USE EXAMPLES
 5.2 LINKING BOW TIES TO THE RISK MANAGEMENT SYSTEM
 5.2.1 Uses for Bow Ties --
Design Verification
 5.2.2 Uses for Bow Ties --
Communication and Management of Barriers and Degradation Controls
 5.2.3 Uses for Bow Ties --
Risk Management during Operations