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AC1
ubeduri SemTxvevis gamomwvevimizezebi
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AC2
pirvelyofili adamiani
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AC3
saamqroebis menejerebi TavianT muSakTa Soris ubeduri SemTxvevebismizezad asaxeleben:
ubeduriSemTxveva
adamianuri problema
sawarmoo revolucia
Warbi raodenobaadamianuriSecdomauyuradReboba
gangeba biznesis safasuri
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AC4
sawarmoo ubeduri SemTxvevis Tavidan acileba
1932 pirveli mecnieruli midgoma ubduri SemTxvevisa da misi Tavidan acilebisadmi - h.v.hainrihi.
dominos Teoria
soc. garemoda winaprebipirovnebis Secdoma(uyuradReboba) saxifaTo qmedeba anpiroba ubeduriSemTxveva
fizikuriziani
adamianTa mier daSvebuli Secdomebi
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AC5
hainrihis Teoremebi dazianebagamowveulia ubeduri SemTxvevebiT. ubeduri SemTxvevebigamowveulia saxifaTo qmedebiTdazianebuli piris mier
an saxifaTo garemoTisamuSao adgiliT.
saxifaTo qmedebebi/pirobebigamowveulia uyuradRebo pirebis mier an uxarisxoan arasworad gamoyenebuli aRWurvilobis mier.
pirovnuli Secdomagamowveulia socialuri garemoTi an winaprebis gavleniT. socialuri garemo/winaprebi sad da rogor izrdeboda da swavlobda pirovneba.
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AC6
hainrihis Teoriamakoreqtirebeli qmedebebis Tanmimdevroba
(samiE)inJineria (Engineering)ganaTleba (Education)daZaleba (Enforcement)
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AC7
mizezebis gamovlenisTanamedrove modeli
Secdoma muSaobaSi
Sedegi:-dazianebis gareSe
-mravali fataluri Sedegi-mniSvnelovani dazianeba
ubeduri SemTxveva(SesaZlo)
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AC8
ra iwvevs ubedur SemTxvevebs da rogor xdeba gamomwvevi mizezebis koreqcia. Parallels Heinrich's to a point.
heinrixis mosazrebebi am sakiTxTan dakavSirebiT dazianebas ewodeba Sedegi, romelic miuTiTebs, rom man SeiZleba moicvas rogorc dazianeba, aseve pirovnebis daSaveba, Sedegi SeiZleba
meryeobdes araviTari dazianebidan Zalzed seriozul dazianebamde. Injury is called RESULT, indicating it couldinvolve damage as well as personal injuryand the result can range from no damageto the very severe.
The word MISHAP is used rather than Accident to avoid the popular
misunderstanding that an accident necessarily involves injury or damage.
sityva ubeduri SemTxveva gacilebiT xSirad gamoiyeneba vidre incidenti, raTa Tavidan iqnas acilebuli is araswori gageba, romelismixedviTac incidenti aucileblad moicavs daSavebas an dazianebas
Finally, the term OPERATING ERROR is used instead of Unsafe Act & Unsafecondition.
da bolos, saxifaTo qmedebis/saxifaTo mdgomareobis nacvlad gamoiyeneba termini saeqspluatacio gaumarTaoba
mizezebis gamovlenis Tanamedrove meTodi
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AC9
Operating Errors:
saeqspluatacio gaumarTaoba: Being in an unsafe position
araswor poziciaze yofna Stacking supplies in unstable stacks maragis arasworad
dalageba Poor housekeeping
cudi administraciuli muSaoba Removing a guard
mcvelis moxsna
ExamplesmagaliTebi
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AC10
Revolutionized accident preventionincidentisrevoluciuri/Tanamedrove prevencia A weakness in the
design or operation ofa system or programsistemis an programis dizainis an moqmedebis sisuste
Systems Defectsistemuri xarvezi
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AC11
Examples magaliTebiSystems defects include: sistemuri xarvezebi moicavs: Improper assignment of responsibility pasuxismgeblobis arasworidakisreba/gadanawileba Improper climate of motivation Seusabamomotivacia Inadequate training and education araadekvaturi wvrTna da ganaTleba Inadequate equipment and supplies araadekvaturi aRWurviloba da maragi Improper procedures for the selection & assignment of
personnel SemadgenlobisSerCevisa da daniSvnis proceduris araswori warmarTva Improper allocation of funds fuladi saxsrebis araswori gankargva
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AC12
Modern Causation Model
Tanamedrove kauzatiuri modeli
OPERATINGERRORS saeqspluatacio
gaumarTaoba
RESULT:Sedegi
-No damage
or injury-araviTari dazianeba an daSaveba
-Many fatalities-Major damage-bevri ubeduri SemTxveva
-ZiriTadi dazianeba
MISHAP
(POSSIBLE)ubeduri SemTxveva
(SesaZlo)
SYSTEM
DEFECTSsistemurixarvezi
Operating Errors occur because people make
mistakes, but more importantly, they occurbecause ofsaeqspluatacio gaumarTaobas iwvevs adamianTa mierdaSvebuli Secdomebi, magram, misi gamowvevis ufro mniSvnelovani mizezigaxlavT sistemuri xarvezi
SYSTEM DEFECTS
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AC13
System defects occur because ofsistemuri xarvezebi gamowveuliamenejmentiT/SecdomebiT marTvaSi
Managers design the Systems menejerebi axdenensistemebis konstruirebas
Modern Causation ModelTanamedrove kauzatiuri modeli
OPERATING
ERRORS
Secdomebi eqspluataciaSi
RESULT:SedegiNo damage
or injuryaraviTari dazianeba an daSaveba
Many fatalities
Major damagebevri ubeduri SemTxvevaZiriTadi dazianeba
MISHAP(POSSIBLE) ubeduri
SemTxveva(SesaZlo)
SYSTEM
DEFECTSsistemurixarvezi
COMMAND
ERRORSecdomebimarTvaSi
MANAGEMENT / COMMAND ERROR
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AC14
A defect in some aspect of the safety program thatallows an avoidable error to exist. usafrTxoebis programaSi arsebulixarvezi SesaZlebels xdis Tavidan acilebadi gaumarTaobis arsebobas
Ineffective Information Collection araefeqturi informaciis dagroveba Weak Causation Analysis susti kauzatiuri analizi Poor Countermeasures susti ukuqmedebis zomebi Inadequate Implementation Procedures araadeqvaturi eqspluataciis procedura Inadequate Control araadeqvaturi kontroli
Safety Program Defect usafrTxoebis programisxarvezi
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AC15
SAFETY
MANAGEMENT
ERRORusafrTxoebis menejmentis gaumarTaoba
A weakness in the knowledge or motivation of thesafety manager that permits a preventable defect inthe safety program to exist. usafrTxoebis menejeriscodnisa damotivaciis sisuste ganapirobebs Tavidan acilebadi gaumarTaobis arsebobas usafrTxoebisprogramaSi.
Safety Management Error usafrTxoebismenejmentis gaumarTaoba
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AC16
Modern Causation Model Tanamedrove kauzatiuri modeli
SAFETYMANAGEMENTERROR
usafrTxoebis menejmentisgaumarTaoba
SAFETYPROGRAM
DEFECTxarvezi usafrTxoebisprogramaSi
COMMAND
ERRORxarvezimarTvaSi
SYSTEM
DEFECTsistemurixarvezi
OPERATING
ERRORxarvezieqspluataciaSi
MISHAPubeduriSemTxveva
RESULTSSedegebi
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AC17
Initial studies show for each disabling injury, there were29 minor injuries and 300 close calls/no injury. Tavdapirvelmagamokvlevebma uCvenes, rom miRebuli tramvidan 29 aris umniSvnelo da 300
Recent studies indicate for each serious result there are59 minor and 600 near-misses.
uaxloesma gamokvlevebma gviCvenes, rom TviToeuli
INITIAL STUDIES RECENT STUDIES
Near-Miss Relationship
1 SERIOUS
MINOR
CLOSE CALL
29
300
1 SERIOUS
MINOR
CLOSE CALL
59
600
Tavdapirveli gamokvlevebiseriozuli
umniSvnelo
seriozuli
umniSvnelo
uaxloesi gamokvlevebi
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AC18
There are seven avenues through which we can initiate countermeasures.None of these areas overlap. They are:arsebobs Svidi gza, romliTac SesaZlebelia kontrRonisZiebaTa ganxorcieleba. arcerTi maTgani erTmaneTs arewinaaRmdegeba. esenia:
Safety management errorgaumarTaobausafrTxoebis menejmentSi Safety program defect xarvezi usafrTxoebis programaSi Management / Command errorxarvezi menejmentSi/marTvaSi System defect sistemuri xarvezi Operating erroreqspluataciis axrvezi Mishap ubeduri SemTxveva Result Sedegi
Seven Avenues Svidi gza
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AC19
Seven Avenues Svidi gzaPotential countermeasures for each modern
causation approach include: potenciuri kontrRonisZiebebi TiToeuli Tanamedrovekauzatiuri midgomisaTvis moicavs:
SAFETY
MANAGEMENT
ERRORgaumarTaoba usafrTxoebismenejmentSi
TRAINING swavlebaEDUCATION ganaTlebaMOTIVATION motivaciaTASK DESIGN amocanis dagegmva
1
2 3 4 5 6 7
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AC20
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include: potenciuri kontrRonisZiebebi TiToeuli Tanamedrove kauzatiurimidgomisaTvis moicavs:
SAFETY
PROGRAM
DEFECTxarvezi usafrTxoebisprogramaSi
REVISE INFORMATION informaciis ganmeorebaCOLLECTION dagrovebaANALYSIS analiziIMPLEMENTATION Sesruleba
2
3 4 5 6 71
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AC21
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include:potenciuri kontrRonisZiebebi TiToeuli Tanamedrove kauzatiurimidgomisaTvis moicavs:
COMMAND
ERRORgaumarTaobamarTvaSi
TRAINING swavlebaEDUCATION ganaTlebaMOTIVATION motivaciaTASK DESIGN amocanis dagegmva
3
4 5 6 71 2
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AC22
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include: potenciuri kontrRonisZiebebi TiToeuli Tanamedrove kauzatiurimidgomisaTvis moicavs:
SYSTEM
DEFECTsistemurixarvezi
DESIGN REVISION VIAgegmis gadaxedva- SOP standartuli samoqmedo procedurebi- REGULATIONS wesebi- POLICY LETTERS debulebebi- STATEMENTS formulirebebi
4
5 6 71 2 3
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AC23
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include: potenciuri kontrRonisZiebebi TiToeuli Tanamedrove kauzatiurimidgomisaTvis moicavs:
OPERATING
ERRORgaumarTaobaeqspluataciaSi
ENGINEERING SemuSaveba da marTvaTRAINING swavlebaMOTIVATION motivacia
5
6 71 2 3 4
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AC24
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include:potenciuri kontrRonisZiebebi TiToeuli Tanamedrove kauzatiurimidgomisaTvis moicavs:
MISHAPubeduriSemTxveva
PROTECTIVE EQUIPMENT
BARRIERS
SEPARATION
6
71 2 3 4 5
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AC25
Seven Avenues Svidi gzaPotential countermeasures for each moderncausation approach include:include:potenciuri kontrRonisZiebebi TiToeuli Tanamedrovekauzatiuri midgomisaTvis moicavs:
RESULTSedegi
CONTAINMENT lokalizaciaFIREFIGHTING cecxlis CaqrobaRESCUE gadarCenaEVACUATION evakuaciaFIRST AID pirveladi daxmareba
7
1 2 3 4 5 6
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AC26
A system is simply a group of interrelated parts which, whenworking together as they were designed to do, accomplish a goal.Using this analogy, an installation or organization can be viewedas a system. sistema warmoadgens erTmaneTTan dakavSirebul martiv jgufs, romelic erTadmuSaobis dros, aRwevs mizans. am analogiaze dayrdnobiT instalacia an organizacia SeiZleba moisazrebodesrogorc sistema.
The elements of the Army Systems Model are:samxedro Zalebis sistemurimodelis elementebs warmoadgens: Task amocana Person pirovneba Training swavleba Environment garemo Materiel materialuri mxare
Army Systems Model saxmeleTo Zalebis sistemurimodeli
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AC27
TASKamocana
Army Systems Model saxmeleTo Zalebis sistemurimodeli
Communication Control kavSirgabmulobis kontroli Arrangement momzadeba Demands on soldiers moTxovna jariskacebze
Time aspects drois faqtori
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AC28
PERSON pirovneba
Army Systems Model saxmeleTo Zalebis sistemuri modeli
Selection SerCeva Mentally gonebrivi Physically fizikuri Emotionallyemociuri Qualified kvalificirebuli
Motivation motivacia Positive pozitiuri Negative negatiuri Retention retenciuli
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AC29
Army Systems Model saxmeleToZalebis sistemuri modeli
TRAINING swavlebaTypes tipebi Initial sawyisi Update ganaxlebuli Remedialgadamzadeba
Targets
Operatoroperatori Supervisorsupervaizori Managementmenejmenti
ConsiderationsgasaTvaliswinebeli garemoebebi
Quality/Quantityxarisxi/raodenoba
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AC30
Army Systems Model saxmeleTo Zalebissistemuri modeli
ENVIRONMENT garemo Noise xmauri Weatheramindi Facilities nagebobebi Lighting ganaTeba Ventilation ventilacia
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AC31
Army Systems ModelsaxmeleTo Zalebis sistemuri modeli
MATERIEL materialuri mxare Supplies maragi
Equipment aRWurviloba Machine Design danadgaris dizaini Maintenance teqnikuri momsaxureba
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Army Systems Model saxmeleTo Zalebis sistemuri modeli
SAFETYMANAGEMENT
ERRORgaumarTaoba usafrTxoebismenejmentis
SAFETYPROGRAM
DEFECTxarvezi usafrTxoebisprogramaSi
RESULTSedegi
MISHAPubeduriSemTxveva
OPERATING
ERRORgaumarTaobaeqspluataciaSi
SYSTEM
DEFECTsistemuri xarveziCOMMAND
ERRORxarvezi marTvaSi
Army SystemsModel saxmeleTo Zalebis sistemuri modeli
Task amocana Training wvrTna Environment garemo Materiel materialuri mxare Person pirovneba
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AC33
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AC34
Protect the Force Through Risk Management