BY ORDER OF THE AIR FORCE PAMPHLET 91-215 SECRETARY ...
BY ORDER OF THE AIR FORCE PAMPHLET 91-215 SECRETARY ... BY ORDER OF THE AIR FORCE PAMPHLET 91-215 SECRETARY ...
plan for a back-up, then when a critical piece of equipment or other mission asset is damaged or destroyed we have capabilities available to bring on line to continue the mission. A4.A.1.7. Risk can be reduced. The overall goal of risk management is to plan missions or design systems that do not contain hazards. However, the nature of most complex missions and systems makes it impossible or impractical to design them completely hazard-free. As hazard analyses are performed, hazards will be identified that will require resolution. To be effective, risk management strategies must address the components of risk: probability, severity, or exposure. A proven order of precedence for dealing with hazards and reducing the resulting risks is: A4.A.1.7.1. Plan or Design for Minimum Risk. From the first, plan the mission or design the system to eliminate hazards. Without a hazard there is no probability, severity or exposure. If an identified hazard cannot be eliminated, reduce the associated risk to an acceptable level. Flight control components can be designed so they cannot be incorrectly connected during maintenance operations as an example. A4.A.1.7.2. Incorporate Safety Devices. If identified hazards cannot be eliminated or their associated risk adequately reduced by modifying the mission or system elements or their inputs, that risk should be reduced to an acceptable level through the use of safety design features or devices. Safety devices usually do not effect probability but reduce severity: an automobile seat belt doesn’t prevent a collision but reduces the severity of injuries. Nomex gloves and steel toed boots won’t prevent the hazardous event, or even change the probability of one occurring, but they prevent, or decrease the severity of, injury. Physical barriers fall into this category. A4.A.1.7.3. Provide Warning Devices. When mission planning, system design, and safety devices cannot effectively eliminate identified hazards or adequately reduce associated risk, warning devices should be used to detect the condition and alert personnel of the hazard. As an example, aircraft could be retrofitted with a low altitude ground collision warning system to reduce controlled flight into the ground mishaps. Warning signals and their application should be designed to minimize the probability of the incorrect personnel reaction to the signals and should be standardized. Flashing red lights or sirens are a common warning device that most people understand. A4.A.1.7.4. Develop Procedures and Training. Where it is impractical to eliminate hazards through design selection or adequately reduce the associated risk with safety and warning devices, procedures and training should be used. A warning system by itself may not be effective without training or procedures required to respond to the hazardous condition. The greater the human contribution to the functioning of the system or involvement in the mission process, the greater the chance for variability. However, if the system is well designed and the mission well planned, the only remaining risk reduction strategies may be procedures and training. Emergency procedure training and disaster preparedness exercises improve human response to hazardous situations. A4.A.2. In most cases it will not be possible to eliminate risk entirely, but it will be possible to significantly reduce it. There are many risk reduction options available. These have been captured in the sample Risk Control Options Matrix, provided in . 102
SECTION A4.B. THE RISK CONTROL OPTIONS MATRIX A4.B.1. The sample risk control options matrix, illustrated at Figure A4.1, is designed to develop a detailed and comprehensive list of risk control options. These options are listed in priority order of preference, all things being equal, therefore start at the top and consider each option in turn. Add those controls that appear suitable and practical to a list of potential options. Examples of each control option are suggested in Figure A4.2. Notice that many of the options may be applied at more than one level. For example, the training option may be applied to operators, supervisors, more senior leaders, or staff personnel. 103
- Page 51 and 52: A2.A.7.6. RESOURCES. A key resource
- Page 53 and 54: Figure A2.16. Sample Change Analysi
- Page 55 and 56: Figure A2.18. Example of Change Ana
- Page 57 and 58: Figure A2.19. Example of Cause and
- Page 59 and 60: A2.B.3. THE HAZARD AND OPERABILITY
- Page 61 and 62: A2.B.4. THE MAPPING TOOL A2.B.4.1.
- Page 63 and 64: A2.B.5. THE INTERFACE ANALYSIS A2.B
- Page 65 and 66: A2.B.6. THE MISSION PROTECTION TOOL
- Page 67 and 68: A2.B.7. THE SAFETY QUIZ A2.B.7.1. F
- Page 69 and 70: A2.B.8. THE NEXT MISHAP ASSESSMENT
- Page 71 and 72: A2.B.10. THE INTERVIEW TOOL A2.B.10
- Page 73 and 74: A2.B.11. THE INSPECTION TOOL A2.B.1
- Page 75 and 76: A2.B.12. THE MISHAP/INCIDENT INVEST
- Page 77 and 78: Figure A2.30 Sample Job Hazard Anal
- Page 79 and 80: training and observation time. Succ
- Page 81 and 82: A2.B.15.6. RESOURCES. Effective use
- Page 83 and 84: A2.B.16. THE OPPORTUNITY ASSESSMENT
- Page 85 and 86: SECTION A2.C. THE ADVANCED HAZARD I
- Page 87 and 88: Figure A2.37. Types of Energy. Elec
- Page 89 and 90: A2.C.5. THE FAULT TREE ANALYSIS A2.
- Page 91 and 92: A2.C.6. THE FAILURE MODE AND EFFECT
- Page 93 and 94: A2.C.7. THE MULTILINEAR EVENTS SEQU
- Page 95 and 96: A2.C.8. THE MANAGEMENT OVERSIGHT AN
- Page 97 and 98: Attachment 3 RISK ASSESSMENT TOOLS,
- Page 99 and 100: A3.2.3. Lack of a range of rankings
- Page 101: Attachment 4 RISK CONTROL OPTION AN
- Page 105 and 106: Figure A4.2. Example Risk Control O
- Page 107 and 108: elatively small investments in risk
- Page 109 and 110: Figure A5.2. Example Maximizing Ban
- Page 111 and 112: Attachment 6 RISK CONTROL IMPLEMENT
- Page 113 and 114: Attachment 7 SUPERVISE AND REVIEW D
plan for a back-up, then when a critical piece of equipment or other mission asset is damaged or destroyed<br />
we have capabilities available to bring on line to continue the mission.<br />
A4.A.1.7. Risk can be reduced. The overall goal of risk management is to plan missions or design<br />
systems that do not contain hazards. However, the nature of most complex missions and systems makes it<br />
impossible or impractical to design them completely hazard-free. As hazard analyses are performed,<br />
hazards will be identified that will require resolution. To be effective, risk management strategies must<br />
address the components of risk: probability, severity, or exposure. A proven order of precedence for<br />
dealing with hazards and reducing the resulting risks is:<br />
A4.A.1.7.1. Plan or Design for Minimum Risk. From the first, plan the mission or design the system to<br />
eliminate hazards. Without a hazard there is no probability, severity or exposure. If an identified hazard<br />
cannot be eliminated, reduce the associated risk to an acceptable level. Flight control components can be<br />
designed so they cannot be incorrectly connected during maintenance operations as an example.<br />
A4.A.1.7.2. Incorporate Safety Devices. If identified hazards cannot be eliminated or their associated risk<br />
adequately reduced by modifying the mission or system elements or their inputs, that risk should be<br />
reduced to an acceptable level through the use of safety design features or devices. Safety devices usually<br />
do not effect probability but reduce severity: an automobile seat belt doesn’t prevent a collision but<br />
reduces the severity of injuries. Nomex gloves and steel toed boots won’t prevent the hazardous event, or<br />
even change the probability of one occurring, but they prevent, or decrease the severity of, injury. Physical<br />
barriers fall into this category.<br />
A4.A.1.7.3. Provide Warning Devices. When mission planning, system design, and safety devices cannot<br />
effectively eliminate identified hazards or adequately reduce associated risk, warning devices should be<br />
used to detect the condition and alert personnel of the hazard. As an example, aircraft could be retrofitted<br />
with a low altitude ground collision warning system to reduce controlled flight into the ground mishaps.<br />
Warning signals and their application should be designed to minimize the probability of the incorrect<br />
personnel reaction to the signals and should be standardized. Flashing red lights or sirens are a common<br />
warning device that most people understand.<br />
A4.A.1.7.4. Develop Procedures and Training. Where it is impractical to eliminate hazards through<br />
design selection or adequately reduce the associated risk with safety and warning devices, procedures and<br />
training should be used. A warning system by itself may not be effective without training or procedures<br />
required to respond to the hazardous condition. The greater the human contribution to the functioning of<br />
the system or involvement in the mission process, the greater the chance for variability. However, if the<br />
system is well designed and the mission well planned, the only remaining risk reduction strategies may be<br />
procedures and training. Emergency procedure training and disaster preparedness exercises improve<br />
human response to hazardous situations.<br />
A4.A.2. In most cases it will not be possible to eliminate risk entirely, but it will be possible to significantly<br />
reduce it. There are many risk reduction options available. These have been captured in the sample Risk<br />
Control Options Matrix, provided in .<br />
102