Professional Documents
Culture Documents
General introduction
to safety
engineering
Geert Boogaerts
2020 – 2021 – 2022 – 2023
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19/10: no
26/10 Vlarip, Werken met chemicaliën, Bluepoint Berchem
• General situation
• Definitions and examples
• Concepts
• Limitations
• Cases
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LEARNING OBJECTIVES KNOWING THE BASIC DEFINITIONS UNDERSTAND SOME RECENT CASES IN THE
KNOWING RISK CLASSIFICATION BROADER PERSPECTIVE
KNOWING BASIC HISTORICAL TECHNICAL GENERAL UNDERSTANDING OF THE
RISKS NUMBERS OF MAGNITUDE OF THE DAMAGE
PART
Introduction
Definitions and basic concepts
Existing risks & Risk perception
DOW index & inherent safe design
Hazard / risk identification & Risk analysis techniques
Risk quantification & Criteria
Introduction to reliability analysis
The Seveso Directive & The legislator
Risk management system & Process safety management systems
Human and organizational factors
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Introduction
Is it about making money for the people involved in it or is it about making good quality artefacts for
the society it serves. It clearly is made up of business organizations trading goods and services for
money and they must make some profit to survive. On the other hand, society needs and expects
food, clothing, power supplies, transport systems shelter and accommodation and so on. All of
these require an infrastructure of engineered products and facilities that must work safely.
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Introduction
In the case of bridges, the national road administration can have a system whereby the bridges are
inspected regularly on an annual or biennial basis, where the inspection intervals are dependent on
the results of previous inspections.
Thus, the work of the design engineer includes the task of achieving a suitable balance between risk
and safety. In this analysis, the factors to be considered will depend on whether the task involves:
economic risks, or risks to human beings
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Introduction
Engineering ethics
Keeping up with Airbus competitor
Modification of the 737 instead of design a new
Larger engines had to be mounted higher and farther forward
Significantly changed the aerodynamics of the aircraft
Risk of stall
Manoeuvring Characteristics Augmentation System (MCAS)
Single sensor to detect (AOA sensor, angle of attack)
(Herkert, Borenstein et al. 2020)
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Introduction
Engineering ethics
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Introduction
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Introduction
The recall was sparked by an issue Philips identified with the polyester-
based polyurethane foam used to muffle sound and vibrations in its
continuous and non-continuous ventilators. Over time, the company
found, that foam could break down, potentially sending specks of black
debris and other dangerous toxins into the air pathway.
By the time the FDA handed down its most serious rating to the recall in
July, it had received upwards of 1,200 complaints about the issue, linked
to more than 100 injuries.
In September, the agency gave Philips the OK to begin its repair-and-
replace program for the about 2.2 million recalled machines and other
respiratory devices. The proposed effort included replacing the
polyurethane foam with a silicone-based alternative.
The FDA’s green light for the program was based in part on the results of
tests of the new material that Philips completed in June. Testing for the
silicone-based foam in devices authorized for use in the U.S. demonstrated
acceptable results, the agency said.
However, while conducting a recent follow-up inspection of a Philips
manufacturing facility as part of its efforts to identify the root cause of the
initial issue, the FDA was given new information showing less than
favorable results for the replacement foam in one device marketed
outside of the U.S. In that case, the machine—equipped with the new
material—failed a safety test studying the release of volatile organic
compounds within the device.
Source: https://www.fiercebiotech.com/medtech/fda-flags-safety-issue-
replacement-material-for-recalled-philips-ventilators, 15 nov. 2021
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Introduction
The recall was sparked by an issue Philips
identified with the polyester-based polyurethane
foam used to muffle sound and vibrations in its
continuous and non-continuous ventilators. Over
time, the company found, that foam could break
down, potentially sending specks of black debris
and other dangerous toxins into the air pathway.
By the time the FDA handed down its most serious
rating to the recall in July, it had received
upwards of 1,200 complaints about the issue, linked
to more than 100 injuries.
In September, the agency gave Philips the OK to
begin its repair-and-replace program for the about
2.2 million recalled machines and other respiratory
devices. The proposed effort included replacing the
polyurethane foam with a silicone-based
alternative.
The FDA’s green light for the program was based in
part on the results of tests of the new material
that Philips completed in June. Testing for the
silicone-based foam in devices authorized for use
in the U.S. demonstrated acceptable results, the
agency said.
However, while conducting a recent follow-up
inspection of a Philips manufacturing facility as
part of its efforts to identify the root cause of
the initial issue, the FDA was given new
information showing less than favorable results for
the replacement foam in one device marketed outside
of the U.S. In that case, the machine—equipped with
the new material—failed a safety test studying the
release of volatile organic compounds within the
device.
Source: https://www.fiercebiotech.com/medtech/fda-flags-
safety-issue-replacement-material-for-recalled-philips-
ventilators, 15 nov. 2021
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Introduction
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Introduction
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Safety engineering:
Safety engineering, study of the causes and the prevention of accidental deaths and injuries. The
field of safety engineering has not developed as a unified, specific discipline, and its practitioners
have operated under a wide variety of position titles, job descriptions, responsibilities, and
reporting levels in industry and in the loss-prevention activities of insurance companies.
Safety engineer:
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Introduction
Definitions and basic concepts
Existing risks & Risk perception
DOW index & inherent safe design
Hazard / risk identification & Risk analysis techniques
Risk quantification & Criteria
Introduction to reliability analysis
The Seveso Directive & The legislator
Risk management system & Process safety management systems
Human and organizational factors
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Risk, Hazard
Safety, Process safety, Occupational health and safety, Ethical aspects
Risk classification , Risk quantification
Risk management , Security
Emergency management , Business continuity
Risk perception and risk acceptability
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Safety:
= the freedom of those conditions that can cause death, injury, occupational illness, damage to or
loss of equipment or property, or damage to the environment. This concept of safety is inclusive of
human safety, which includes workers directly involved in system interaction, workers not directly
involved in system interactions, as well as members of the public.
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Source: Nasa
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Process Safety:
The term ‘process industry’ comprises firms from the chemical, petrochemical, pharmaceutical and
food industries as well as the production of steel, cement and the like.
Process Safety is a blend of engineering and management skills focused on preventing catastrophic
accidents, particularly explosions, fires, and toxic releases, associated with the use of chemicals and
petroleum products.
Source: CCPS
Process safety: it focuses on preventing fires, explosions and accidental chemical releases in
chemical process facilities or other facilities dealing with hazardous materials such as refineries, oil
and gas production installations (onshore and offshore)
Occupational safety and health primarily covers the management of Personal Safety, however well-
developed management systems also address Process Safety issues
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Safety:
Security:
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Environment
System
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Insider threat
“An insider threat is the
possibility that an actor who
is or used to be trusted by the
organization with the free
privilege of access to and/or
knowledge about the organizational
assets, causes harm to the
organization because he
intentionally misuses his
access to or knowledge about the
organizational assets (Reveraert &
Sauer, 2020).”
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Definition:
Insider Threat
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Cyber security
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Cyber security
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Definitions and
basic concepts
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Triconex: Triton
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Last year, a mysterious cyber attacker group launched a malware campaign, which has since come
to be known as Triton or Trisis, to sabotage the safety shutdown system at a facility in the Middle
East. The Triton malware, discovered by cybersecurity firm Dragos in mid-November 2017, could
have caused catastrophic damage — potentially causing loss of life and widescale pollution. The
malware, however, didn’t achieve its
objective, as it inadvertently triggered the Triconex safety system’s emergency system shutdown
procedure it sought to suppress, helping lead to its discovery.
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Triconex
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Security:
Security can be defined as the perceived or actual ability to prepare for, adapt to, withstand, and
recover from dangers and crises caused by people’s deliberate, intentional, and malicious acts such
as terrorism, sabotage, organized crime, or hacking.
(Jore 2019)
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To treat any subject mathematically, precise definitions are necessary for a common understanding
Risk is related to safety, danger, hazard, loss, injury, death, toxicity and peril
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Hazard characteristics :
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An intrinsic chemical, physical, societal, economic or political condition that has the potential for
causing damage to a receptor (people, property or the environment). A hazardous event (undesirable
event) requires an initiating event or failure and then either failure of or lack of safeguards to prevent
the realisation of the hazardous event.
Toxicity and flammability – H2S in sour natural gas - High pressure and temperature – steam drum
Potential energy – walking a tight rope
Hazard:
An inherent property of a substance, agent, source of energy or situation having the potential
to cause undesirable consequences (e.g., properties that can cause adverse effects or damage to
health, the environment or property).
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Case Study:
“Root Cause Analysis of the Metallurgical failure revealed that liquid nitrogen flow
rate was higher than the capacity of the vaporizer connected, resulting in the
nitrogen reaching the spherical tank in its liquid state (–196°C).
The liquid nitrogen accumulated in the spherical tank triggering steel ductile to
brittle transition causing the tank rupture at a pressure of 4 bar”.
The flow rate of the liquid nitrogen was not controlled or restricted to ensure it
never exceeded the vaporizer capacity. The risk associated with the use of liquid
nitrogen was not adequately foreseen and mitigated. If the flow rate was
adequately controlled, the metallurgical failure would not have occurred.
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a hazard is anything that may cause harm, such as chemicals, electricity, working from ladders, an
open drawer, etc;
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Hazard Identification:
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The opportunity for reward is also reflected in the Chinese word for risk wai chi, which means
“danger opportunity” (IRM, n.d.).
Opportunity and threat are therefore the two faces of risk and on balance each side has the
potential to prevail given the right circumstances.
The word ‘risk’ derives from the early Italian risicare, which means ‘to dare’.
In this sense, risk is a choice rather than a fate (Bernstein, 1996, p.8)
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The nature of risk : Risk is a curious and complex concept. In a sense it is unreal in that it is always
concerned with the future, with possibilities, with what has not yet happened. If there is certainty,
there is no risk.
There is a fairy-tale sense to it, the ungrasp ability of something that can never exist in the present
but only in the future. Thus, risk is a thing of the mind, intimately linked to personal or collective
psychology even though as engineers we often try to give it the trappings of objectivity.
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(1) Colloquial language: a risk means a harmful event that may occur, but not with certainty. It can refer
both to probability and consequences
(2) Research: One common way to use the word is to let it refer to the probability of the occurrence of a
harmful event. If there is a measure of how harmful the event is (for instance the number of fatalities in
a sea accident), the risk may sometimes mean the product of the probability and the amount of harm.
Statisticians call this an expected value, and it has often been used to specify the concept of risk.
(3) A third use of the word has to do with the variation in the result, if a certain measure is taken. An
example could be the variation in travel time going by train or car, i.e., the risk of delay.
(4) A fourth definition is the experienced risk. That is, how large an individual considers the risk to be,
with the individual’s own interpretation of the word risk (Slovic, 2000; Renn, 2004)
(Grimvall, Holmgren et al. 2010)
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Researchers realized that it was necessary to try to understand the factors that affect how people react
to risks.
Chauncey Starr (1969): We seem to be prepared to accept much larger risks if they are voluntary than if
they are forced upon
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= Two components
• Damage
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Disaster UN
The United Nations describe a disaster as “the disruption of the functionality of a society, the loss of
life, real values and environmental values and exceedance of the capability of a society to cope with
such an event”
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Events Identification:
Determination of the different situations that can occur and lead to harm, including estimation of
the probable quantity, concentrations, transport, and fate of the hazardous substance(s) or energy
released in each specified situation, as determined in part by the environmental conditions at the
time of the event.
Events Frequency:
An estimate of the number of times a specified phenomenon (event) occurs within a specified
interval.
Consequence Assessment:
A calculation or estimate of the nature and extent of the damage caused by all specified hazardous
events, including the influence of environmental factors and the probability of exposure of
individuals, populations orecosystems.
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Risk Characterization:
Integrates the previous components into an estimation of the combination of the event frequencies
and consequences probabilities of the hazardous events specified (for each event and the sum of all
events)
Determining Significance:
Evaluation of the significance of the risk estimation and each of the components of the risk
assessment process, including elements of risk perception and cost/benefit
Considerations:
The components of the risk assessment process defined above lead to a definition of risk
assessment - a value judgment that combines the results of risk characterisation and the estimate
of the significance of the risk.
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Risk analysis: systematic use of information to identify sources and to estimate the risk
Risk estimation: process used to assign values to the probability and consequences of a risk
Risk evaluation: process of comparing the estimated risk against given risk criteria to determine the
significance of the Risk
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Risk quantification:
Actuarial of Linear Risk
Chance: probability
Loss: consequences
Of: multiplication
Risk = Probability times Consequences
R=p*C
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Operational discipline:
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Operational discipline:
It is also sometimes called "operational discipline" or "formality of operations", and it is closely tied
to an organization's culture.
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Operational discipline:
Process safety
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Risk quantification:
50.000 traffic deaths per year is not newsworthy but a single accident killing 50.000 is very
newsworthy.
It is important to note that each organization must address their risks effectively to remain in
business.
To rank the risks
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It is important to note that each organization must address their risks effectively to remain in
business.
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Intermezzo: Assurance
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Deterministic risk considers the impact of a single risk scenario, whereas probabilistic risk considers
all possible scenarios, their likelihood and associated impacts. Deterministic approaches are used to
assess disaster impacts of a given hazard scenario, whereas probabilistic methods are used to
obtain more refined estimates of hazard frequencies and damages. Probabilistic assessments are
characterized by inherent uncertainties, partly related to the natural randomness of hazards, and
partly because of our incomplete understanding and measurement of the hazards, exposure and
vulnerability under consideration (OECD, 2012).
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Source: Deterministic or
probabilistic analysis? | Risktec
(tuv.com)
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Deterministic systems are perfectly predictable. That is, they follow an entirely known rule (law, equation
or fixed procedure) so that the state of each component and of the entire system can be given at any
time for any time in the past and future. The states of deterministic systems can be described by
statements or by numbers specifying, for example, physical characteristics of the system (observables,
such as length and mass of a physical object).
Variables with known fixed values and connected by a known equation or rule = deterministic case
or variables with random values and connected by a known or unknown equation = probabilistic case
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”… that there is neither a strictly deterministic nor a strictly probabilistic approach to risk analysis.
Each probabilistic approach to risk analysis involves deterministic arguments, each deterministic
approach includes quantitative arguments which decide how the likelihood of events is going to be
addressed.”
The concept of QRA, which has emerged in recent years with ever-increasing importance being
attached to it, deals with the following key aspects of accidents in CPIs (Khan and Abbasi, 1998):
• Development of tools and techniques to forecast accidents.
• Development of tools and techniques to analyse consequences of likely accidents
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Probabilistic systems involve some degree of uncertainty in predicting their behaviour and require
“random variables” to describe the system’s components and their interactions. In other words,
“randomness” simply implies small or negligible determinism. The theory of probability is the only
analytical tool available to help map the unpredictable. By describing the states of probabilistic
systems by probability numbers, it uses past knowledge to predict future states.
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The concept of QRA, which has emerged in recent years with ever-increasing importance being
attached to it, deals with the following key aspects of accidents in CPIs (Khan and Abbasi, 1998):
Development of tools and techniques to forecast accidents.
Development of tools and techniques to analyse consequences of likely accidents
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The risk is defined in QRA as a function of probability or frequency and consequence of a particular
accident scenario:
Risk = F(s, c, f)
Where s = hypothetical scenario, c = estimated consequence(s), f = estimated frequency
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Risk = F(s, c, f)
Where s = hypothetical scenario, c = estimated
consequence(s), f = estimated frequency
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(1) Identification of the (a) Probability of the Probability part of the risk
possible undesired events – undesired events
sources – HAZARD
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Propane:
C3H8 – BP- -42°C - 44.1 g/mol
Butane:
C₄H₁₀ - BP- -1°C – 58.12 g/mol
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Individual risk: is the annual risk of death or serious injury to which specific individuals are exposed.
Whether the risk is tolerable can be judged easily as individuals knowingly take and accept risks all the
time by, for ex., travelling in a car. By reference to known statistics about such risks, it is generally
accepted that risk of death or serious injury to third parties should not exceed 1 in 10,000 in any year
and that risk below 1 in 100,000 is negligible in relation to other accepted risks. Between these limits,
the risk arising from a hazard must be made “as low as reasonably practicable” (ALARP).
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Societal risk can be defined as ‘the relationship between frequency and number of people suffering
from a specified level of harm in a given population from the realisation of specified
hazards’ (Jones, 1992).
Societal risk assesses ‘the chances of more than one individual being harmed simultaneously in an
incident’, as opposed to individual risk, and ‘varies according to the surrounding population
(location and density)’. Societal risk is used to account for the harm caused by major, multiple
fatality risks.
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(1) Risks which are known about in advance and for which there is statistical documentation based
on earlier studies.
(2) Risks indicated by previous accidents, as a result of which it is possible, through some form of
check list, to evaluate the possible risks which exist.
(3) Risks which are shown to be possible based on separate and independent studies.
When working with very dangerous systems (e.g., nuclear energy), it is not possible to rely solely on
the experience gained from previous accidents. Here, it is essential to try to consider all the
potential deficiencies and faults in the systems. For obvious reasons, this type of risk assessment is
extremely difficult and requires very qualified experts.
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• Self-evident measures
• Standards and norms
• The application of previous experience
• The design engineer’s own assessments
• Risk analysis
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Safe or unsafe
Again, we call things safe or unsafe in relation to the likelihood that they will cause harm, but we also call
things safe or unsafe in relation to the likelihood that they will be harmed
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Dangerous Harmful
situation Situation
Danger Gevaarlijk
e
Threat Harming Harm
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Danger identify
(presence of an
intrinsic danger)
RISK FACTORS
Treat Terminate
Each element that is
associated with the
danger and that
determines the risk
Tolerate Transfer
Probability Evaluate
Risk
Harm Define
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https://screenshots.firefox.com/7p1NvJ8BzWFPEqif/safetyman
agementeducation.com
https://screenshots.firefox.com/7p1NvJ8BzWFPEqif/safetyman
agementeducation.com
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The aims of business continuity vary depending on the nature of the organization and are as general as
keeping the light on and as specific as providing all staff with chargers so that they can use their
phones and laptops following a Superstorm Sandy–type event.
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SOURCE: BS 25999-
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BCP aims to develop appropriate plans at pre-disaster in order to resume key business operations to
a minimum acceptable predefined level (i.e., Minimum Business Continuity Objective (MBCO))
immediately after a disruptive event within the so-called Maximum
On the other hand, DRP strives to ensure the full recovery (restoration) of all disrupted operations
to their normal business state at post-disaster (ISO:22310, 2012).
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A standard: PAS 56
A process that establishes a secure and resilient business environment capable of mounting an
immediate and effective response to a major incident
AS/NZ HB 221 HB 221 identifies the minimum level of acceptable performance and what
infrastructure, and resources are required to sustain it. AS HB 292 HB 292 summarizes best practices
from Australia, the United States, and the United Kingdom.
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Business continuity management (BCM) exists to avoid any interruptions that could lead to either significant
losses or a failure to achieve the organization’s principal objectives. BCM is both a process and a discipline.
The sorts of things business continuity exists to deal with are wide ranging, from the mundane to the most
dramatic events, such as from someone leaving the water running to volcanic ash clouds or space weather.
(Jamie Watters).
There are infinite possible causes or risks to your business, but they manifest as one of just five possible
outcomes. Don’t spend any time trying to identify all the possible potential causes of a problem and
preparing for each one in turn. Instead, focus on preparing for the possible outcomes.
The Five Possible Outcome Scenarios:
Loss of technology: The technology you use is not available or doesn’t work.
Loss of a building: A building is destroyed or out of action for the medium to long term
Denial of access to a building: Your staff is not allowed into their place of work.
Loss of staff: Key staff members are unable to attend work.
Loss of a supplier: A supplier is unable to provide critical services, products, or resources.
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Risks classified based on the effects resulting from the event occurrence. On this basis, we
would distinguish between economic risks and non–economic risks . The former would be
susceptible to causing monetary losses, while the latter would be susceptible to causing
non-monetary losses.
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Drucker, based on the same criterion, distinguished between physical risks and
economic risks : the former due to improper actions of physical and natural forces,
the latter associated with man’s economic activities.
Oberparleiter has further distinguished the economic risks into social, natural,
commercial subjective (i.e., specific to the entrepreneur) and commercial objective
(i.e., specific to the product)
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Static risks and dynamic risks. The former are linked to losses caused by the improper
action of nature and errors and misunderstandings by human beings. The latter are associated with
economic changes, especially in human needs and technological and organizational improvements.
Risks classified based on the type or nature of the economic result resulting from the event. They
are broken down as follows:
property risks: these relate to the destruction, damage, disappearance of the property with
resulting costs and liability risks: events entailing a legal liability
personal risks: events involving physical risks for people.
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Pure risks from speculative risks. Pure risks are all those earlier identified as property, liability, and
personal risks. Speculative risks are encountered daily in most business
decisions: for instance, the extension of a factory may create earnings but also losses.
The risk appetite concept has been given considerable attention recently in enterprise risk
management contexts. Several definitions exist, most with a link to risk acceptability, but also
values and goals.
The usefulness of the concept is, however, disputed; some authors argue that we can in fact do
better without it.
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Article: (i) to argue that the risk appetite concept, suitably interpreted, has a role to play in risk
management, (ii) to show that the risk appetite concept is well supported by some types of risk
perspectives and not by others, and (iii) to show how the risk appetite concept is linked to other
related concepts, such as risk seeking and risk acceptability.
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