ubeduri semtxvevis gamomwvevi mizezi

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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    AC6

    hainrihis Teoriamakoreqtirebeli qmedebebis Tanmimdevroba

    (samiE)inJineria (Engineering)ganaTleba (Education)daZaleba (Enforcement)

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    Protect the Force Through Risk Management

    AC7

    mizezebis gamovlenisTanamedrove modeli

    Secdoma muSaobaSi

    Sedegi:-dazianebis gareSe

    -mravali fataluri Sedegi-mniSvnelovani dazianeba

    ubeduri SemTxveva(SesaZlo)

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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    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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    Protect the Force Through Risk Management

    AC33

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    AC34

    Protect the Force Through Risk Management