This model was developped by me in the same period of, a ndindependant from, Reason's Swiss Cheese Model Although it isa far more dynamic model, closer to reality it had never the success the SCM had. I am no professor and simply a SIBEENG (SIlly BElgian ENGineer).

1. A new Mindset...
The Risks and the
Causes & Effects of
Accidents or
“The Filtering Tower”

2. Principle of Multiple Causes
”Problems and undesired events
are seldom, if ever, the
result of a single cause "
Risks and the Causes of Accidents

3. Principle of sequence
" Problems and undesired
events are caused by many
causes, many of them linked
in causal or temporal
sequence"
Risks and the Causes of Accidents

4. HAZARD
VULNERABLE
OBJECT
B
A
R
R
I
E
R
• PEOPLE - Unsafe Behavior
• PROCESS
• LOCATION
• MACHINES / TOOLS
• AGENTS
ENERGY CONTROLS TO PROTECT
• PEOPLE - Safe Behavior
• MANAGEMENT SYSTEMS
• PROGRAMMES, PRACTICES &
PROCEDURES
• FACILITIES & TOOLS (Ergonomics)
• PEOPLE
• PROPERTY
• ENVIRONMENT
Near Miss
Accident
Incident Causation & Prevention Model (Bill Johnson - MORT)

5. People are key, reason for our focus !
PEOPLE,
PROCESS,
LOCATION ETC.
ENERGY
TO PROTECT
PEOPLE
FACILITIES & EQUIPMENT
PRACTICES / PROCEDURES (HOW?)
MANAGEMENT SYSTEMS (WHAT?)
VULNERABLE
OBJECTS
HAZARD
PEOPLE
ARE KEY
Also emphasize
“more
energy=>severity

6. Accepted Risks Not Identified Risks
Safety Management System (MOT)
©Loss Control Centre
Hazards

7. Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace
Behavior / Procedures / Conditions
Events
©Loss Control Centre
Hazards

8. Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace
Behavior / Procedures / Conditions
Events
Lo$$es
Treatment of the Events
©Loss Control Centre
Hazards
P
D
C
A

9. Safety Management System
Reality of the Workplace
Treatment of the Events
©Loss Control Centre

10. Safety Management System
Reality of the Workplace
“Let’s by-pass the System”
Treatment of the Events
©Loss Control Centre