Advertisement

Ermenek Mine Accident in Turkey: The Root Causes of a Disaster

  • İbrahim Öztürk
  • Rıdvan Mevsim
  • Ayça Kınık
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 825)

Abstract

Mining accidents are one of the critical safety concerns all over the world. From the general point of safety, it is important to identify human factors, especially violations, and other types of barriers with respect to the occurrence of an accident. Root Cause Analysis helps to identify the mechanism behind accidents and develop future countermeasures for prevention. In the current analysis, Ermenek Mine Accident in Turkey was evaluated by using Root Cause Analysis Tool Kit and Manchester Patient Safety Framework (MaPSaF). Safety issues were structured by using Five Whys, Fishbone Diagram, and Barrier Analysis and safety culture were evaluated by using some of the dimensions of MaPSaF. Main factors were structured by using Five Whys, Barrier Analysis, and Manchester Safety Framework. According to these main factors, fishbone diagram was constructed. In general, natural, personnel, general policy in mining industry, and management issues in mining industry were determined as main four deficiencies affecting the occurrence and consequences of the accident. These main four factors were detailed in the fishbone diagram. The results indicated the importance of including different agents in the process of mining and working in cooperation to develop necessary policies and actions. Some methodological and practical suggestions were made for safety related issues. It is important to state policies related to basin in mining by considering both economic factors and safety factors. Moreover, reports related to safety issues should be more detailed by considering individual and organizational safety culture factors.

Keywords

Root-cause analysis Organizational safety culture Mine accident Accident investigation Ermenek Mine Accident 

Notes

Acknowledgements

The authors wish to thank Prof. Dr. Türker Özkan and Yeşim Üzümcüoğlu Zihni for reviewing a draft of this manuscript and providing valuable feedback.

References

  1. Ammerman M (1998) The Root Cause Analysis Handbook: A Simplified Approach to Identifying, Correcting, and Reporting Workplace Errors, 1st edn. Productivity Press, New YorkCrossRefGoogle Scholar
  2. Barsalou MA (2015) Root Cause Analysis: A Step-By-Step Guide to Using the Right Tool at the Right Time. CRC Press, FloridaGoogle Scholar
  3. Chu C, Muradian N (2016) Safety and environmental implications of coal mining. Int J Environ Pollut 59:250–268CrossRefGoogle Scholar
  4. Dodshon P, Hassall ME (2017) Practitioners’ perspectives on incident investigations. Saf Sci 93:187–198.  https://doi.org/10.1016/j.ssci.2016.12.005CrossRefGoogle Scholar
  5. Jabrouni H, Kamsu-Foguem B, Geneste L, Vaysse C (2011) Continuous improvement through knowledge-guided analysis in experience feedback. Eng Appl Artif Intell 24:1419–1431.  https://doi.org/10.1016/j.engappai.2011.02.015CrossRefGoogle Scholar
  6. Jayswal A, Li X, Zanwar A, Lou HH, Huang Y (2011) A sustainability root cause analysis methodology and its application. Comput Chem Eng 35:2786–2798.  https://doi.org/10.1016/j.compchemeng.2011.05.004CrossRefGoogle Scholar
  7. ILO Safety and Health at Work. http://www.ilo.org/global/topics/safety-and-health-at-work/lang–en/index.htm. Accessed 16 Mar 2018
  8. Khanzode VV, Maiti J, Ray PK (2012) Occupational injury and accident research: a comprehensive review. Saf Sci 50:1355–1367.  https://doi.org/10.1016/j.ssci.2011.12.015CrossRefGoogle Scholar
  9. Moura R, Beer M, Patelli E, Lewis J, Knoll F (2017) Learning from accidents: interactions between human factors, technology and organisations as a central element to validate risk studies. Saf Sci 99:196–214.  https://doi.org/10.1016/j.ssci.2017.05.001CrossRefGoogle Scholar
  10. National Patient Safety Agency Root Cause Analysis Toolkit. http://www.nrls.npsa.nhs.uk/resources/?entryid45=59901. Accessed 24 Apr 2018
  11. Ohno T, Bodek N (1988) Toyota Production System: Beyond Large-Scale Production. Productivity Press, New YorkGoogle Scholar
  12. Ramlu MA (1991) Mine Disasters and Mine Rescue, 1st edn. Taylor & Francis, OxfordGoogle Scholar
  13. Parker D (2009) Managing risk in healthcare: understanding your safety culture using the manchester patient safety framework (MaPSaF). J Nurs Manage 17(2): 218–222.  https://doi.org/10.1111/j.1365-2834.2009.00993.x
  14. Saleh JH, Marais KB, Bakolas E, Cowlagi RV (2010) Highlights from the literature on accident causation and system safety: review of major ideas, recent contributions, and challenges. Reliab Eng Syst Saf 95(11):1105–1116.  https://doi.org/10.1016/j.ress.2010.07.004CrossRefGoogle Scholar
  15. TC Cumhurbaşkanlığı Devlet Denetleme Kurulu Araştırma ve inceleme raporu. https://bilimakademisi.org/wp-content/uploads/2014/05/ddk49.pdf. Accessed 24 Apr 2018
  16. TMMOB (2018) Chamber of Mining Engineers. http://www.maden.org.tr/. Accessed 03 Feb 2018
  17. TTK (2018) Turkish Hardcoal Enterprises. http://www.taskomuru.gov.tr/. Accessed 03 Apr 2018
  18. Wiegmann DA, Zhang H, von Thaden TL, Sharma G, Gibbons AM (2004) Safety culture: an integrative review. Int J Aviat Psychol 14(2):117–134.  https://doi.org/10.1207/s15327108ijap1402_1CrossRefGoogle Scholar
  19. Wilson PF, Dell LD, Anderson GF (1993) Root Cause Analysis: A Tool for Total Quality Management. ASQC Quality Press, MilwaukeeGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Safety Research Unit, Department of PsychologyMiddle East Technical UniversityAnkaraTurkey
  2. 2.Department of PsychologyÇanakkale Onsekiz Mart UniversityÇanakkaleTurkey
  3. 3.Labour Inspection BoardMinistry of Labour and Social SecurityAnkaraTurkey
  4. 4.Department of Industrial Product DesignAtılım UniversityAnkaraTurkey

Personalised recommendations