MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C5FA6C.AB2ECC30" このドキュメントは単一ファイル Web ページ (Web アーカイブ ファイル) です。お使いのブラウザ、またはエディタは Web アーカイブ ファイルをサポートしていません。Microsoft Internet Explorer など、Web アーカイブをサポートするブラウザをダウンロードしてください。 ------=_NextPart_01C5FA6C.AB2ECC30 Content-Location: file:///C:/597C32E5/0510jikogenninnkyuumeitosekininnnituite.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" 20051016事故原因究明と$= 012;任について：ケミカ= ;ルエンジニアリング</= title> <o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags" name=3D"PersonName"/> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>システム科学研究= ;室</o:Author> <o:Template>Normal</o:Template> <o:LastAuthor>tonodesk</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>432</o:TotalTime> <o:LastPrinted>2005-10-16T22:45:00Z</o:LastPrinted> <o:Created>2005-12-06T04:55:00Z</o:Created> <o:LastSaved>2005-12-06T04:55:00Z</o:LastSaved> <o:Pages>1</o:Pages> 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{margin-bottom:0pt;} ul {margin-bottom:0pt;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:\6A19\6E96\306E\8868; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0pt 5.4pt 0pt 5.4pt; mso-para-margin:0pt; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Century; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext=3D"edit" spidmax=3D"2050"> <v:textbox inset=3D"5.85pt,.7pt,5.85pt,.7pt"/> </o:shapedefaults></xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=3DJA style=3D'tab-interval:42.0pt;text-justify-trim:punctuation'> <div class=3DSection1 style=3D'layout-grid:18.0pt'> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>ケミカル = 456;ンジニアリング</span><span lang=3DEN-US>, </span><st1:PersonName w:st=3D"on"><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>化é= 98;工業社</span></st1:PersonName><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>，</span><span lang=3DEN-US>Vol.50, No.11, pp.5-9,</span><sp= an style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>　</span><span lang=3DEN-US>2005-11</span><span style=3D'fon= t-family: "MS Mincho";mso-ascii-font-family:Century;mso-hansi-font-family:Century'>&#= 12424;り</span></p> <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span lang= =3DEN-US>------------------------------------------------------------------= -------------------------------- </span></p> <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D= 'mso-bidi-font-weight: normal'><span style=3D'font-size:14.0pt;font-family:"MS Gothic"'>事&#= 25925;原因究明と責任に{= 88;いて<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D= 'mso-bidi-font-weight: normal'><span style=3D'mso-bidi-font-size:10.5pt;font-family:"MS Mincho"'>&= #21521;殿政男<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D= 'mso-bidi-font-weight: normal'><span lang=3DEN-US style=3D'mso-bidi-font-size:10.5pt;font-family:"= MS Mincho"'>Masao Mukaidono<o:p></o:p></span></b></p> <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D= 'mso-bidi-font-weight: normal'><span style=3D'mso-bidi-font-size:10.5pt;font-family:"MS Mincho"'>&= #26126;治大学理工学部情= 577;科学科<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal style=3D'margin-left:21.0pt;text-indent:-21.0pt;mso-li= st:l1 level1 lfo3; tab-stops:list 21.0pt'><![if !supportLists]><b><span lang=3DEN-US style=3D'mso-fareast-font-family:HGGothicM;mso-bidi-font-family:HGGothicM'>= <span style=3D'mso-list:Ignore'>１．<span style=3D'font:7.0pt "Times = New Roman"'>          &nb= sp;  </span></span></span></b><![endif]><b><span style=3D'font-family:HGGothicM; mso-ascii-font-family:Century'>まえがき</span></b><= b><span lang=3DEN-US style=3D'mso-fareast-font-family:HGGothicM'><o:p></o:p></span>= </b></p> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>　新しい = 471;ステム開発に挑戦し= ;、予想もしなかった&#= 12424;うな原因で事故がŪ= 15;きるのならば、ある= 程度仕方がないと納= 4471;できるが、現実にࣩ= 0;発している各種の事&= #25925;の大半は実はそう = 391;はない。同じような= ;原因で同じような事&#= 25925;が何度も起き，悲Ó= 27;が繰り返されている= 。原因が分かってい= 2427;のならば、何故事ਠ= 5;は防げないのだろう&= #12363;。本質的な原因が#= 299;明されれば、多くの= ;場合、ある程度の技&#= 34899;的な安全対策が施{= 77;ことは可能なはずで= ある。それでも事故= 2364;繰り返されるのはӌ= 9;事故原因に関する情&= #22577;が共有されていな = 356;、すなわち、他分野= ;、他企業の失敗に学&#= 12400;ない、時には同じĶ= 38;内の失敗にさえ学ば= ないからで、学ぶた= 2417;の仕組みと心構えӔ= 4;出来ていないからと&= #25351;摘する人も多い。 = 375;かし、もっと他にも= ;理由がありそうであ&#= 12427;。それは、事故がŪ= 15;きると通常、事故調= 査委員会が設置され= 2289;事故原因の究明がඡ= 2;われるが、そこで真&= #12398;原因が追求され、#= 299;明されていないので= ;はないかという疑問&#= 12391;ある。事故が起きz= 89;特に人命に係わるよ= うな大事故の場合に= 2399;、警察が入って調੥= 9;をするが、通常の事&= #25925;調査委員会には、#= 686;察のような捜査権は= ;ない。そして、事故&#= 35519;査委員会が事故原Þ= 40;を追求しようと調査= を始めても、すでに= 6039;料は警察に押さえӚ= 5;れていて、参照でき&= #12394;いので、真の事故#= 519;査に支障を来たすと= ;いう声をよく聞く。&#= 12414;た、事故の責任のÚ= 39;題が絡んでいるとも= 考えられる。事故が= 6215;きた場合に、そのߚ= 7;情を最もよく知って&= #12356;るのは、当事者で = 354;る。当事者が詳しく= ;話をすると責任が自&#= 20998;にかかってくる場×= 12;は、本当のことを話= さなくなる。事故再= 0330;防止の立場から、໶= 6;係者に真実を話して&= #12418;らうにはどうした = 425;よいだろうか。この= ;ような素朴な疑問か&#= 12425;発して、事故原因Ĺ= 50;明と安全の責任の問= 題を考えてみたいと= 4605;う。</span></p> <p class=3DMsoNormal><span lang=3DEN-US><o:p> </o:p></span></p> <p class=3DMsoNormal style=3D'margin-left:21.0pt;text-indent:-21.0pt;mso-li= st:l1 level1 lfo3; tab-stops:list 21.0pt'><![if !supportLists]><b style=3D'mso-bidi-font-weigh= t: normal'><span lang=3DEN-US style=3D'font-family:"MS Gothic";mso-bidi-font-f= amily: "MS Gothic"'><span style=3D'mso-list:Ignore'>２．<span style=3D'font:7.0pt "Times New Roman"'>      =        </span></span></span></b><![endif]><b style=3D'mso-bidi-font-weight:normal'= ><span style=3D'font-family:"MS Gothic"'>事故原因究&= #26126;の役割と課題<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century;mso-bidi-font-weight:bold'>大きな事故= が発生すると、圧倒= 0340;な捜査能力と権限ӛ= 4;持つ警察が事故調査&= #12434;開始する。ただし = 289;警察はいろいろな分= ;野の安全の専門家を&#= 25265;えているわけでは{= 94;い。一方、安全の専= 門家集団である事故= 5519;査委員会は、技術௚= 0;、科学的な調査は得&= #24847;である。しかし、= 001;者の協力関係が必ず= ;しもうまく行ってい&#= 12427;とは限らない。そ|= 28;は、警察は犯人の捜= 査</span><span lang=3DEN-US style=3D'mso-bidi-font-weight:bold'>(</span><span style=3D'fon= t-family: "MS Mincho";mso-ascii-font-family:Century;mso-hansi-font-family:Century; mso-bidi-font-weight:bold'>事故の犯人は= 、ほとんどが過失犯= 2391;ある</span><span lang=3DEN-US style=3D'mso-bidi-font-weight:bold'>)</span><span style=3D'fon= t-family: "MS Mincho";mso-ascii-font-family:Century;mso-hansi-font-family:Century; mso-bidi-font-weight:bold'>が目的であり= 、事故調査委員会は= 2289;再発防止のためにߚ= 7;故原因究明が目的で&= #12354;り、両者の目的が= 064;なるからである。警= ;察の収集した証拠資&#= 26009;は、裁判等に影響{= 77;るため、長い期間を= 経た後でないと公開= 2373;れない。裁判記録౔= 1;は公開されても、不&= #36215;訴で裁判が行われ = 394;い場合には、その証= ;拠書類は永久に公表&#= 12373;れない可能性があ|= 27;。これまでわが国で= は、事故原因究明の= 2383;めの事故調査よりӗ= 9;，犯人追及の捜査の&= #26041;が優先されていた = 392;いって過言ではない= ;。しかし、今後の事&#= 25925;の再発防という観Ġ= 57;からは、過失犯を見= 出して処罰する効果= 2424;りは，事故の真の࡜= 7;因を見出して対策を&= #32771;える方がはるか効= 524;があることは明らか= ;である。この点から&#= 12289;犯人の捜査よりはz= 89;事故調査を優先すべ= きであると主張する= 6681;拠がある。また、</span= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>過失により事故を&#= 36215;こした人が起訴さ|= 28;，処罰されるならば= ，本人は自分に不利= 2394;ことはしゃべらなӓ= 6;のは当然である．最&= #12418;よく知っている本= 154;が真実を話さないな= ;らば，真の原因は究&#= 26126;されない可能性がƌ= 40;い。すなわち、真の= 事故原因を明らかに= 2375;，同じような原因ӗ= 1;の事故の再発を防ぐ&= #12383;めには，過失を犯 = 375;た本人に，真実を話= ;してもらう必要がど&#= 12358;してもある．犯人þ= 36;査よりは原因究明を= 優先するという立場= 2363;らは</span><span style=3D'font-family:"MS Mincho"'>、</span><span style=3D'font-family= :"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;調査に対して</span><span style=3D'font-family:"MS Mincho";mso-bidi-font-weight:bold'>真実= ;を話した場合には，&#= 32624;を減ずるという広{= 56;意味の免責の考え方= </span><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>が必要である。そ&#= 12375;て、そこで得られ{= 83;証言は，犯人追及の= ための証拠には使わ= 2394;い、ということがດ= 5;要になる。以上の提&= #26696;は、一刻も早く犯= 154;を見出し、処罰をす= ;るという社会正義や&#= 12289;被害者の立場を考ù= 42;すると、問題が無い= 訳ではない。しかし= 2289;事故の原因が故意ӗ= 1;はない人間の過失に&= #38306;係し、人間の注意 = 395;よる安全確保よりは= ;、設備、施設による&#= 23433;全確保を優先すべ{= 65;であるという原則か= ら言えば、今後、安= 0840;の価値を重視するట= 8;会を構築するために&= #12399;、望ましい体制で = 354;ると考えられる。</span>= </p> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>　もう一 = 388;、事故調査で気にな= ;ることは、警察の捜&#= 26619;は、過失事故ではä= 10;くの場合個人が対象= であり、ほとんどい= 2388;も直近の当事者がઊ= 9;務上過失で送検され&= #12427;ことである。本当 = 398;責任はその当事者が= ;そのようなことをす&#= 12427;に至った背景にあ|= 27;のではないだろうか= </span><span lang=3DEN-US>?</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>　例えば = 289;</span><span lang=3DEN-US>JR</span><span style=3D'font-family:"MS Mincho";mso-ascii-font= -family: Century;mso-hansi-font-family:Century'>西日本の!= 073;線・転覆事故では、= ;運転者個人の責任の&#= 12415;が当初、マスコミ{= 94;どでは追及されてい= たが、運転者がスピ= 2540;ドを出し過ぎなけӚ= 8;ばならない事情に陥&= #12387;た背景を原因とし = 390;解明されないかぎり= ;、同じような事故は&#= 36215;こり得る。また、Ĉ= 81;武鉄道で踏み切り担= 当が待っている横断= 2773;の便宜を考えて早ә= 7;に踏切を上げてしま&= #12356;、踏み切り横断者 = 364;列車に引かれて死亡= ;した事故で、踏み切&#= 12426;担当が業務上過失Ō= 68;死で起訴された。し= かし、人間は間違え= 2427;ものである、といӓ= 8;本質を考えると、あ&= #12398;ような過酷な仕事 = 434;させられている人は= ;、ある意味では、加&#= 23475;者ではなくて被害Ň= 73;であると見ることも= 出来よう。気の毒な= 7671;がする。個人よりӗ= 9;、組織や企業のトッ&= #12503;の管理責任を強く= 839;う必要があるのでは= ;ないだろうか</span><span lang=3DEN-US>?</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>　また、= 107;故調査委員会も物理= ;的、客観的な事実の&#= 12415;を明らかにしてい|= 27;場合が多いが、シス= テムや組織なども原= 2240;追及も対象に含まӕ= 9;るべきではないだろ&= #12358;か。最近は、警察 = 418;事故調査委員会も、= ;企業の責任を問う傾&#= 21521;が出てきたことはä= 23;変望ましいことであ= ると思う。</span></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>人間は間違えるも&#= 12398;であり，機械設備{= 99;壊れるものである。= 明らかに絶対安全は= 3384;在しない。残留リӟ= 3;クは必ずある。リス&= #12463;のあるところ</span><span lang=3DEN-US>,</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>事故の起 = 371;る可能性は常にある= ;．それを事故発生の&#= 24230;に誰か個人が犯人{= 92;され，業務上過失で= 責任を取らされてい= 2383;ら，誰も責任を持Ӗ= 7;て安全を担当しなく&= #12394;るのではないだろ = 358;か</span><span lang=3DEN-US>? </span></p> <p class=3DMsoNormal><span lang=3DEN-US><o:p> </o:p></span></p> <p class=3DMsoNormal><span lang=3DEN-US><o:p> </o:p></span></p> <p class=3DMsoNormal style=3D'margin-left:21.0pt;text-indent:-21.0pt;mso-li= st:l1 level1 lfo3; tab-stops:list 21.0pt'><![if !supportLists]><b style=3D'mso-bidi-font-weigh= t: normal'><span lang=3DEN-US style=3D'font-family:"MS Gothic";mso-bidi-font-f= amily: "MS Gothic"'><span style=3D'mso-list:Ignore'>３．<span style=3D'font:7.0pt "Times New Roman"'>      =        </span></span></span></b><![endif]><b style=3D'mso-bidi-font-weight:normal'= ><span style=3D'font-family:"MS Gothic"'>事故調査体&= #21046;に在り方<sup>（１）</sup><= span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>上ා= 2;のような問題意識か&= #12425;、日本学術会議の= 154;間と工学研究連絡委= ;員会に置かれている&#= 23433;全工学専門委員会</spa= n><span lang=3DEN-US>(</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>筆者はそ = 398;委員長を仰せ付かっ= ;ていた</span><span lang=3DEN-US>)</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>では、</span><span lang=3DEN-US>2005</span><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>年度、事= 925;調査と免責・補償小= ;委員会を設置して、&#= 20107;故調査の在り方に{= 88;いて検討をし、対外= 報告を出している。= 2371;こでは、以下にそӗ= 8;報告の概要を紹介す&= #12427;。</span><b><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>１）事故#= 519;査の目的</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>同ష= 8;の事故の再発を防止&= #12375;、事故の背景を含 = 417;た事実を明らかにす= ;ることを目的とする&#= 12290;</span></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>２）事故#= 519;査機関</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;調査機関として独立&= #24615;を持った常設の機&= 306;を設置し、特に重要= ;と判断した事故</span> <span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-ha= nsi-font-family: Century'>を対象にする。完&#= 20840;なる専門性を持た{= 79;るのではなく、独立= 行政法人等を支援機= 8306;として活用できるউ= 8;態とし</span> <span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-ha= nsi-font-family: Century'>，専門家も事故調&#= 26619;に参加させる制度</spa= n> <span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-ha= nsi-font-family: Century'>（いわゆる、パー&#= 12486;ィ・システム方式ʌ= 89;が望ましい。</span></p> <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>３）<span style=3D'mso-bidi-font-weight:bold'>初= 動調査体制</span></span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>初ࡈ= 5;調査体制として、多&= #12367;の専門家を登録し = 390;おき、事故現場近く= ;の専門家に情報収集&#= 12392;予備的調査をお願{= 56;する。事故調査機関= は、現地専門家から= 2398;報告に基づき調査ळ= 0;象として選定するか&= #12393;うかを判断する。</sp= an></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>４）調査= 177;</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;調査委機関は、警察&= #12392;速やかに協議し，= 778;先権を決定し，協力= ;関係を確立する。事&#= 25925;調査機関が優先権|= 34;持って調査を開始し= た時は、警察等の他= 2068;織はそれまでに取এ= 1;収集した証拠を調査&= #27231;関の管理へ移す。 = 381;の場合、当事者から= ;の聞き取り等は優先&#= 27177;を持っている組織{= 64;先に実施する。</span></p> <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>５）事<span style=3D'mso-bidi-font-weight:bold'>= 故責任（刑事責任）= 2434;問う範囲</span></span></b></p> <p class=3DMsoNormal><span lang=3DEN-US><span style=3D'mso-spacerun:yes'> </span></span><span style=3D'font-family:"= MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>　໶= 6;与者の過失について&= #12399;、被害結果の重大= 615;のみで、短絡的に過= ;失責任が問われるこ&#= 12392;がないよう配慮す|= 27;こと。システム性事= 故や組織が関与した= 0107;故の要因分析も十࠳= 8;実施し、直近行為、&= #30452;近事象だけではな = 367;、複合原因や管理要= ;因などの背後の要因&#= 12434;明らかにする</span></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>６）事故#= 519;査機関の情報収集権= ;限</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;調査実施において、&= #12503;ライバシーに関す = 427;部分を除き、事故に= ;関するすべての情報&#= 12395;アクセスする権限|= 34;与える。</span></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>７）調査= 577;告書の使用制限につ= ;いて</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span lang=3DEN-US><span style=3D'mso-spacerun:yes'> </span></span><span style=3D'font-family:"= MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>調੥= 9;機関が証言を得やす&= #12367;するために、事故= 403;事者の証言について= ;は刑事裁判の証拠と&#= 12375;ての使用は認めな{= 56;。調査報告書が公表= された後は公知の事= 3455;となるので、民事ඬ= 9;判での証拠としての&= #20351;用は基本的には容#= 469;する。</span></p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>８）情報= 844;開のあり方</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;調査報告書は公開と&= #12377;る。調査機関が収&= 598;した全ての記録は、= ;事故再発防止等安全&#= 23550;策にとり有益な知Š= 11;のみ公開すること</span><= /p> <p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>９）イン = 471;デントデータ収集の= ;仕組みの確立</span><span lang=3DEN-US><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt'><span style=3D'font-famil= y:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>未୒= 2;の事故発生防止に役&= #31435;てるため、インシ = 487;ントデータの収集の= ;仕組みを確立するこ&#= 12392;。インシデントデ}= 40;タ収集は、インシデ= ント報告者の匿名性= 2434;確保すること。及Ә= 3;、できれば事故調査&= #27231;関とは別の第三者= 231;関が担当するのが望= ;ましい。</span></p> <p class=3DMsoNormal><span lang=3DEN-US><o:p> </o:p></span></p> <p class=3DMsoNormal style=3D'margin-left:21.0pt;text-indent:-21.0pt;mso-li= st:l1 level1 lfo3; tab-stops:list 21.0pt'><![if !supportLists]><b style=3D'mso-bidi-font-weigh= t: normal'><span lang=3DEN-US style=3D'font-family:"MS Gothic";mso-bidi-font-f= amily: "MS Gothic"'><span style=3D'mso-list:Ignore'>４．<span style=3D'font:7.0pt "Times New Roman"'>      =        </span></span></span></b><![endif]><b style=3D'mso-bidi-font-weight:normal'= ><span style=3D'font-family:"MS Gothic"'>設計者の責&= #20219;<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.55pt'><span style=3D'font-fami= ly:"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>事ਠ= 5;が起きた場合、責任&= #12399;、過失を犯した作= 989;者なのか、十分な管= ;理をしなかった管理&#= 32773;なのか、それともÕ= 61;ない機械・設備を作= った設計・製造者な= 2398;だろうか。わが国ӗ= 8;現実とは異なり、国&= #38555;的には、安全な機= 800;を作る責任は、設計= ;・製造者にあること&#= 12364;宣言されている</span><sup><= span style=3D'mso-bidi-font-size:10.5pt;font-family:"MS Mincho";mso-ascii-font-f= amily: Century;mso-hansi-font-family:Century'>（２）</span></sup= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>。ここでは、設計&#= 32773;と作業者</span><span lang=3DEN-US>(</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>利用者</span><span lang=3DEN-US>)</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>の安全の$= 012;任の役割分担につい= ;て、機械安全を例に&#= 35211;てみることにする</spa= n><sup><span style=3D'mso-bidi-font-size:10.5pt;font-family:"MS Mincho";mso-ascii-font-f= amily: Century;mso-hansi-font-family:Century'>（２）</span></sup= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>。まず、機械やシ&#= 12473;テムの安全を技術į= 40;に守るには、設計の= 段階から安全を組み= 6796;むことが最も大事ӗ= 1;ある。</span> <span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-ha= nsi-font-family: Century'>源流から安全を取&#= 12426;込まなければなら{= 94;い。出来上がったシ= ステムに後から安全= 5013;置を付けるのは、ध= 3;全の守り方としては&= #38291;違っている。機械= 433;全の分野では、リス= ;クアセスメントと次&#= 12398;よう３ステップメ|= 77;ッドが今では世界的= に常識になりつつあ= 2427;。</span><span lang=3DEN-US style=3D'mso-ascii-font-family:"Times New Roman";mso-fareast-f= ont-family: "Times New Roman"'> </span><span style=3D'mso-bidi-font-size:10.5pt; font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-font-family: Century'>製品を設計，製造&#= 12377;る時に，</span><span style=3D'mso-bidi-font-size:10.5pt'> </span><span style=3D'mso-bidi-font-si= ze:10.5pt; font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-font-family: Century'>まず，リスクアセ&#= 12473;メントを実施する{= 71;とが大前提になって= いる．</span><span style=3D'font-family:"MS Mincho"'>リスクアセ&= #12473;メントとは，事故 = 398;未然防止のための科= ;学的，体系的な手法&#= 12391;ある<span lang=3DEN-US>(</span>図<span lang=3DEN-US>1)</span>．<span lang= =3DEN-US><o:p></o:p></span></span></p> <p class=3DMsoNormal><span lang=3DEN-US><!--[if gte vml 1]><v:shapetype id= =3D"_x0000_t75" coordsize=3D"21600,21600" o:spt=3D"75" o:preferrelative=3D"t" path=3D"m@4@= 5l@4@11@9@11@9@5xe" filled=3D"f" stroked=3D"f"> <v:stroke joinstyle=3D"miter"/> <v:formulas> <v:f eqn=3D"if lineDrawn pixelLineWidth 0"/> <v:f eqn=3D"sum @0 1 0"/> <v:f eqn=3D"sum 0 0 @1"/> <v:f eqn=3D"prod @2 1 2"/> <v:f eqn=3D"prod @3 21600 pixelWidth"/> <v:f eqn=3D"prod @3 21600 pixelHeight"/> <v:f eqn=3D"sum @0 0 1"/> <v:f eqn=3D"prod @6 1 2"/> <v:f eqn=3D"prod @7 21600 pixelWidth"/> <v:f eqn=3D"sum @8 21600 0"/> <v:f eqn=3D"prod @7 21600 pixelHeight"/> <v:f eqn=3D"sum @10 21600 0"/> </v:formulas> <v:path o:extrusionok=3D"f" gradientshapeok=3D"t" o:connecttype=3D"rect"/> <o:lock v:ext=3D"edit" aspectratio=3D"t"/> </v:shapetype><v:shape id=3D"_x0000_i1025" type=3D"#_x0000_t75" style=3D'wi= dth:300.75pt; height:225.75pt' o:ole=3D""> <v:imagedata src=3D"0510jikogenninnkyuumeitosekininnnituite.files/image001= .wmz" o:title=3D""/> </v:shape><![endif]--><![if !vml]><img width=3D401 height=3D301 src=3D"0510jikogenninnkyuumeitosekininnnituite.files/image002.gif" v:shapes= =3D"_x0000_i1025"><![endif]><!--[if gte mso 9]><xml> <o:OLEObject Type=3D"Embed" ProgID=3D"PowerPoint.Slide.8" ShapeID=3D"_x000= 0_i1025" DrawAspect=3D"Content" ObjectID=3D"_1195382463"> </o:OLEObject> </xml><![endif]--></span><span lang=3DEN-US style=3D'font-family:"MS Mincho= "'><o:p></o:p></span></p> <p class=3DMsoNormal><b><span style=3D'font-size:14.0pt;mso-bidi-font-size:= 12.0pt; font-family:"MS Gothic";mso-ascii-font-family:Century;mso-hansi-font-family: Century'>図１　リスクアセ&#= 12473;メント</span></b><b><span lang=3DEN-US style=3D'font-size:14.0pt;mso-bidi-font-size:12.0pt;mso-fareas= t-font-family: "MS Gothic"'><o:p></o:p></span></b></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span style=3D'font-family:"MS Mincho"'>まず，</span><span style=3D'mso-bidi-font-size:10.5pt;font-family:"MS Mincho";mso-ascii-font-f= amily: Century;mso-hansi-font-family:Century'>前以て，= 368;初にその製品が使用= ;されるための目的や&#= 26465;件，制限を明確に{= 75;ておく．その時，通= 常の人間は，こんな= 8291;違いや意図的な誤߳= 1;用をするものだ（こ&= #12428;を合理的に予見可!= 021;な誤使用と呼ぶ）と= ;いうことも予想して&#= 12362;かなければならな{= 56;．次に，そこに存在= するすべての危ない= 2392;ころ，いわゆる危༌= 2;源をリストアップす&= #12427;（これを危険源の= 516;定と呼ぶ）．そして= ;，すべての危険源ご&#= 12392;に，そのリスクをŠ= 11;積もり，評価する．= そのリスクの大きさ= 2364;，許容可能でなけӚ= 8;ば，その大きさに準&= #12376;た</span><span style=3D'font-family:"MS Mincho"'>リスク低減&= #26041;策を施さなければ = 394;らない．リスクアセ= ;スメントをやって、&#= 12522;スクが許容可能で{= 94;かったら、保護方策= としてのリスク低減= 6041;策を施さなければӗ= 4;らない．ここで，施&= #12377;べきリスク低減方= 574;には順番が定められ= ;ている<span lang=3DEN-US>(</span>図２<span lang=3DEN-US>)</span>．= 2414;ず最初に，</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>設計の段階で危険&#= 28304;が初めからないよ{= 58;に作るか，又は危険= 源のリスクの度合い= 2434;低減させることでध= 3;全を確保しなければ&= #12394;らない．これを本$= 074;的安全設計という．= ;これが第一ステップ&#= 12391;ある．第二ステッ}= 03;は，それでも残るリ= スクに対しては，リ= 2473;クの大きさに対応ӕ= 5;た安全装置</span><span lang=3DEN-US>(</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>安全防護</sp= an><span lang=3DEN-US>)</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>を施さな = 369;ればならない．それ= ;でも残ったリスクに&#= 23550;しては，第三ステ|= 83;プとして，警告ラベ= ルや取扱説明書等の= 0351;用上の情報を提供ӕ= 7;ることで，安全を確&= #20445;する．これを</span><span lang=3DEN-US>3</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>ステップ = 513;ソッドという．第一= ;ステップをやらない&#= 12391;第二ステップをや{= 87;たり、第一と第二を= やらないで第三ステ= 2483;プを施してはならӗ= 4;い。</span><span style=3D'mso-bidi-font-size:10.0pt;font-family:"MS Mincho";mso-hansi-font-f= amily: "Times New Roman"'>ここまでは製造= 者（設計者）の役割= 5292;及び責任である．ӕ= 1;の使用上の情報に基&= #12365;，初めて使用者がA= 292;管理システム等の組= ;織を用いたり，訓練&#= 12420;個人用の保護具をī= 92;いて安全を確保する= ．このように，</span> <span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-ha= nsi-font-family: Century'>メーカの安全確保&#= 36012;任が第一であってʌ= 92;使用者，作業者の注= 意は，順番としては= 6368;後である</span><span style=3D'font-family:"MS Mincho"'>．</span><span style=3D'font-family= :"MS Mincho"; mso-ascii-font-family:Century;mso-hansi-font-family:Century'>逆ӗ= 5;，メーカは，ここま&= #12391;やるべきことをや = 387;てあれば，後は，ユ= ;ーザ側の責任であり&#= 65292;両者の責任関係はą= 26;確になっている．こ= れが現在におけるモ= 2494;に関しての正しいध= 3;全の作り方，安全に&= #12362;ける技術の役割の = 771;え方である。すなわ= ;ち、事前に打てる手&#= 12434;すべて施し、それ|= 34;文書として残して置= く。ここまでやれば= 2289;設計者には、責任ӗ= 9;ないと考える。安全&= #12398;責任は、事前にど = 371;まで配慮したかの事= ;前責任である。</span></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>それでも、実際に&#= 12399;事故は起こりうるz= 90;作業者、管理者、設= 計・製造者等それぞ= 2428;がやるべきことをӚ= 0;って事故が起きた場&= #21512;には、原因追求を= 532;一とし、同じ原因で= ;二度と事故が起らな&#= 12356;ように規格を改訂{= 77;る。その場合の責任= 追及はしない。そし= 2390;、被害者には</span><span lang=3DEN-US>,</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>保険制度 = 434;用いて手厚く補償す= ;る。このような考え&#= 26041;が、現在の機械安Ð= 40;における国際標準の= 背景にはあると考え= 2425;れる。</span></p> <p class=3DMsoNormal style=3D'margin-left:21.0pt;text-indent:-21.0pt;mso-li= st:l1 level1 lfo3; tab-stops:list 21.0pt'><![if !supportLists]><b style=3D'mso-bidi-font-weigh= t: normal'><span lang=3DEN-US style=3D'font-family:"MS Gothic";mso-bidi-font-f= amily: "MS Gothic"'><span style=3D'mso-list:Ignore'>５．<span style=3D'font:7.0pt "Times New Roman"'>      =        </span></span></span></b><![endif]><b style=3D'mso-bidi-font-weight:normal'= ><span style=3D'font-family:"MS Gothic"'>あとがき<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>　本稿で = 399;、事故と責任につい= ;て、主に三つのこと&#= 12395;ついて議論をして{= 56;る。一つは、事故の= 責任追及のための犯= 2618;捜査よりは、原因๦= 1;求のための事故調査&= #12434;優先させるべきで = 354;るということである= ;。二つ目は、真の原&#= 22240;解明のためには、ô= 03;事者にある程度の免= 責を与えて、真実を= 5486;ってもらい、そのࠦ= 9;容は責任追及の証拠&= #12392;して採用してはな = 425;ないということであ= ;る。三つ目は、安全&#= 12398;責任は事前責任で{= 54;って、事前にやるべ= きことをやった場合= 2395;は、責任を問わなӓ= 6;で被害者には、保険&= #12434;もって厚く補償を = 377;べきであるというこ= ;とである。</span></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century;mso-hansi-fo= nt-family: Century'>これまで、行政調&#= 26619;権限まで持った正ó= 35;な機関として調査委= 員会は、航空事故調= 6619;委員会だけであっӖ= 3;が、日比谷線の脱線&= #20107;故の教訓を生かし = 390;、最近、鉄道事故も= ;含めて、航空・鉄道&#= 20107;故調査委員会が発Ū= 75;して、今回のＪＲ西= 日本の事故で初めて= 6412;格的な航空・鉄道ߚ= 7;故調査委員会の調査&= #12364;行われた。しかし = 289;事故調査委員会に強= ;制として働く行政調&#= 26619;権限を持たせただ{= 69;で問題が解決したわ= けではない。それな= 2426;の権限を持つといӓ= 8;こと</span></p> <p class=3DMsoNormal><span lang=3DEN-US><!--[if gte vml 1]><v:shape id=3D"_= x0000_i1026" type=3D"#_x0000_t75" style=3D'width:327.75pt;height:246pt' o:ole=3D""> <v:imagedata src=3D"0510jikogenninnkyuumeitosekininnnituite.files/image003= .wmz" o:title=3D""/> </v:shape><![endif]--><![if !vml]><img width=3D437 height=3D328 src=3D"0510jikogenninnkyuumeitosekininnnituite.files/image004.gif" v:shapes= =3D"_x0000_i1026"><![endif]><!--[if gte mso 9]><xml> <o:OLEObject Type=3D"Embed" ProgID=3D"PowerPoint.Slide.8" ShapeID=3D"_x000= 0_i1026" DrawAspect=3D"Content" ObjectID=3D"_1195382465"> </o:OLEObject> </xml><![endif]--></span><span lang=3DEN-US style=3D'font-family:"MS Mincho= "'><o:p></o:p></span></p> <p class=3DMsoNormal><span lang=3DEN-US style=3D'font-family:"MS Mincho"'><= o:p> </o:p></span></p> <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:"MS Gothic"'>図<span lang=3DEN-US>2</span>ᦂ= 6;３ステップメソッド&= #12392;製造者・使用者の&= 306;係</span></b><span lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p></o:p></span></p> <p class=3DMsoNormal><span lang=3DEN-US style=3D'font-family:"MS Mincho"'><= o:p> </o:p></span></p> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>になると = 289;警察などの捜査機関= ;と調査委員会とがそ&#= 12428;ぞれを主張するよ{= 58;になり、両者の関係= が却って難しくなる= 1487;能性がある。専門फ= 8;としての調査能力を&= #25345;つ調査委員会と、= 375;い捜査能力を持つ警= ;察とが、事故原因究&#= 26126;のために協力をし{= 90;いく必要がある。今= 後、事故調査委員会= 2398;調査と警察の捜査ӗ= 2;を、如何にうまく融&= #21512;していくかが最大 = 398;問題となるだろう。= ;日本学術会議の事故&#= 35519;査の在り方の提言{= 91;は、免責については= 明言していないが、<sp= an style=3D'color:black'>本提言の検討{= 98;過程で、事故調査体= 制が有効に機能する= 2383;めには司法捜査、ૢ= 1;律との関係が重要で&= #12354;ることが明らかに = 394;ってきた。法律にお= ;ける従来の人間行動&#= 12398;捉え方を一歩進め{= 90;、人間工学の考え方= を取り入れた運用を= 2377;ることにより、事ਠ= 5;当事者からの証言が&= #23481;易に得られるよう = 395;なり、はじめて事故= ;原因の究明、効果的&#= 12394;安全対策が可能と{= 94;る。</span></span><span lang=3DEN-US style=3D'color:black'><o:p></o:p></span></p> <p class=3DMsoNormal style=3D'text-indent:10.5pt;mso-char-indent-count:1.0'= ><span lang=3DEN-US><o:p> </o:p></span></p> <p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:"MS Gothic"'>参考文献<span lang=3DEN-US><o:p></o:p></span></span></b></p> <p class=3DMsoNormal style=3D'margin-left:31.5pt;text-indent:-31.5pt;mso-ch= ar-indent-count: -3.0'><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century; mso-hansi-font-family:Century'>（１）事故#= 519;査体制の在り方に関= ;する提言、日本学術&#= 20250;議人間と工学研究Ű= 99;絡委員会安全工学専= 門委員会、</span><span lang=3DEN-US>2005</span><span style=3D'font-family:"MS Mincho";mso-ascii-fo= nt-family: Century;mso-hansi-font-family:Century'>－</span><span lang=3DEN-US>6<= /span></p> <p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>（ᦁ= 8;）<span lang=3DEN-US style=3D'mso-bidi-font-weight:bold'>ISO12100</span><span style=3D'mso-bidi-font-weight:bold'>（<span lang=3DEN-US>JIS B 9700</= span>）</span>機械類の安全性= ;―設計のための基本= 7010;念，一般原則，<span lang=3DEN-US>2003(2004)</span></span></p> <p class=3DMsoNormal style=3D'margin-left:31.5pt;text-indent:-31.5pt;mso-ch= ar-indent-count: -3.0'><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:Century; mso-hansi-font-family:Century'>（３）向殿= 919;男，事故の原因究明= ;と責任について，第</= span><span lang=3DEN-US>3</span><span style=3D'font-family:"MS Mincho";mso-ascii-font-= family: Century;mso-hansi-font-family:Century'>５回安全= 037;学シンポジウム講演= ;予稿集，日本学術会&#= 35696;，</span><span lang=3DEN-US>pp.13—pp.14, 2005-7</span></p> </div> </body> </html> ------=_NextPart_01C5FA6C.AB2ECC30 Content-Location: file:///C:/597C32E5/0510jikogenninnkyuumeitosekininnnituite.files/image001.wmz Content-Transfer-Encoding: base64 Content-Type: image/x-wmz H4sIAAAAAAACC8VYa0xcRRSeOTN7F7A8AgaBQnlIH2yWNdQfKxDTxSattdo/bQyxNUaTppJI8UFI +6MV7i014FpWntFfCn2IMWmVxEi02vDDaAJp2prIL0RaI0IxJC2ttuJ6zuxdXFYeu7iP3Xw5386d OfPNmTvnnrs/jnz7PlOfROtOy8ucmHMfZ4mMidFkxqzMoa5KhOAJzIL2AaAWYutgpyXRKpBtwJ6M /QXM/FD/UvSWgPYeWFSb1+s12zlbh9aVWMhmzf47LAnWVJZq9mdssR9Y8E4+/K1C2VnOlrzKlp2L NGNPr993oLfN3NdOXhevy+t9LwTfR9iLUMkzINi3f11i0bqk6Z0varUor8VCsgzla4DXS0IlX0rx LLb6leeivQ/XvD5vX1EcGxFb9Vf01wv0OmOv8azxkrGHBX/8asg6eJaygKujfUskL0CetybV8Q2Q gsxzzn2pafupQz2vts2620pptIqVz/rhMD07cHk+ZekqDjieFtzIAWDv0TfqD9b6VGQhCsYyGE14 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