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Organizational Accidents Revisited

Amazon.com Price:  $19.04 (as of 12/05/2019 16:58 PST- Details)

Description

Managing the Risks of Organizational Accidents introduced the notion of an ’organizational accident’. These are rare but continuously calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to ’individual accidents’ whose damaging consequences are limited to somewhat few people or assets. Despite the fact that they share some common causal factors, they mostly have relatively different causal pathways. The frequency of individual accidents – frequently lost-time injuries – does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited extends and develops these ideas the usage of a standardized causal analysis of some 10 organizational accidents that have occurred in quite a few domains in the nearly 20 years that have passed since the original was published. These analyses provide the ’raw data’ for the process of drilling down into the underlying causal pathways. Many contributing latent conditions recur in quite a few domains. Numerous these – organizational issues, design, procedures and so on – are examined in close detail in order to identify likely problems before they combine to penetrate the defences-in-depth. Where the 1997 book focused largely upon the systemic factors underlying organizational accidents, this complementary follow-up goes beyond this to examine what can be done to toughen the ’error wisdom’ and risk awareness of those on the spot; they are continuously the last line of defence and so have the power to halt the accident trajectory before it can cause damage. The book concludes by advocating that system safety must require the integration of systemic factors (collective mindfulness) with individual mental skills (personal mindfulness).


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