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Organizational Accidents Revisited (Hardcover, 2 Revised Edition)
Loot Price: R4,467
Discovery Miles 44 670
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Organizational Accidents Revisited (Hardcover, 2 Revised Edition)
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Managing the Risks of Organizational Accidents introduced the
notion of an 'organizational accident'. These are rare but often
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 relatively few people or assets. Although they share some common
causal factors, they mostly have quite different causal pathways.
The frequency of individual accidents - usually 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
using a standardized causal analysis of some 10 organizational
accidents that have occurred in a variety of 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 a variety of domains. A number of 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 improve the 'error wisdom' and risk awareness
of those on the spot; they are often 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
should require the integration of systemic factors (collective
mindfulness) with individual mental skills (personal mindfulness).
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