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For operators of nuclear research facilities, it is of
particular importance to investigate minor incidents: indeed, as
safety demonstrations are generally based on the presence of
several independent "lines of defence," only through attentive
investigation of every occurrence, usually minor and of no
consequence, can the level of trust placed in each of these
defensive lines be confirmed, or the potential risks arising out of
a possible weakness in the system be anticipated.
The efficiency of the system is based on a rigorous procedure:
stringent attention to all incidents, consideration of the
potential consequences of the incidents in their most pessimistic
scenarios, and promotion of a broad conception of transpositions of
the events, in time and space, for experience feedback.
This efficiency presumes motivation on the part of all those
involved, hence the importance of dissociating from the concept of
an "incident" any notion of "error" or "blame" both in internal
analysis and in public communications.
The nuclear industry has developed some very progressive tools
for experience feedback, which could interest also management of
other technological risks.
This book presents the proceedings of a NATO Advanced Workshop
dedicated to this important matter of concern.
For operators of nuclear research facilities, it is of
particular importance to investigate minor incidents: indeed, as
safety demonstrations are generally based on the presence of
several independent "lines of defence," only through attentive
investigation of every occurrence, usually minor and of no
consequence, can the level of trust placed in each of these
defensive lines be confirmed, or the potential risks arising out of
a possible weakness in the system be anticipated.
The efficiency of the system is based on a rigorous procedure:
stringent attention to all incidents, consideration of the
potential consequences of the incidents in their most pessimistic
scenarios, and promotion of a broad conception of transpositions of
the events, in time and space, for experience feedback.
This efficiency presumes motivation on the part of all those
involved, hence the importance of dissociating from the concept of
an "incident" any notion of "error" or "blame" both in internal
analysis and in public communications.
The nuclear industry has developed some very progressive tools
for experience feedback, which could interest also management of
other technological risks.
This book presents the proceedings of a NATO Advanced Workshop
dedicated to this important matter of concern.
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