Description
Book SynopsisManaging 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 underl
Table of ContentsIntroduction; Part 1: Refreshers; The "Anatomy’ of an Organizational Accident; Error-Enforcing Conditions; Part 2: Additions Science 1977; Safety Management Systems; Resident Pathogens; Ten Case Studies of Organizational Accidents; Foresight Training; Alternative Views; Retrospect and Prospect; Taking Stock; Heroic Recoveries
