Managing the risks of organizational accidents:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Aldershot [u.a.]
Ashgate
2000
|
| Ausgabe: | reprinted |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVII, 252 S. graph. Darst. |
| ISBN: | 1840141050 1840141042 |
Internformat
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Datensatz im Suchindex
| _version_ | 1804128351220137984 |
|---|---|
| adam_text | Contents
List of Figures
ix
List of Tables
xiii
List of Abbreviations
xv
Preface
xvii
1
Hazards, Defences and Losses
1
Individual and organizational accidents
1
Finding the right level of explanation
1
Production and protection: two
universais
3
The nature and variety of defences
7
The Swiss cheese model of defences
9
Active failures and latent conditions
10
The accident trajectory
11
From the Deadwood stage to jumbo jet
13
Stages in the development of an organizational accident
15
Pulling the threads together
18
2
Defeating the Defences
21
Things are not always what they seem
21
Slipping through the cracks in an aircraft maintenance
system
22
The millions that gushed away: the Barings collapse
28
The Nakina derailment: a 76-year-old latent failure
34
Common features
36
3
Dangerous Defences
41
Killed by their armour
41
Some paradoxes
42
Automation: ironies, traps and surprises
42
Quality control versus quality assurance
46
Writing another procedure
49
vi Managing
the Risks of Organizational Accidents
Causing the next accident by trying to prevent the last one
52
Defences-in-depth: protection or dangerous concealment?
54
False alarms
56
Deliberate weak links
57
Summary
58
4
The Human Contribution
61
The human factor
61
The varieties of administrative controls
62
The stage reached in the organization s life history
64
Type of activity
65
Level within the organization
67
The trade-off between training and procedures
67
Three levels of performance
68
Errors and successful actions
71
Violations and compliant action
72
Correct and incorrect actions
73
The quality of the available procedures
74
Six kinds of rule-related behaviour
75
Some real-life examples
76
Assembling the big picture
79
5
Maintenance can Seriously Damage your System
85
Close encounters of a risky kind
85
Organizational accidents and maintenance failures
86
Activities and their relative likelihood of performance
problems
91
The vulnerability of installation
93
The prevalence of omissions
94
Omission-prone task features
95
The characteristics of a good reminder
98
The rationale for maintenance
100
Conclusions
103
6
Navigating the Safety Space
107
Assessing safety
107
Counting horse kicks
108
Introducing the safety space
110
Currents within the safety space 111
What fuels the safety engine ?
113
Setting the right safety goals
114
A test to destruction
115
Contents
vii
An
overview of the navigational aids
116
Near-miss and incident reporting schemes
118
Proactive process measurement: the priorities
120
Are accidents really necessary?
123
7
A Practical Guide to Error Management
125
What is error management?
125
Ancient but often misguided practices
125
Errors are consequences not causes
126
The blame cycle
127
People or situations?
128
An overview of the error management tool box
129
Tripod-Delta
132
Review and MESH
138
Human Error Assessment and Reduction Technique
(HEART)
142
The Influence Diagram Approach (IDA)
146
Maintenance Error Decision Aid
(MEDA)
151
Tripod-Beta
152
Summary of the main principles of error management
153
8
The Regulator s Unhappy Lot
157
Regulators in the frame
157
Regulated accidents
157
US regulators under fire
168
Damned if they do and damned if they don t
171
Legislation and regulation: some major successes
172
Autonomy and dependence as constraints on the
regulatory process
173
The move towards self-regulation
175
The pluses and minuses of the move to self-regulation
181
A possible model for the regulatory process
182
The regulator deserves a better deal
187
9
Engineering a Safety Culture
191
The scope of the chapter
191
What is an organizational culture?
192
The components of a safety culture
195
Engineering a reporting culture
196
Engineering a just culture
205
Engineering a flexible culture
213
Engineering a learning culture
218
viii
Managing the RisL· of Organizational Accidents
Safety culture: far more than the sum of its parts
219
Postscript: national culture
220
10
Reconciling the Different Approaches to Safety
Management
223
Revisiting the distinction between individual and
organizational accidents
223
Three approaches to safety management
224
Primary risk areas
226
The preponderance of risks in different domains
228
Can personal injuries predict organizational accidents?
232
Latent conditions: the universal risk
233
Has the pendulum swung too far?
234
Some problems with latent conditions
236
The price of failure
237
The last word
239
Index
243
|
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| author | Reason, James T. 1938- |
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| discipline | Psychologie Wirtschaftswissenschaften |
| edition | reprinted |
| format | Book |
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| id | DE-604.BV013553029 |
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| isbn | 1840141050 1840141042 |
| language | English |
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| physical | XVII, 252 S. graph. Darst. |
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| spelling | Reason, James T. 1938- Verfasser (DE-588)128600535 aut Managing the risks of organizational accidents James Reason reprinted Aldershot [u.a.] Ashgate 2000 XVII, 252 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Arbeitsplatzsicherung (DE-588)4068813-6 gnd rswk-swf Arbeitsunfall (DE-588)4002794-6 gnd rswk-swf Risikomanagement (DE-588)4121590-4 gnd rswk-swf Unfallverhütung (DE-588)4061706-3 gnd rswk-swf Arbeitssicherheit (DE-588)4068817-3 gnd rswk-swf Arbeitsunfall (DE-588)4002794-6 s Arbeitsplatzsicherung (DE-588)4068813-6 s Risikomanagement (DE-588)4121590-4 s DE-604 Arbeitssicherheit (DE-588)4068817-3 s 1\p DE-604 Unfallverhütung (DE-588)4061706-3 s 2\p DE-604 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009254981&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk 2\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Reason, James T. 1938- Managing the risks of organizational accidents Arbeitsplatzsicherung (DE-588)4068813-6 gnd Arbeitsunfall (DE-588)4002794-6 gnd Risikomanagement (DE-588)4121590-4 gnd Unfallverhütung (DE-588)4061706-3 gnd Arbeitssicherheit (DE-588)4068817-3 gnd |
| subject_GND | (DE-588)4068813-6 (DE-588)4002794-6 (DE-588)4121590-4 (DE-588)4061706-3 (DE-588)4068817-3 |
| title | Managing the risks of organizational accidents |
| title_auth | Managing the risks of organizational accidents |
| title_exact_search | Managing the risks of organizational accidents |
| title_full | Managing the risks of organizational accidents James Reason |
| title_fullStr | Managing the risks of organizational accidents James Reason |
| title_full_unstemmed | Managing the risks of organizational accidents James Reason |
| title_short | Managing the risks of organizational accidents |
| title_sort | managing the risks of organizational accidents |
| topic | Arbeitsplatzsicherung (DE-588)4068813-6 gnd Arbeitsunfall (DE-588)4002794-6 gnd Risikomanagement (DE-588)4121590-4 gnd Unfallverhütung (DE-588)4061706-3 gnd Arbeitssicherheit (DE-588)4068817-3 gnd |
| topic_facet | Arbeitsplatzsicherung Arbeitsunfall Risikomanagement Unfallverhütung Arbeitssicherheit |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009254981&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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