Managing the risks of organizational accidents:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Aldershot [u.a.]
Ashgate
2006
|
| Ausgabe: | repr. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVII, 252 S. graph. Darst. |
| ISBN: | 1840141050 1840141042 |
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Datensatz im Suchindex
| _version_ | 1804135770848493568 |
|---|---|
| adam_text | Contents
List of Figures
List of Tables
List of Abbreviations
Preface
1
Individual and organizational accidents
Finding the right level of explanation
Production and protection: two
The nature and variety of defences
The Swiss cheese model of defences
Active failures and latent conditions
The accident trajectory
From the Deadwood stage to jumbo jet
Stages in the development of an organizational accident
Pulling the threads together
2
Things are not always what they seem
Slipping through the cracks in an aircraft maintenance
system
The millions that gushed away: the Barings collapse
The Nakina derailment: a 76-year-old latent failure
Common features
3
Killed by their armour
Some paradoxes
Automation: ironies, traps and surprises
Quality control versus quality assurance
Writing another procedure
vi Managing
Causing the next accident by trying to prevent the last one
Defences-in-depth: protection or dangerous concealment?
False alarms
Deliberate weak links ^
Summary 5°
4
The human factor
The varieties of administrative controls
The stage reached in the organization s life history
Type of activity
Level within the organization
The trade-off between training and procedures
Three levels of performance
Errors and successful actions
Violations and compliant action
Correct and incorrect actions
The quality of the available procedures
Six kinds of rule-related behaviour
Some real-life examples
Assembling the big picture
5
Close encounters of a risky kind
Organizational accidents and maintenance failures
Activities and their relative likelihood of performance
problems
The vulnerability of installation
The prevalence of omissions
Omission-prone task features
The characteristics of a good reminder
The rationale for maintenance
Conclusions
6
Assessing safety
Counting horse kicks
Introducing the safety space HO
Currents within the safety space
What fuels the safety engine ? H3
Setting the right safety goals H4
A test to destruction
Contents
An
Near-miss and incident reporting schemes
Proactive process measurement: the priorities
Are accidents really necessary?
7
What is error management?
Ancient but often misguided practices
Errors are consequences not causes
The blame cycle
People or situations?
An overview of the error management tool box
Tripod-Delta
Review and MESH
Human Error Assessment and Reduction Technique
(HEART)
The Influence Diagram Approach (IDA)
Maintenance Error Decision Aid
Tripod-Beta
Summary of the main principles of error management
8
Regulators in the frame
Regulated accidents
US regulators under fire
Damned if they do and damned if they don t
Legislation and regulation: some major successes
Autonomy and dependence as constraints on the
regulatory process
The move towards self-regulation
The pluses and minuses of the move to self-regulation
A possible model for the regulatory process
The regulator deserves a better deal
9
The scope of the chapter
What is an organizational culture?
The components of a safety culture
Engineering a reporting culture
Engineering a just culture
Engineering a flexible culture
Engineering a learning culture
viii
Safety culture: far more than the sum of its parts
Postscript: national culture
10
Management
Revisiting the distinction between individual and
organizational accidents
Three approaches to safety management
Primary risk areas
The preponderance of risks in different domains
Can personal injuries predict organizational accidents?
Latent conditions: the universal risk
Has the pendulum swung too far?
Some problems with latent conditions
The price of failure
The last word
Index
|
| adam_txt |
Contents
List of Figures
List of Tables
List of Abbreviations
Preface
1
Individual and organizational accidents
Finding the right level of explanation
Production and protection: two
The nature and variety of defences
The 'Swiss cheese' model of defences
Active failures and latent conditions
The accident trajectory
From the Deadwood stage to jumbo jet
Stages in the development of an organizational accident
Pulling the threads together
2
Things are not always what they seem
Slipping through the cracks in an aircraft maintenance
system
The millions that gushed away: the Barings collapse
The Nakina derailment: a 76-year-old latent failure
Common features
3
Killed by their armour
Some paradoxes
Automation: ironies, traps and surprises
Quality control versus quality assurance
Writing another procedure
vi Managing
Causing the next accident by trying to prevent the last one
Defences-in-depth: protection or dangerous concealment?
False alarms
Deliberate weak links ^
Summary 5°
4
The human factor
The varieties of administrative controls
The stage reached in the organization's life history
Type of activity
Level within the organization
The trade-off between training and procedures
Three levels of performance
Errors and successful actions
Violations and compliant action
Correct and incorrect actions
The quality of the available procedures
Six kinds of rule-related behaviour
Some real-life examples
Assembling the big picture
5
Close encounters of a risky kind
Organizational accidents and maintenance failures
Activities and their relative likelihood of performance
problems
The vulnerability of installation
The prevalence of omissions
Omission-prone task features
The characteristics of a good reminder
The rationale for maintenance
Conclusions
6
Assessing safety
Counting horse kicks
Introducing the safety space HO
Currents within the safety space
What fuels the 'safety engine'? H3
Setting the right safety goals H4
A test to destruction
Contents
An
Near-miss and incident reporting schemes
Proactive process measurement: the priorities
Are accidents really necessary?
7
What is error management?
Ancient but often misguided practices
Errors are consequences not causes
The blame cycle
People or situations?
An overview of the error management tool box
Tripod-Delta
Review and MESH
Human Error Assessment and Reduction Technique
(HEART)
The Influence Diagram Approach (IDA)
Maintenance Error Decision Aid
Tripod-Beta
Summary of the main principles of error management
8
Regulators in the frame
Regulated accidents
US regulators under fire
Damned if they do and damned if they don't
Legislation and regulation: some major successes
Autonomy and dependence as constraints on the
regulatory process
The move towards self-regulation
The pluses and minuses of the move to self-regulation
A possible model for the regulatory process
The regulator deserves a better deal
9
The scope of the chapter
What is an organizational culture?
The components of a safety culture
Engineering a reporting culture
Engineering a just culture
Engineering a flexible culture
Engineering a learning culture
viii
Safety culture: far more than the sum of its parts
Postscript: national culture
10
Management
Revisiting the distinction between individual and
organizational accidents
Three approaches to safety management
Primary risk areas
The preponderance of risks in different domains
Can personal injuries predict organizational accidents?
Latent conditions: the universal risk
Has the pendulum swung too far?
Some problems with latent conditions
The price of failure
The last word
Index |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author | Reason, James T. 1938- |
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| discipline | Technik Psychologie |
| discipline_str_mv | Technik Psychologie |
| edition | repr. |
| format | Book |
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| spelling | Reason, James T. 1938- Verfasser (DE-588)128600535 aut Managing the risks of organizational accidents James Reason repr. Aldershot [u.a.] Ashgate 2006 XVII, 252 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Unfallverhütung (DE-588)4061706-3 gnd rswk-swf Arbeitssicherheit (DE-588)4068817-3 gnd rswk-swf Arbeitsunfall (DE-588)4002794-6 gnd rswk-swf Arbeitsplatzsicherung (DE-588)4068813-6 gnd rswk-swf Risikomanagement (DE-588)4121590-4 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=015049708&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 Unfallverhütung (DE-588)4061706-3 gnd Arbeitssicherheit (DE-588)4068817-3 gnd Arbeitsunfall (DE-588)4002794-6 gnd Arbeitsplatzsicherung (DE-588)4068813-6 gnd Risikomanagement (DE-588)4121590-4 gnd |
| subject_GND | (DE-588)4061706-3 (DE-588)4068817-3 (DE-588)4002794-6 (DE-588)4068813-6 (DE-588)4121590-4 |
| 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_exact_search_txtP | 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 | Unfallverhütung (DE-588)4061706-3 gnd Arbeitssicherheit (DE-588)4068817-3 gnd Arbeitsunfall (DE-588)4002794-6 gnd Arbeitsplatzsicherung (DE-588)4068813-6 gnd Risikomanagement (DE-588)4121590-4 gnd |
| topic_facet | Unfallverhütung Arbeitssicherheit Arbeitsunfall Arbeitsplatzsicherung Risikomanagement |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015049708&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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