After the Event

From Accident to Organisational Learning

By: Andrew Hale, Bernhard Wilpert

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Hardcover | 23 January 1998

At a Glance

Hardcover
268 Pages

Dimensions(cm)
23.5 x 15.88 x 1.27

Hardcover

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This is a multi-authored volume addressing the topical subjects of event analysis and the learning organisation within the context of safety management systems.

When an accident occurs, we respond in a number of ways: we look for someone to blame, we try to understand why it happened, we seek to learn and take precautions for the future and we may breathe a sigh of relief and try to forget the accident as quickly as possible.
This book is about how to manage these various responses to an accident. It addresses the question of how to manage the stages of learning from disasters and other accidents and of:
- how data could be collected and analysed to derive the lessons
- how and how far the different and conflicting objectives of judicial procedures and organisational learning could be reconciled.

In the past decade, the issue of organisational shortcomings has emerged as a central focus, but there have been few, if any, proven techniques or management systems for coping with such issues. We are still discovering how to ensure organisations learn and change when faced with accidents. At a wider level we need to address how society learns, how to regulate industry, how to co-ordinate the activities of the many various people responsible for safety within given contexts (eg within transport networks). We must take necessary action, but avoid knee-jerk, expensive and ineffective reactions fuelled by the heat of emotions.

Industry Reviews

Professor Jens Rasmussen, Hurecon, Denmark.
I'm very confident the editors know their domain...The topic of the book will be important for any up-to-date discussions of management strategies for hazardous industries.

Edwin "Brownie" Petersen
If you were only going to read four books this year, this should be one of them. It was incisive, challenging, informative, and stretched your comfort zone....If you are new to the safety world, or a new member of management, this would be an excellent "must have" reference book on Safety Management and the "Best Practice" concepts for accident investigation.
The Compass

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You Can Find This Book In

Non-Fiction Family & Health Personal Safety Industry & Industrial Studies Industrial Relations, Health & Safety Health & Safety Issues Science Science in General History of Science Social Services & Welfare Social Welfare & Social Services

Foreword
Introduction: The Goals of Event Analysis	p. 1
Structure of Event Analysis	p. 11
Event Analysis and Responsibility in Complex Systems	p. 23
Organisational Epidemiology: A Tool for Investigating Organisational Factors Related to the Occurrence and Prevention of Accidental Chemical Releases	p. 41
The Effect of the Accident Inquiry Process Within the Railway Industry	p. 63
Accident Scenarios as a Tool for Safety Enhancement Strategies in Transportation Systems	p. 77
Deriving Organisational Principles for Safety Management Systems from the Analysis of Aircraft Ramp Accidents	p. 95
Event Analysis as Problem Solving Process	p. 113
Using MORT to Generate Organisational Feedback from Single Accidents at Work	p. 131
Shame, Blame and Liability: Why Safety Management Suffers Organisational Learning Disabilities	p. 161
Major Event Analysis in the United States Chemical Industry: Organisational Learning vs. Liability	p. 179
Event Analysis and Regulation: Are We Able to Discover Organisational Factors?	p. 197
Responding to Public Criticism of Safety Management Systems - is the Response Always Effective and Appropriate?	p. 217
Conclusions: After the Event: What Next?	p. 233
Name Index	p. 245
Subject Index	p. 249
Table of Contents provided by Blackwell. All Rights Reserved.

After the Event

From Accident to Organisational Learning

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

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