The contribution of latent human failures to the breakdown of complex systems
Tóm tắt
Từ khóa
Tài liệu tham khảo
Brehmer B. 1988 Changing decisions about safety in organizations. World Bank Workshop on Safety Control and Risk Management 18-20 October Washington D.C.
Fennell D. 1988 Investigation into the King's Cross undergroundfire. Department of Transport London: HMSO.
INPO 1985 An analysis of root causes in 1983 and 1984 significant event reports. Atlanta Georgia: Institute of Nuclear Power Operations.
Kjellen U. 193 The Deviation Concept in Occupational Accident Control Stockholm: Royal Institute of Technology. Arbetsolycksfalls Gruppen.
La Porte T. R. & Consolini P. M. 1988 Working in practice but not in theory: theoretical challenges of high reliability organizations. Annual Meeting of the American Political Science Association 1-4 September Washington D.C.
Numarc 1985 A maintenance analysis of safety significant events. Nuclear Utility Management and Human Resources Committee. Atlanta GA: Institute of Nuclear Power Operations.
Perrow C. 1984 Normal accidents: living with high risk technologies. New York: Basic Books.
Rasmussen J. & Pedersen O. M. 1983 Human factors in probabilistic risk analysis and risk management. In Operational safety of nuclear power plants vol. 1. Vienna: International Atomic Energy Agency.
Rasmussen J. 1980 What can be learned from human error reports. In Changes in working life (ed. K. Duncan M. Gruneberg & D. Wallis). London: Wiley.
Reason J. T. 1974 Man in motion. London: Weidenfeld.
Sheen Mr Justice. 1987 Herald of tree Enterprise. Report of Court no. 8074. Department of Transport. London: HMSO.
Westrum R. Organizational and inter-organizational thought. World Bank Workshop on Safety Control and Risk Management 18-20 October Washington D.C.