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THE GREAT SWINDLES, SCAMS AND MYTHS IN SAFETY

机译:伟大的蜘蛛,结垢和神话安全

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摘要

Safety performance in many companies and even industries has stalled in the last decade. Accidents rates are at a "plateau" and yet, serious accidents and fatality rates are not. In more dramatic cases, such as in the BP Texas Refinery disaster, organizations that have "exemplary" safety statistics, suddenly have a catastrophic or multi-fatality event occurring. Classic examples are the Piper Alpha disaster and NASA's Challenger and Columbia disasters, the BP's Deepwater Horizon Rig disaster in the Gulf of Mexico. Looking into the causes of these accidents provides an insight into the events and deficiencies that led up to the accident, but what are the common features in the organization's mindset, or its culture? What characterizes these organizations' decision-making, their approach to safety and to risk and are there features that can be delineated? The research and review presented in this paper covers a period since 1995, which started in the Australian resource industry and since then covered international events. The features of these organizations are summarized as the seven deadly delusions of near zero organizations (NZO) that suffered unexpected disasters, based on extensive research by the author. More recently, the massive West Fertilizer plant explosion in Texas, and the Train Disaster in Lac-Megantic, Quebec, Canada underlined the same trends. Organizations may experience calamities not because they are bad, or unsafe, but because they have become "cult-like".
机译:在过去的十年中,许多公司甚至行业的安全绩效都陷入停滞。事故率处于“平稳”状态,但是严重事故和死亡人数却没有。在更具戏剧性的情况下,例如在BP德州炼油厂灾难中,具有“典型”安全统计数据的组织突然发生了灾难性或多致命性事件。典型的例子是Piper Alpha灾难,NASA的Challenger和Columbia灾难,BP在墨西哥湾的Deepwater Horizo​​n Rig灾难。通过调查这些事故的原因,可以深入了解导致事故发生的事件和缺陷,但是组织的心态或文化的共同特征是什么?这些组织的决策,他们对安全和风险采取的措施的特征是什么?是否有可以描述的特征?本文介绍的研究和回顾涵盖自1995年以来的一个时期,该时期始于澳大利亚资源行业,此后涵盖国际事件。根据作者的广泛研究,这些组织的特征概括为遭受意外灾难的近零组织(NZO)的七个致命妄想。最近,得克萨斯州发生的大规模西化肥厂爆炸事件以及加拿大魁北克省拉克-梅甘蒂奇的火车灾难也凸显了同样的趋势。组织可能会遭受灾难,不是因为它们是坏的或不安全的,而是因为它们已经变得“像邪教一样”。

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