Managing Safety into High Consequence Organizations (with Supporting Analysis)

摘要

The purpose of this paper is to describe demonstrated safety-relevant weaknesses and successes (somepotential) in the management of high consequence organizations, and to derive an analysis approach thathelps assess and guide improvement of organizational performance and management. The points madehave been derived from experiences reported in reference documents (refs. 1-10) and from actualexperience in high consequence operations and forensic root cause accident investigation. The analyticaltreatment is based on an organizational modeling tool that has been recently developed at Sandia NationalLaboratories (refs. 11,12).