首页> 外文期刊>e.nz magazine: The magazine of technical enterprise >SWISS CHEESE AND FAILURE DRIFT - LEARNING FROM OUR MISTAKES
【24h】

SWISS CHEESE AND FAILURE DRIFT - LEARNING FROM OUR MISTAKES

机译:瑞士奶酪和失败案例-从我们的过失中学习

获取原文
获取原文并翻译 | 示例
获取外文期刊封面目录资料

摘要

What do the Erebus plane crash and leaky building syndrome have in common? Both are "organisational accidents" with many contributing causes. Andrew McGregor tells CHARLOTTE STAPLETON how understanding these causes can help us prevent accidents in other organisational contexts. ENGINEERS INVESTIGATE ACCIDENTS, engineering failures and mistakes to assist the process of apportioning loss or preventing a recurrence. Andrew McGregor MIPENZ, a consulting mechanical engineer and experienced accident and engineering failure investigator, says that "people naturally assume that there is always a 'root cause' and a single person or entity to blame". His experience as an accident investigator suggests otherwise: "there is seldom a root cause and, contrary to initial appearances, there can be many significant causes which are generated within the depths of an organisation or regulatory body". Regrettably, however, it is often easier to blame and take action against individuals rather than organisations.
机译:Erebus飞机坠毁和漏水建筑综合征有什么共同点?两者都是具有许多成因的“组织事故”。安德鲁·麦格雷戈(Andrew McGregor)告诉夏洛特·斯特普尔顿(CHARLOTTE STAPLETON)如何理解这些原因如何帮助我们预防其他组织环境中的事故。工程师调查事故,工程失误和错误,以协助分配损失或防止再次发生的过程。咨询机械工程师,经验丰富的事故和工程故障调查员安德鲁·麦格雷戈(Andrew McGregor MIPENZ)说:“人们自然地认为总是有'根本原因',而一个人或一个实体也应受到责备”。他作为事故调查员的经验提出了另外一个建议:“很少有根本原因,而且与最初出现的情况相反,在组织或监管机构的内部可能会产生许多重要原因”。但是,令人遗憾的是,对个人而不是组织的指责和采取行动往往更容易。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号