A study of the precursors leading to ‘organisational’ accidents in complex industrial settings

Taylor, Richard; Wijk, Lorenzo G.A. van; May, John H R; Carhart, Neil J

doi:10.1016/j.psep.2014.06.010

Cited by 20 publications

(9 citation statements)

References 43 publications

(54 reference statements)

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“…Previous work at Bristol University, initiated by British Nuclear Fuels and funded by the UK Nuclear Installations Inspectorate (now the Office for Nuclear Regulation), studied the organisational and cultural precursors that underlie the more easily identifiable causes of engineering disasters (Taylor et al, 2015). This drew on the findings of an earlier industry study (Taylor and Rycraft, 2004).…”

Section: Previous Research At the Safety Systemsmentioning

confidence: 99%

“…These were The published investigation reports on these events on which the studies were based (references to the relevant reports and the methodology used are given by Taylor et al (2015)) repeatedly reached conclusions which showed that failures were attributable to very similar organisational and cultural weaknesses, suggesting that if defences could be developed, they would have wide applicability.…”

Section: Previous Research At the Safety Systemsmentioning

confidence: 99%

“…As an illustration of the approach, in an earlier publication (Taylor et al, 2015), a prototype hierarchy was developed for 'organisational learning'. Here, as a further example, aspects of O&S are considered further.…”

Section: Assessing Vulnerabilitymentioning

confidence: 99%

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Understanding organisational and cultural precursors to events

Taylor

May

Weyman

et al. 2017

Proceedings of the Institution of Civil Engineers - Forensic En

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Reviewing the collective findings from investigations into a range of major events in high-hazard industries has led to the conclusion that there is a need to develop greater resilience to the organisational and cultural causes of these events. This requires more rigorous methods for identifying disaster precursors and for supporting intervention design. A study of the organisational and cultural precursors relating to 12 major events across several industries revealed shared precursors in areas such as leadership, operational attitudes and behaviours, communication, risk analysis, learning and oversight and scrutiny. This has enabled statements of good practice to be developed, together with question sets that can be used by regulators and the industry to profile organisational risk management resilience and thereby drive organisational learning. The research shows that the processes of incubation and evolution of disaster events can be complex and exercising control therefore requires development of more sophisticated 'tools' than are currently available. It has revealed repeating patterns of failure and the importance of psychological and behavioural factors which have led to poor decision-making. Causal loop modelling is being used to capture these patterns to facilitate the design of more informed interventions. Emerging issues and new approaches being developed are discussed and examples given.

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Section: Previous Research At the Safety Systemsmentioning

confidence: 99%

Section: Previous Research At the Safety Systemsmentioning

confidence: 99%

See 1 more Smart Citation

Understanding organisational and cultural precursors to events

Taylor

May

Weyman

et al. 2017

Proceedings of the Institution of Civil Engineers - Forensic En

View full text Add to dashboard Cite

show abstract

“…The decentralised WW system are simpler and cost effective referring to centralised WW system which needs large capital investment for sewer system and pumping costs, > 70% of total annual budget [14][15][16].…”

Section: Characteristics For the Studied Urban And Industrial Wws Manmentioning

confidence: 99%

Comparative overview of primary sedimentation-based mechanical stage in some Romanian wastewater treatment systems

Zaharia

2017

IOP Conf. Ser.: Mater. Sci. Eng.

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“…The disastrous consequences that SA failures (e.g. missing indicators) can through poor decision making and unnecessary risk taking have been recognised in process safety (Kaber & Endsley, 1998;Taylor, Wijk, May & Carhart, 2015) (e.g. Deepwater Horizon; Roberts et al, 2015b;Texas City;Khan & Amyotte, 2007; explosion at the chemical production facility West Virginia Institute, Naderpour, Nazir & Lou, 2015).…”

Section: Situation Awarenessmentioning

confidence: 99%