Organisational accidents investigation methodology and lessons learned

Journal of Hazardous Materials

Volumn 111, Issue 1-3, 2004, Pages 147-153

  Dien, Yves ^a   Llory, Michel ^b   Montmayeul, René ^a  

^a Division Recherche et Développement   (France)

^b Institut du Travail Humain   (France)

Author keywords

Accident analysis methods; Organisational accidents; Organisational incidents

Indexed keywords

ACCIDENT PREVENTION; FAILURE ANALYSIS; HAZARDOUS MATERIALS; RISK MANAGEMENT; SOCIETIES AND INSTITUTIONS;

HUMAN FAILURES; INCIDENT ANALYSIS; ORGANIZATIONAL ACCIDENTS; TECHNICAL FAILURES;

ACCIDENTS;

ACCIDENT; ANALYTICAL METHOD;

ACCIDENT; CONFERENCE PAPER; HAZARD ASSESSMENT; HUMAN; METHODOLOGY; OCCUPATIONAL ACCIDENT; RISK ASSESSMENT; SAFETY;

ACCIDENTS, OCCUPATIONAL; ACCIDENTS, RADIATION; CAUSALITY; HUMANS; LONDON; MODELS, ORGANIZATIONAL; OHIO; ORGANIZATIONAL CULTURE; RAILROADS; SAFETY MANAGEMENT;

EID: 3042551823     PISSN: 03043894     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhazmat.2004.02.021     Document Type: Conference Paper

References (18)

1. J.G. Kemeny, et al., The need for change: the legacy of TMI, The President's Commission on the Accident at Three Mile Island, Government Printing Office, Washington, DC, USA, 1979.
2. M. Llory, Accidents industriels: le coût du silence, Opérateurs privés de parole et cadres introuvables, Editions L'Harmattan, Paris, France, 1996.
3. M. Llory, L'accident de la centrale nucléaire de Three Mile Island, Editions L'Harmattan, Paris, France, 1999.
4. C. Perrow, Normal Accidents: Living with High-Risk Technologies, second ed., Princeton University Press, Princeton, USA, 1999, first ed.: 1984.
5. S.D. Sagan, The Limits of Safety: Organizations, Accidents, and Nuclear Weapons, Princeton University Press, Princeton, USA, 1993.
6. D. Vaughan, The Challenger Launch Decision. Risky Technology, Culture, and Deviance at NASA, The Chicago University Press, Chicago, USA, 1996.
7. B.A. Turner, N.F. Pidgeon, Man-Made Disasters, second ed., Butterworth Heinemann, Oxford, UK, 1997.
8. J. Reason, Managing the risks of organizational accidents, Ashgate, Aldershot, UK, 1997, first ed.: 1978.
9. G. Becker, Event analysis and regulation: are we able to discover organisational factors? in: A. Hale, B. Wilpert, M. Freitag (Eds.), After the Event. From Accident to Organizational Learning, Pergamon Press, Elsevier Science, Oxford, UK, 1997, Chapter C.3, pp. 197-215.
10. L. Cullen, The Ladbroke Grove Rail Inquiry, Part 1 Report, HSE Books, Her Majesty's Stationery Office, Norwich, UK, 2000.
11. L. Cullen, The Ladbroke Grove Rail Inquiry, Part 2 Report, HSE Books, Her Majesty's Stationery Office, Norwich, UK, 2001.
12. L. Myers, Management and human performance root causes, Davis-Besse Nuclear Power Station, FENOC, Ohio, USA, 15 August 2002.
13. NRC, NRC issues "lessons learned" task force report on agency's handling of Davis-Besse reactor vessel head damage, Washington, DC, USA, 9 October 2002.
14. Nussbaumer, Tensions et conflits autour des chemins de fer britanniques au XXème siècle, the Litterary Annals of the Université de Franche-Comté, No. 691, Besançon, France, 2000.
15. Lochbaum, Petition pursuant to 10 CFR 2.206 regarding safety at Davis-Besse nuclear power plant, Letter to Dr. William D. Travers, United States Nuclear Regulatory Commission, 24 April 2002.
16. M. Llory, The detection, analysis and decision processes related to "weak signals" in risk prevention, in: Proceedings of the first International Conference on Occupational Risk Prevention, Tenerife, Spain, 23-25 February 2000.
17. M. Llory, Ce que nous apprennent les accidents industriels, Revue Générale Nucléaire, Special issue on Human Factors No. 1, Paris, France, January-February 1998, pp. 63-68.
18. Y. Dien, M. Llory, Facteurs organisationnels des incidents, accidents et crises: première synthèse de la veille, EDF-R&D report HT-52/02/035/A, Clamart, France, 2002.