Learning From Organizational Incidents: Resilience Engineering for High-Risk Process Environments

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Title Learning From Organizational Incidents: Resilience Engineering for High-Risk Process Environments
Author Huber, Stefanie; Wijgerden, Ivette van; Witt, Arjan de; Dekker, Sidney
Journal Name Process Safety Progress
Year Published 2009
Place of publication USA
Publisher American Institute of Chemic Engineers
Abstract For years, safety improvements have been made by evaluating incident reports and analyzing errors and violations. Current developments in safety science, however, challenge the idea that safety can meaningfully be seen as the absence of errors or other negatives. Instead, the question becomes whether a company is aware of positive ways in which people, at all level of the organization, contribute to the management and containment of the risks it actually faces. The question, too, is whether the organization has the adaptive capacity necessary to respond to the changing nature of risk as operations shift and evolve. This article presents the results of a resilience engineering safety audit conducted on a chemical company site. An interdisciplinary team of seven researchers carried out 4 days of field studies and interviews in several plants on this site. This company enjoyed an almost incident-free recent history but turned out to be ill-equiped to handle future risks and many well-known daily problems. Safety was often borrowed from to meet acute production goals. Organizational learning from incidents was fragmented into small organizational or production units without a company-wide learning. We conclude that improving safety performance hinges on an organization's dynamic capacity to reflect on and modify its models of risk as operations and insight into them evolve, for example, as they are embodied in safety procedures and policies.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1002/prs.10286
Copyright Statement Self-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the author[s] for more information.
Volume 28
Issue Number 1
Page from 90
Page to 95
ISSN 1066-8527
Date Accessioned 2011-02-18
Language en_AU
Faculty Arts, Education and Law
Subject Aerospace Engineering
URI http://hdl.handle.net/10072/37911
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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