Learning from Accidents


Book Description

Review of previous edition: "Trevor Kletz's book makes an invaluable contribution to the systematic, professional and scientific approach to accident investigation". The Chemical Engineer Fully revised and updated, the third edition of Learning from Accidents provides more information on accident investigation, including coverage of accidents involving liquefied gases, building collapse and other incidents that have occurred because faults were invisible (e.g. underground pipelines). By analysing accidents that have occurred Trevor Kletz shows how we can learn and thus be better able to prevent accidents happening again. Looking at a wide range of incidents, covering the process industries, nuclear industry and transportation, he analyses each accident in a practical and non-theoretical fashion and summarises each with a chain of events showing the prevention and mitigation which could have occurred at every stage. At all times Learning from Accidents, 3rd Edition emphasises cause and prevention rather than human interest or cleaning up the mess. Anyone involved in accident investigation and reporting of whatever sort and all those who work in industry, whether in design, operations or loss prevention will find this book full of invaluable guidance and advice.




Dead Reckoning


Book Description

It's easier to stay alive if you know what's out there. That's the philosophy behind Dead Reckoning, an honest, unflinching, sometimes-thrilling collection of close calls and catastrophes in the Great Outdoors. Emma Walker's narrative nonfiction covers outdoor activities ranging from hiking to sea kayaking to backcountry skiing, all in accessible, easy-to-understand terms. At the end of each chapter, she distills lessons learned for staying safe in the outdoors––all with a relatable (and occasionally vulnerable) twist.




Know the Risk


Book Description

We live in a technological world, exposed to many risks and errors and the fear of death. Know the Risk shows us how we can learn from the many errors and tragic accidents which have plagued our developing technological world.This breakthrough volume presents a new concept and theory that shows how errors can and should be analyzed so that learning and experience are accounted for. The authors show that, by using a universal learning curve, errors can be tracked and managed so that they are reduced to the smallest number possible.The authors have devoted a number of years to gathering data, analyzing theories relating to error reduction, design improvement, management of errors and assignment of cause. The analyzed data relates to millions of errors. They find a common thread between all technology-related accidents and link all of these errors (from the headline stories to the everyday accidents). They challenge the reader to take a different look at the stream of threats, risks, dangers, statistics and errors by presenting a new perspective. The book makes use of detailed illustrations and explores many headline accidents which highlight human weaknesses in harnessing and exploiting the technology we have developed; from the Titanic to Chernobyl, Bhopal to Concorde, the Mary Rose to the Paddington rail crash and examine errors over which we have little or no control. By analyzing the vast data society has collected, the authors show how the famous accidents and our everyday risks are related.The authors prove the strength of their observations by comparing their findings to the recorded history of tragedies, disasters, accidents and incidents in chemical, airline, shipping, rail, automobile, nuclear, medical, industrial and manufacturing technologies. They also address the management of Quality and losses in production, the search for zero defects and the avoidance of personal risk and danger.Stresses the importance of a learning environment for safety improvementPlaces both quality and safety management in the same learning contextLearn how to track and manage errors to reduce as quickly as possible




Organizational Learning at NASA


Book Description

Just after 9:00 a.m. on February 1, 2003, the space shuttle Columbia broke apart and was lost over Texas. This tragic event led, as the Challenger accident had 17 years earlier, to an intensive government investigation of the technological and organizational causes of the accident. The investigation found chilling similarities between the two accidents, leading the Columbia Accident Investigation Board to conclude that NASA failed to learn from its earlier tragedy. Despite the frequency with which organizations are encouraged to adopt learning practices, organizational learning—especially in public organizations—is not well understood and deserves to be studied in more detail. This book fills that gap with a thorough examination of NASA’s loss of the two shuttles. After offering an account of the processes that constitute organizational learning, Julianne G. Mahler focuses on what NASA did to address problems revealed by Challenger and its uneven efforts to institutionalize its own findings. She also suggests factors overlooked by both accident commissions and proposes broadly applicable hypotheses about learning in public organizations.




Prevention of Accidents Through Experience Feedback


Book Description

Providing a practical introduction to the basic theories and principals of accident prevention through diagnosis and feedback control, this book presents the various methods and tools of safety, health, and environment (SHE) practice where experience feedback is employed. These include methods of accident and near accident reporting and investigation, workplace inspection, SHE performance measurement, and safety analysis and auditing. It also assesses potentials and limitations of the different methods and tools, including learning from experience of unwanted events and errors. It includes highly applicable data on developing a computer-supported SHE information system.




The Book of Accidents


Book Description

NATIONAL BESTSELLER • A family returns to their hometown—and to the dark past that haunts them still—in this masterpiece of literary horror by the New York Times bestselling author of Wanderers “The dread, the scope, the pacing, the turns—I haven’t felt all this so intensely since The Shining.”—Stephen Graham Jones, New York Times bestselling author of The Only Good Indians NAMED ONE OF THE BEST BOOKS OF THE YEAR BY THE NEW YORK PUBLIC LIBRARY AND LIBRARY JOURNAL Long ago, Nathan lived in a house in the country with his abusive father—and has never told his family what happened there. Long ago, Maddie was a little girl making dolls in her bedroom when she saw something she shouldn’t have—and is trying to remember that lost trauma by making haunting sculptures. Long ago, something sinister, something hungry, walked in the tunnels and the mountains and the coal mines of their hometown in rural Pennsylvania. Now, Nate and Maddie Graves are married, and they have moved back to their hometown with their son, Oliver. And now what happened long ago is happening again . . . and it is happening to Oliver. He meets a strange boy who becomes his best friend, a boy with secrets of his own and a taste for dark magic. This dark magic puts them at the heart of a battle of good versus evil and a fight for the soul of the family—and perhaps for all of the world. But the Graves family has a secret weapon in this battle: their love for one another.




Lessons from Disaster


Book Description

It is by avoiding accidents that the process industries will improve their public image. Lessons from Disaster focuses upon the apparent inability of organizations to learn, and retain in long-term, the lessons drawn from accidents. Incidents of a similar type continue to occur within companies repeatedly. Trevor Kletz illustrates this with detailed cases, which form a gold mine of experience and advice for every engineer. He offers, with his customary vision and imagination, his own advice on how to improve the corporate memory.




Managing the Risks of Organizational Accidents


Book Description

Major accidents are rare events due to the many barriers, safeguards and defences developed by modern technologies. But they continue to happen with saddening regularity and their human and financial consequences are all too often unacceptably catastrophic. One of the greatest challenges we face is to develop more effective ways of both understanding and limiting their occurrence. This lucid book presents a set of common principles to further our knowledge of the causes of major accidents in a wide variety of high-technology systems. It also describes tools and techniques for managing the risks of such organizational accidents that go beyond those currently available to system managers and safety professionals. James Reason deals comprehensively with the prevention of major accidents arising from human and organizational causes. He argues that the same general principles and management techniques are appropriate for many different domains. These include banks and insurance companies just as much as nuclear power plants, oil exploration and production companies, chemical process installations and air, sea and rail transport. Its unique combination of principles and practicalities make this seminal book essential reading for all whose daily business is to manage, audit and regulate hazardous technologies of all kinds. It is relevant to those concerned with understanding and controlling human and organizational factors and will also interest academic readers and those working in industrial and government agencies.




There Are No Accidents


Book Description

A journalist recounts the surprising history of accidents and reveals how they’ve come to define all that’s wrong with America. We hear it all the time: “Sorry, it was just an accident.” And we’ve been deeply conditioned to just accept that explanation and move on. But as Jessie Singer argues convincingly: There are no such things as accidents. The vast majority of mishaps are not random but predictable and preventable. Singer uncovers just how the term “accident” itself protects those in power and leaves the most vulnerable in harm’s way, preventing investigations, pushing off debts, blaming the victims, diluting anger, and even sparking empathy for the perpetrators. As the rate of accidental death skyrockets in America, the poor and people of color end up bearing the brunt of the violence and blame, while the powerful use the excuse of the “accident” to avoid consequences for their actions. Born of the death of her best friend, and the killer who insisted it was an accident, this book is a moving investigation of the sort of tragedies that are all too common, and all too commonly ignored. In this revelatory book, Singer tracks accidental death in America from turn of the century factories and coal mines to today’s urban highways, rural hospitals, and Superfund sites. Drawing connections between traffic accidents, accidental opioid overdoses, and accidental oil spills, Singer proves that what we call accidents are hardly random. Rather, who lives and dies by an accident in America is defined by money and power. She also presents a variety of actions we can take as individuals and as a society to stem the tide of “accidents”—saving lives and holding the guilty to account.




Crash course


Book Description