Why we need new accident models

S. Dekker
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引用次数: 61

Abstract

The models we currently use to understand aerospace safety and accidents are based on a structuralist vocabulary, with mechanistic metaphors that describe the internal workings or failings of operators and their surrounding organizations. Such a view may be increasingly at odds with interpretative demands posed by recent accidents in otherwise very safe systems. Particularly the drift into failure, which represents a large category of residual risk in aerospace, is hard to model (and thereby understand and predict) with structuralist approaches. Drifting into failure is not so much about breakdowns or malfunctioning of components, but about an organization not adapting effectively to the complexity of its structure and environment. This requires aerospace to adopt a true systems approach, which sees sociotechnical complexity not as constituted of parts and their interactions, but as a web of dynamic, evolving relationships and transactions. This can lead to models that can make processes of drift come alive, and help point to more productive countermeasures.
为什么我们需要新的事故模型
我们目前用来理解航空安全和事故的模型是基于结构主义词汇,用机械隐喻来描述操作员及其周围组织的内部工作或失败。这种观点可能与最近在其他方面非常安全的系统中发生的事故所提出的解释要求越来越不一致。特别是向失败的漂移,这在航空航天领域是一个很大的残余风险类别,很难用结构主义方法来建模(从而理解和预测)。滑向失败与其说是部件的故障或故障,不如说是组织不能有效地适应其结构和环境的复杂性。这要求航空航天采用真正的系统方法,将社会技术复杂性视为一个动态的、不断发展的关系和交易的网络,而不是由部件及其相互作用组成的。这可以产生能够使漂移过程变得生动的模型,并有助于指出更有效的对策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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