یادگیری از اتفاقهای ناگهانی

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قیمت قبلی کالا : ۸۰,۰۰۰ریال

قیمت کالا : ۶۴,۰۰۰ریال

مقدار تغییر قیمت: ۱۶,۰۰۰ریال (20%)
موضوع: نفت و گاز
نویسنده / ناشر / تولید کننده: Kletz
سال نشر / تولید: 2001
زبان محتوا: انگلیسی
تعداد صفحات: 357
فرمت فایل: PDF

(تعداد رای: 2)

Accident investigation is like peeling an onion or, if you prefer more
poetic metaphors, dismantling a Russian doll or the dance of the seven
veils. Beneath one layer of causes and recommendations there are other,
less superficial layers. The outer layers deal with the immediate technical
causes while the inner layers are concerned with ways of avoiding the
hazards and with the underlying causes, such as weaknesses in the
management system. Very often only the outer layers are considered and
thus we fail to use all the information for which we have paid the high
price of an accident. The aim of this book is to show, by analysing
accidents that have occurred, how we can learn more from accidents and
thus be better able to prevent them occurring again. Just as we are blind
to all but one of many octaves in the electromagnetic spectrum, so we are
often blind to the many causes of an accident and the many missed opportunities
preventing it. The aim of this book is to help us see the infra-red
and ultra-violet of accident prevention (Figure 1). Most of the accidents
described have been chosen because they teach us important lessons and
not because they killed many people or caused substantial damage. They
thus include, at one extreme, accidents like Chernobyl and Bhopal that
shook the world and at the other extreme accidents that, by good fortune,
injured no one and caused little damage. The first edition discussed
accidents which had occurred mainly in the chemical industry, but later
editions cover a wider range. The book should therefore interest all those
concerned with the investigation of accidents, of whatever sort, and all
those who work in industry, whether in design, operations or loss prevention.
I am not suggesting that the immediate causes of an accident are any
less important than the underlying causes. All must be considered if we
wish to prevent further accidents, as the examples will show. But putting
the immediate causes right will prevent only the last accident happening
again; attending to the underlying causes may prevent many similar
accidents.

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