Learning from incidents: from normal accidents to high reliability

No abstract is available for this paper.

• Publication year

  2006

• Venue

  System Dynamics Review

• Publication date

  2006-09-01

• Fields of study

  Engineering, Environmental Science

• Identifiers
  DOI 10.1002/SDR.338
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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• References

  2019cites this paper
• Investigating work-related musculoskeletal disorders: Strengths and weaknesses of current practices in large Australian organisations

  2019cites this paper
• Learning from Incidents to Reduce the Risk of Drowning in Swimming Pools: Implementation of Experience-Based Feedback Regarding Near-Misses in Four Public Facilities in France

  2019influential citation
• Multiple hierarchy risk assessment with hybrid model for safety enhancing of unmanned subscale BWB demonstrator flight test

  2019cites this paper
• Application of an incident taxonomy for radiation therapy: Analysis of five years of data from three integrated cancer centres.

  2018cites this paper
• The application of system dynamics modelling to system safety improvement: Present use and future potential

  2018cites this paper
• Organizing the Unexpected: How Civil Society Organizations Dealt with the Refugee Crisis

  2018cites this paper
• The development and evaluation of a Learning from Incidents toolkit

  2018cites this paper
• The Role of Personal Commitment to Safety in Shaping Safety Performance of Front-Line Employees: a Case Study in Small Manufacturing Industries

  2018cites this paper
• A novel grey–fuzzy–Markov and pattern recognition model for industrial accident forecasting

  2018cites this paper
• The Influence of Organizational Factors on Road Transport Safety

  2018cites this paper
• PENEREPAN METODE “LEARNING FROM INCIDENTS” PADA SEBUAH TERMINAL PETI KEMAS

  2018cites this paper
• A system dynamics view of a behavior-based safety program in the construction industry

  2018cites this paper
• Behavioural response patterns: an investigation of the early stages of major incidents

  2018cites this paper
• Modeling and Training: How System Dynamics is Usable in OSH and MAH Frameworks

  2018cites this paper
• A risk management framework for a complex adaptive transport system. (Un cadre de gestion du risque pour un système adaptatif complexe de transport)

  2018cites this paper
• Behavioural response patterns: an investigation of the early stages of major incidents

  2018cites this paper
• Information security management practices in organisations

  2018cites this paper
• Failure to learn from safety incidents: Status, challenges and opportunities

  2018cites this paper