Overview
ABSTRACT
Accidents, incidents, crises: severe events occur regularly within industrial organizations. Accidents are not solely attributable to human error (the "human factor") and/or technical failure. Generally, accidents announce" themselves through a certain number of deep dysfunctions in the organization which increase all along the incubation period preceeding the catastrophy. The organizational analysis is based upon the in-depth examination, within the thickness of the context, of the multiple "vertical" interactions (between management, expertise and fielsd staff) and "horizontal" ones (between the various entities which constitute the organization).
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Read the articleAUTHORS
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Michel LLORY : Senior consulting engineer
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Yves DIEN : Research engineer
INTRODUCTION
Organizational analysis, and the associated organizational paradigm, offer a relevant and effective alternative to the industrial safety analysis methods used to date.
Organizational analysis is based on an in-depth examination of the organization's many "vertical" interactions (between management, experts and field staff) and "horizontal" interactions (between the various entities that make up the organization).
It is accompanied by a dynamic historical perspective on developments – safety deterioration and improvement –.
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Risks in complex systems
A long litany of dramatic events
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