Improving resilience to major safety events by analysing case studies

Richard Taylor, Neil Carhart, Graeme Collinson, richard voke, John May, Andrew Weyman

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Development of a potentially widely applicable ‘tool’
to address sometimes neglected ‘organisational and cultural’ precursors to
major safety-related ‘events’ is described. Twelve ‘events’ across several
industries were studied, and detailed ‘expectations of good practice’
developed. Associated ‘penetrating diagnostic questions’ were also then
developed to enable the identification of potential operational vulnerabilities,
and a ‘systems approach’ is outlined (which also addresses behavioural
factors) to facilitate the design of effective interventions.
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalEngineering X: Safer Complex Systems: Case Studies
Issue number5
Publication statusPublished - 25 May 2022

Bibliographical note

This work was supported by a grant from the Safer Complex Systems mission of Engineering X, an international collaboration founded by the Royal Academy of Engineering (the Academy) and Lloyd’s Register Foundation (LRF). The opinions expressed in this publication are those of the author(s) and do not necessarily reflect the views of the Academy or LRF. The authors wish to acknowledge the support received from industry (particularly BNFL and Centrica) and regulatory bodies (ONR/NII) in the earlier phases of this work. We are particularly grateful for the recent support and funding from the UK Energy Institute and for agreement to include in this paper, findings and figures from the most recent ongoing research and an associated publication (3). Valuable comments have been received from two Safer Complex Systems mission ‘mentors’ and three independent technical


  • sasfty risk major-hazards industry


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