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Charles Perrow -
Normal Accidents (1984)
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The essence of the normal accident [is] the interaction of multiple failures that are not in a direct operational sequence.
Charles Perrow
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It takes just the right combination of circumstances to produce a catastrophe, just as it takes the right combination of inevitable errors to produce an accident.
Charles Perrow
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The nuclear power industry, for example, lacks a strong union, has random public victims with delayed effects, has no safety board that is independent of licensing and regulatory functions, and does not see an immediate effect on its profits if safety flags (though a far more severe incentive exists to avoid a catastrophic accident which could shut down the industry)
Charles Perrow
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Organizational theorists, at least since the pioneering work of Burns and Stalker, 1961 and Joan Woodward, 1965 and others in what came to be called the contingency school, have recognized that centralization is appropriate for organizations with routine tasks, and decentralization for those with nonroutine tasks. For an early statement see Perrow 1967, and Lawrence and Lorch, 1967.
Charles Perrow
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Most normal accidents have a significant degree of incomprehensibility.
Charles Perrow
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Engineers speak of a control loop, in which the man in the loop is the problematical element. This is the human component in a series of sequentially interacting pieces of equipment that control or adjust a function. But when the pilot is suddenly and unexpectedly brought into the control loop (in other words, participates in decision making) as a result of (inevitable) equipment failure, he is disoriented. Long periods of passive monitoring make one unprepared to act in emergencies. The sudden appearance of several alarms, all there for safety reasons, leads to disorientation.
Charles Perrow
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As an organizational sociologist, I was interested in the system characteristics of large accidents, but the discipline also made me aware of the organizational genesis of male-made disasters.
Charles Perrow
Quote of the day
Nobody ever did anything very foolish except from some strong principle.
William Lamb, 2nd Viscount Melbourne
Charles Perrow
Born:
February 9, 1925
Died:
November 12, 2019
(aged 94)
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