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Normal Accidents : ウィキペディア英語版
Normal Accidents

''Normal Accidents: Living with High-Risk Technologies'' is a 1984 book by Yale sociologist Charles Perrow, which provides a detailed analysis of complex systems conducted from a social sciences perspective. It was the first to "propose a framework for characterizing complex technological systems such as air traffic, marine traffic, chemical plants, dams, and especially nuclear power plants according to their riskiness". Perrow says that multiple and unexpected failures are built into society's complex and tightly-coupled systems. Such accidents are unavoidable and cannot be designed around.〔
Perrow's argument rests on three principles. Firstly, people make mistakes, even at nuclear plants. Secondly, big accidents almost always escalate from very small beginnings. Thirdly, many failures are those of organizations more than technology. Each of these principles is still relevant today.
==System accidents==
"Normal" accidents, or system accidents, are so-called by Perrow because such accidents are inevitable in extremely complex systems. Given the characteristic of the system involved, multiple failures which interact with each other will occur, despite efforts to avoid them. Perrow said that operator error is a very common problem, many failures relate to organizations rather than technology, and big accidents almost always have very small beginnings.〔Perrow, Charles. ''Normal Accidents: Living with High-Risk Technologies'' New York: Basic Books, 1984. p.5〕 Such events appear trivial to begin with before unpredictably cascading through the system to create a large event with severe consequences.〔
''Normal Accidents'' contributed key concepts to a set of intellectual developments in the 1980s that revolutionized the conception of safety and risk. It made the case for examining technological failures as the product of highly interacting systems, and highlighted organizational and management factors as the main causes of failures. Technological disasters could no longer be ascribed to isolated equipment malfunction, operator error or acts of God.〔


抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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