Sources of Common Cause Failures in Decision Making Involved in Man-Made Catastrophes

@inproceedings{Zebroski1989SourcesOC,
  title={Sources of Common Cause Failures in Decision Making Involved in Man-Made Catastrophes},
  author={Edwin L. Zebroski},
  year={1989}
}
Four major accidents in large-scale engineering operations are analyzed for the apparent attributes that contributed to key decisions preceding the catastrophic event. The accidents considered include: Bhopal, Challenger Shuttle, Three Mile Island, and Chernobyl. The analysis focuses on the key decisions and assumptions that would have seemed implausible to, or would have been treated differently by, other similarly qualified operations management teams (based on generally available knowledge… CONTINUE READING