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Engineers need RUDENESS: an extension of Trevor Kletz's approach to accident investigations
Year: 2012
Type of publication: článek v odborném periodiku
Name of source: Process Safety Progress
Publisher name: Wiley-Blackwell
Page from-to: 315-318
Titles:
Language Name Abstract Keywords
cze Inženýři potřebují RUDENESS: Rozšíření přístupu Trevora Kletze k vyšetřování nehod Tento článek shrnuje Kletzův přístup k vyšetřování nehod a poukazuje na to, že jeho přístup má určité mezery, kterým je někdy potřebné se věnovat. K popisu rozdílu mezi kletzovským (více idealizovaným) a ne-kletzovským světem se používá dvou zkratek. Inženýrský přístup, který odpovídá Kletzovu vidění, je popsán slovem RUDE, kde R označuje spolehlivé vybavení; U znamená porozumění jeho funkci; D označuje ukázněnou obsluhu a E označuje pochopení pro ni. Rozšířený přístup je popsán slovem RUDENESS, kde NE označuje vůdčí osoby v etice a SS znamená společnost vyžadující bezpečnost. Úrovně doporučení; hlubší příčiny; postoj vyššího vedení; společenské řízení bezpečnosti
eng Engineers need RUDENESS: an extension of Trevor Kletz's approach to accident investigations Trevor Kletz belongs to the pioneers in root cause analysis of accidents. This article summarizes Kletz's approach to accident investigations, and it points out that his approach has some gaps that sometimes need to be addressed. These gaps seem to be related to certain assumptions taken for granted by Kletz but not always fulfilled in the real world. In general, Kletz assumes that professionals and leaders are honest and responsible. In fact, Kletz deliberately strives to avoid blaming. Therefore, Kletz gives no guidance of what to do when leaders' negligence contributes to an accident. This article expands the Kletz approach to include this aspect of process safety. Two acronyms are used to describe the difference between the Kletzian (more ideal) and non-Kletzian world. The engineering approach that follows Mr. Kletz's vision is depicted by the word RUDE, where R is for Reliable equipmentthe need for engineers to provide R; U is for Understanding itthe need for engineers to understand the properties, hazards, and correct use of equipment; D is for Disciplined personnelthe need for leadership to select and support D, E is for Empathythe need for leaders to recognize the deficiencies and incompetence of their employees. An expanded approach is depicted by the word RUDENESS, where NE is for Navigators in Ethicsthe need for the leaders of society to act as role models and stress ethic fundamentals of process safety, and SS is for a Safety-demanding Societythe need for both government and the governed to place a high priority on safety performance with appropriate laws and standards. (c) 2012 American Institute of Chemical Engineers Process Saf Prog, 2012 recommendation layers; underlying cause; top managers' attitude; societal safety management

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