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In the same case, detailed interface management would have identiﬁed the negative interaction between the elements. Improved maintenance requirements across organization boundaries might have prevented the ValuJet incident described in Chapter 4, Case Studies and Root Causes. Another discipline that departs from the past is safety. For example, Leveson et al. (2006) and Jackson and Hann (2004) show how focusing just on the design is inadequate and how organizational factors need to be folded into the safety analysis.
7), are potential for analysis because they are human made. Organizational systems are conceptual systems, and therefore are human made. 2 shows types of systems and example application areas that will be discussed in the following paragraphs. 1 Technological Systems Technological systems are those systems whose focus is on hardware and software. Of course, spacecraft and aircraft fall into this category. However, it also includes nuclear power plants, off-shore platforms, and others. Most technological systems also have human components.
This is the irrational belief that a system is safe. The term culture, as discussed in Chapter 5, Culture, may refer to the individual, organizational, or national beliefs that govern our actions. Although the cultural inﬂuences on resilience are well documented by Vaughn (1996, p. 406) and the Columbia Accident Investigation Board report (2003, p. 177), this aspect has received little attention in industry or government for several basic reasons. First, culture is not technical or quantiﬁable.