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[DOWNLOAD] "Flirting with Disaster." by Issues in Science and Technology # Book PDF Kindle ePub Free

Flirting with Disaster.

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eBook details

  • Title: Flirting with Disaster.
  • Author : Issues in Science and Technology
  • Release Date : January 22, 2005
  • Genre: Engineering,Books,Professional & Technical,
  • Pages : * pages
  • Size : 148 KB

Description

In the aftermath of catastrophes, it is common to discover prior indicators, missed signals, and dismissed alerts that preceded the event. Indeed, in reviewing the accident literature, there are many notable examples where such prior signals were observed but not recognized and understood for the threat that they posed. They include the 1979 Three Mile Island nuclear power plant accident (another U.S. nuclear plant had narrowly averted a similar accident two years before) and the 2000 Concorde crash (tires had burst and penetrated the fuel tanks on five previous flights). Probably the most famous examples are the two space shuttle disasters. After it was determined that an O-ring failure had doomed Challenger in 1986, it was recognized that on a number of other occasions, O-rings had partially failed. After the loss of Columbia on February 1, 2004, investigators found that insulating foam had become detached from the external tank and pierced the orbiter's thermal protection system. Although managers at the National Aeronautics and Space Administration (NASA) had observed debris strikes on numerous prior missions and had recognized them as a potentially serious issue, the Columbia Accident Investigation Board concluded that over time, a degree of complacency about the importance of debris strikes had crept into NASA's culture. These so-called precursor events can in hindsight seem so conspicuous that it is hard to understand why they were not recognized and acted on. In practice, organizations and individuals face significant challenges in identifying and reporting precursors; filtering, prioritizing, and analyzing signals that represent significant threats; and tracking the implementation of corrective actions until completion. Multiple approaches have been developed across industries and between firms within an industry to use information about precursor events and economic incentives to improve the safety of technological systems.


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