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Archive for the ‘Risk’ Category

There are fundamental epistemic problems with the safety risk assessment of new and high consequence systems. For new systems we generally do not have statistical data on accidents and high consequence events are (usually) quite rare so we end up arguing our case using low base rate data. In the final analysis we usually fall back on some form of subjective (and qualitative) risk assessment.

The risk matrix was developed to guide this type of risk assessments, it’s actually based on decision theory, De’Moivres definition of risk and the principles of the iso-risk contour. The matrix is widely described in safety and risk literature and has become one of the less questioned staples of risk and safety management.

Despite this there are plenty of poorly constructed, ill thought matrices out there in both the literature and standards, this article attempts to establish some basic principles of construction.

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One of the canonical design principles of the nuclear weapons safety community is to base the behaviour of safety devices upon fundamental physical principles.

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I’ve recently been reading John Downer on what he terms the Myth of Mechanical Objectivity. To summarise John’s argument he points out that once the risk of an extreme event has been ‘formally’ assessed as being so low as to be acceptable it becomes very hard for society and it’s institutions to justify preparing for it.

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It appears that the designers of seawalls for the Japanese coastal cities affected by the 2011 earthquake did not consider all the combinations of environmental factors that set the effective height of a tsunami.

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The Mississippi River’s Old River Control Structure, a National Single Point of Failure? Given the recent events in Fukushima and our subsequent western cultural obsession with the radiological consequences, perhaps it’s appropriate to reflect on other non-nuclear vulnerabilities. As a case in point what about the Old River Control Structure erected by those busy chaps [...]

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The BEA’s third interim report on AF 447 highlights the vulnerability of aircrew when their usually highly reliable automation fails in the challenging operational environment of high altitude flight.

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Sometimes just doing ‘bloody nothing’ in response to a ‘near miss’ event is the appropriate response.

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I recently re-read the article Risks and Riddles by Gregory Treverton on the difference between a puzzle and a mystery. Treverton’s thesis, is that there is a significant difference between puzzles, in which the answer hinges on a known missing piece, and mysteries in which the answer is contingent upon unknowables. So is safety a puzzle or a mystery?

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In a previous post I discussed that in HOT systems the operator will inherently be asked to intervene in situations that are unplanned for by the designer. As such situations are inherently not ‘handled’ by the system this has strong implications for the design of the human machine interface.

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I’m currently reading a report prepared by MIT’s Human and Automation Labs on a conceptual design for a lunar lander human machine interface. As all really interesting papers do it raises as many questions as it answers.

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Why taking risk is an inherent part of the human condition.

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For the STS 134 mission NASA has estimated a 1 in 90 chance of loss of vehicle and crew (LOCV) based on a Probabilistic Risk Assessment (PRA). But should we believe this number?

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Another Easter has come bringing with it the traditional Easter road toll and press hyperbole… But let’s strip away the rhetoric and think about the subject cooly and rationally. Are we really behaving worse at Easter than any other time of the year?

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Often times we make decisions as part of a group and in the environment of the group there is a strong possibility that the cohesiveness of the group leads members to minimise interpersonal conflict and reach a consensus at the expense of crticially evaluating and testing ideas.

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In a series of occasional posts on this blog, I’ve discussed some of the pitfalls of heuristics based decision making as well as the risks associated with decision making on incomplete information or in an environment of time pressure. As an aid to the reader I’ve provided a consolidated list here.

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There has been a good deal of print and perspiration expended in the Occupational Health and Safety community on the principal of ‘Zero Harm’, but does it really make sense? And can we afford it? The proponents of Zero Harm take the position that no industrial accident is acceptable, regardless of how small it is. There are however, certain problems with this position…

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People tend to seek out and interpret information that reinforces their beliefs, especially in circumstances of uncertainty or when there is emotion attaching to the issue. This bias is known as confirmatory or ‘myside’ bias. So what can you do to guard against the internal ‘yes man’ that is echoing back your own beliefs?

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This railway crossing near miss due to a driver ‘racing the devil’ is, on the face of it, a classic example of the perversity of human behaviour. But on closer examination it does illustrate the risk we introduce when transitioning from a regine of approved operational procedures to those that have been merely accepted or tolerated.

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As the latin root of the word risk indicates an integral part of risk taking is the benefit we achieve. However often times decision makers do not have a clear understanding of what is the upside or payoff.

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The first major A380 incident offers an illustrative example of the risks that common cause failures pose to aerospace systems.

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