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Area of Science:

  • Engineering Systems Analysis
  • Sociotechnical Systems Safety

Background:

  • Modern engineering systems are increasingly complex, challenging traditional safety assessment methods.
  • Classical failure analysis techniques (e.g., fault trees, FMEA) create models that may not reflect real-world emergent behaviors.
  • The depth of causal chains in serious accidents is often overestimated.

Purpose of the Study:

  • To question the necessity of complex decompositional models for safety-critical systems.
  • To explore the benefits of whole system modeling for understanding system behavior.
  • To investigate the value of analyzing "weak signals" (normal deviations) alongside failures.

Main Methods:

  • Review of classical failure analysis techniques and their limitations.
  • Conceptual exploration of whole system modeling approaches.
  • Analysis of "weak signals" as indicators of system behavior.

Main Results:

  • Classical methods may not capture emergent behaviors of sociotechnical systems.
  • Whole system models could offer better insights into real-world system dynamics.
  • "Weak signals" provide valuable data for safety analysis beyond failures and near misses.

Conclusions:

  • A return to simpler, whole system models may be necessary for robust safety assessment.
  • Analyzing normal deviations ("weak signals") is crucial for proactive safety management.
  • Focusing on obvious causes and subtle deviations is more effective than relying solely on intricate failure scenarios.