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[资源] Learning from Accidents

新春愉快！

ISBN: 075064883X
Title: Learning from Accidents
Author: Trevor Kletz
Publisher: Butterworth-Heinemann
Publication Date: 2001
Number Of Pages: 357 pages
1.59 M PDF

1 Two simple incidents 13
2 Protective system failure 22
3 Poor procedures and poor management 32
4 A gas leak and explosion – The hazards of insularity 40
5 A liquid leak and fire and the hazards of amateurism 52
6 A tank explosion – The hazards of optional extras 63
7 Another tank explosion – The hazards of modification
and ignorance 73
8 Flixborough 83
9 Seveso 103
10 Bhopal 110
11 Three Mile Island 122
12 Chernobyl 135
13 Aberfan 146
14 Missing recommendations 155
15 Three weeks in a works 162
16 Pipe failures 179
17 Piper Alpha 196
18 The King’s Cross underground railway station fire 207
19 Clapham Junction – Every sort of human error 216
20 Herald of Free Enterprise 226
21 Some aviation accidents 234
22 Invisible hazards 253
23 Signals passed at danger 259
24 Longford: the hazards of following fashions 267
25 The Gresford Colliery explosion 275
26 Green intention, red result 281
27 Looking beyond violations 291
28 Keeping an open mind 297
29 Secondhand software: the Therac story 303
30 Conclusions 308

http://www.esnips.com/nsdoc/77a2 ... f7f/?action=forceDL

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