Learning from low level incidents - A revised approach to the recognition, reporting and analysis of minor incidents and mechanisms adopted to cascade the lessons learned

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Burnett, AR
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TL [原子能技术]; O571 [原子核物理学];
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0827 ; 082701 ;
摘要
This workshop is dedicated to learning from low level incidents, which taken together indicate areas for significant loss, if no appropriately acted on. These low level "precursors" in themselves do not result in any measurable detriment to the organization, unlike the significant incidents which normally are the ones given most attention and follow up.
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页码:23 / 46
页数:24
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