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Examine the parts separately three important

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Unformatted text preview: E ' 8 8  ) #   > ! # + F  F ' 1 , + ' 1 , ! , + + 1 # = # ? # ! #  F ? ' ) 1 8  L +  8 # # = ,  + K = # 1 > # F  ! , + ' , ' ,   A # + , &  ' F C C = C ' + , # # C + 6  ' E , +  1 8 )  # ' # # 8 # /   8 &  & #  C = '   # 1     / ,  +  # , + ? A 1  # , '   E >  ) / 6 # 1   ,   & / / , , C 1 C # , 8 ' # # , +  # 1 # C  , , ) ! 8 / 8 #  & , 8 ' >  5 + ! 1 ) , #   # 5 , &   , Chain−of−Events Example: Bhopal E1: Worker washes pipes without inserting slip blind E2: Water leaks into MIT tank E3: Explosion occurs E4: Relief valve opens E5: MIC vented into air E6: Wind carries MIC into populated area around plant Limitations of Event Chain Models: Social and organizational factors in accidents Y T e Y ] m ` Y } b Y o z Y X n b o Z ` R b X j Z Y P z S ` R Y Y o i ` Y e j Z R P R Y Y R e { P Y Z z X c c P n ` f R ` c o n T ` R b ` Y e o T c ] b Y Y e i Y Y T n e o X T c n R ] l Y ` j T e o R ~ P Models need to include the social system as well as the technology and its underlying science. System accidents Software error · Ë ½ ·  À Ê » Å ¹ º É ¹ ¸ È Ç · Å µ Æ ¶ Å µ ´ c à  µ Á · À ¿ ·...
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This note was uploaded on 11/07/2011 for the course AERO 16.36 taught by Professor Alexandremegretski during the Spring '09 term at MIT.

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