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description of unsafe conditions in a system that may be present for many years before they combine with local circumstances and active failures to penetrate the system’s many layers of defenses -- adapted from (Reason 1997, p. 10)

Source(s)

Reason, James. 1997. Managing the Risks of Organizational Accidents. Aldershot, UK: Ashgate Publishing Limited.

Discussion

This term is applicable in the resilience context particularly with respect to the drift correction design principle.



SEBoK v. 1.9.1 released 30 September 2018

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