J.T. Reason's research while affiliated with The University of Manchester and other places

Publication (1)

Article
Several recent accidents in complex high-risk technologies had their primary origins in a variety of delayed-action human failures committed long before an emergency state could be recognized. These disasters were due to the adverse conjunction of a large number of causal factors, each one necessary but singly insufficient to achieve the catastroph...

Citations

... where both virtual and real experiments are typical. The Swiss Cheese [58,70,85] model is one approach to experimental research safety which represents a system as sequentially stacked barriers protecting against failure. While any one safety evaluation step might have holes (limitations or failure points) that would lead to harmful outcomes, the safety assessment protocol is designed to ensure these holes do not align and thus potential harmful outcomes are prevented. ...