An Accident Causation Analysis and Taxonomy (ACAT) model of complex industrial system from both system safety and control theory perspectives
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文摘

A new mechanism of accident was proposed, which is “subject fails to perform its function”.

An accident causation analysis and taxonomy model was proposed from both system safety and control theory perspectives.

Man, machine, management, environment, information, and resources were defined as system factors.

BP Texas City refinery explosion causes were analyzed and categorized.

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