REDRESSING THE BALANCE:
A Commonsense Approach to Causation
Chapter Six: Reason’s (1997) Swiss Cheese Model
| The essential premise of the model | 130-131 |
| Reason’s initial and on-going uncertainty in his premise | 131-133 |
| Perpetuating the management failure myth | 133-136 |
| Swiss cheese holes – latent conditions or root causes? | 136-140 |
| Swiss cheese holes – latent conditions or mere conditions? | 140-144 |
| Accident causation model or workplace inspection checklist? | 144-149 |
| ‘Blame the system – save the day’ | 149-154 |
| Failed barriers and the organisational accident – fact or fiction? | 154-158 |
| Organisational accidents – products of an ill-founded ‘stop-rule’ | 158-161 |
| Organisational accident or individual accident? | 161-163 |
| Latent conditions: legally absurd – philosophically ridiculous | 163-170 |
| Aggregation – another flaw in the concept of the organisational accident | 170-171 |
| Knee-jerk organisational error attributions | 171-173 |
| A fatally confused school | 173-174 |
| Organisational accidents and barriers – myths born of misrepresentation | 175-179 |
| Interim Summary | 180-188 |
© Paul Difford 2011
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