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Because it's not a Perfect World
Talks about slips and misses mistakes and how they affect the normal daily life. Talks about how breaking rules can occur either by errors or by deliberately doing something. Tells of how Shell Enhanced Safety Management System is used to try reduce errors. Discusses the new concept of TRIPOD.
  1. Not replacement of anything
  2. Discusses Analyses Active failures Identifies latent failures and triggering conditions.
  3. A look at unsafe acts and triggering conditions and provides a defense. However defenses can be broken.
  4. A safe organization is not necessarily intrinsically safe.
  5. Tripod identifies problems and fixes.

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