Systemic causation model operations management

In the causation model presented in this chapter, there is a plea for recognition of the impact an organization s culture has on causal factor development, as well as for a balanced, systemic approach that addresses the design and engineering, the management and operational, and the task performance causal factors. 

This causation model puts a major focus on less than adequate management practices that impact on the operations system as a source from which causal factors derive. A borrowing of significance is taken from the Guidelines to Use of the Management Oversight and Risk Tree to emphasize focusing on the system ... 

Many models for accident causation have been used to propose ideas to minimize loss. The systems approach was developed to manage safety. This approach promotes a balance between the assessment of people, behaviour and the infrastructure to support the operation. However, given the adoption of safety systems in many organizatiorrs, there are questions surrotmding organizational incidents that remain tmanswered by many of these systems. 

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