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Normal Accidents: Living with High-Risk Technologies

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At a glance

Condition
New
Dimensions
6.25 x 1 x 9.5 in
Weight
1.38 lb
Publisher
Princeton University Press
Publication date
September 27, 1999
Edition
Updated
Language
English

Description

Normal Accidents analyzes the social side of technological risk. Charles Perrow argues that the conventional engineering approach to ensuring safety-- building in more warnings and safeguards--fails because systems complexity makes failures inevitable. He asserts that typical precautions, by adding to complexity, may help create new categories of accidents. (At Chernobyl, tests of a new safety system helped produce the meltdown and subsequent fire.) By recognizing two dimensions of risk--complex versus linear interactions, and tight versus loose coupling--this book provides a powerful framework for analyzing risks and the organizations that insist we run them. The first edition fulfilled one reviewer's prediction that it "may mark the beginning of accident research." In the new afterword to this edition Perrow reviews the extensive work on the major accidents of the last fifteen years, including Bhopal, Chernobyl, and the Challenger disaster. The new postscript probes what the author considers to be the "quintessential 'Normal Accident'" of our time: the Y2K computer problem. Read more

Specs 9

Publisher Princeton University Press
Publication date September 27, 1999
Edition Updated
Language English
Print length 464 pages
ISBN-10 0691004129
ISBN-13 29
Item Weight 1.38 pounds

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Top Amazon Reviews


Who knew? Disasters are normal....
Format: Paperback
Snagged my first copy of Charles Perrow's "Normal Accidents" back in 2013, read it in the engine room while standing watch over the plant; now I know, disaster was lurking in the corner. It's so good I wore it out like a prom-night promise, duct-taped it Carhartt-style, then bought a second. Gifted piles to buddies who run chainsaws, oil rigs, or just fancy not glowing in the dark. Perrow drops the bomb: In fancy, tangled-up systems (nukes, shuttles, chemical plants), screw-ups aren't from idiots—they're baked in, "normal" as a flat tire in the rain. One tiny glitch snowballs: stuck valve at Three Mile Island? Near-meltdown party. Foam ding on Challenger? Kaboom. Chernobyl boys hit the wrong button in a badly designed mess? Half Europe gets a radioactive tan. Suddenly you're side-eyeing everything: your SUV's fancy electronics, the grid juicing your lights, even that newfangled pond pump—accidents lurking like a rattlesnake platoon in the pine straw (dogs won't warn ya, too busy dreaming of treats). Sobering as black gas-station coffee with no sugar. Read it, gift it, sleep with it under your pillow for extra paranoia. Keeps you humble when loading broadheads or flipping switches. And yes, we have no bananas. ... show more
Reviewed in the United States on January 1, 2026 by No Banana's

Insightful framework, poorly-supported political conclusions
Format: Kindle
Perrow provides an insightful framework for understanding the complex systems we live with every day and the ways they fail. Unfortunately, he spends his conclusion trying to make policy recommendations that aren't actually well supported by his own framework. I highly recommend nearly all of this book for anyone that will be designing, operating, or criticizing complex systems. Aside from poorly explained comments on nuclear criticality accidents and naval nuclear reactors, the earlier chapters of the book are technically quite sound, and Perrow's framework is a good starting point to think about how to make complex systems as safe and resilient as possible. ... show more
Reviewed in the United States on August 13, 2018 by Daniel Curtis

highly relevant after 40 years
Format: Paperback
This book introduces a theory of complex systems and why they may be more accident prone than non-complex ("linear") systems. Perrow then explores how the theory plays out in multiple industries, which all vary in interesting ways: nuclear power, chemical plants/refineries, air travel, marine transport, mining/dams, and more. I work in high tech (large scale online systems, think Big Tech internet/cloud computing) and the theory described in this book is extremely prescient in anticipating the sort of technical problems we sometimes encounter today -- despite having been written 40 years ago. I wish I had read this years ago, to be honest. My one minor complaint with the book: the 1999 reprint, which includes a pretty hastily assembled and speculative Y2K treatment (written before the fact) features a photo of the Challenger accident on the cover. In fact the Challenger is not a good example of a system accident (it was just a bad component design, plus institutional failure/pressure to keep flying it). A much better example would be a nuclear meltdown (e.g. Chernobyl), which Perrow predicted multiple times; again his text being written in 1982-1983 mainly. Anyhow, the publisher can be forgiven for insufficiently thought-through cover photo selection. ... show more
Reviewed in the United States on June 20, 2023 by della

Living With High-Risk Conclusions
Format: Paperback
I have been mulling over this review for a while now, and am still undecided on the correct rating to award this book. On the one hand Perrow offers some genuine insight into systems safety, but frequently does not understand the technicalities of the systems (or occasionally their operators) well enough to make informed decisions and recommendations. In more egregious cases he comes to conclusions that are guaranteed to reduce safety (as when he argues that supertankers should be run by committee, and the usefulness of the Captain is no more) or are merely the cherished liberal opinions of an Ivy League sociologist (he teaches at Yale) as when he argues for unilateral nuclear disarmament, government guaranteed income plans, and heroin maintenance (distribution) plans for addicts "to reduce crime." In the case of disarmament, remember this was written during the early 1980s while the Soviet Union was still a huge threat...complete nuclear disarmament would have resulted in fewer US nuclear accidents, but would NOT have made us safer as we would have been totally vulnerable to intentional nuclear attack. He has great personal animosity toward Ronald Reagan, and makes inflammatory statements in the mining section that mining safety regulations would surely be weakened by Reagan, causing many more accidents and deaths. Later in the same section, though, he concludes that mining is inherently dangerous, and no amount of regulation can make it safe. So which is it? Any of this is, at very best, folly, but regardless of political bent (he is a self avowed "leftist liberal") has absolutely no place in a book ostensibly on safety systems. As such I think portions of this book show what is so wrong in American academia today: even genuinely excellent research can be easily spoiled when the conclusions are known before the research is started. This is one of the many reasons that physical scientists scorn the social sciences, and it doesn't have to be this way. Having said all that there IS a wealth of good information and insight in this book when Perrow sticks to systems and their interactions. The book contains the finest analysis commercially available of the Three Mile Island near-disaster, and his insight about how to improve safety in nuclear plants was timely when the book was written in 1984, though many improvements have been made since then. Speaking as a commercial airline pilot, I feel his conclusions and observations about aircraft safety were generally true at the time of printing in 1984, but now are miserably out of date. (The same is true of the Air Traffic Control section.) I believe that he generally has a good layman's grasp of aviation, so I am willing to take it as a given that he has a knowledgeable layman's comprehension of the other systems discussed. As an aside, he never gets some of the technicalities quite right. For instance, he constantly uses the term 'coupling' incorrectly in the engineering sense; this is particularly objectionable in the aviation system where it has a very specific meaning to aeronautical engineers and pilots. The section on maritime accidents and safety is superbly written. Here I am not an expert, but there seems to be a high degree of correlation with the aviation section. His section on "Non Collision Course Collisions" by itself makes this book a worthwhile read. He presents very compelling information and reasoning until the very end of the section, at which point he suggests that since ships are now so big, large ships (especially supertankers) essentially should have no Captain, but should be run by committee. This is an invalid conclusion, and he offers no evidence or substantial argument to support that idea. Clearly, it is an idea hatched in his office and not on a ship (or plane.) There always needs to be a person in a place of ultimate authority in fast moving, dynamic systems, or the potential exists to have crew members begin to work at direct odds with each other, making a marginal situation dangerous. Ironically, in the very same part of the discussion where he concludes that there should be no Captain, he has hit upon the key to the problem. He mentions that he was pleased to see that some European shippers were now training their crews together as a team, and that he expected this to lower accident rates. He is, in fact, exactly right about that. Airlines now have to train crews in Crew Resource Management (CRM) in which each member of the crew has the right and obligation to speak up if they notice anything awry in the operation of their aircraft, and the Captain makes it a priority to listen to the input of others, as everyone has a different set of concerns and knowledge. In this way, the Captain becomes much less dictatorial, and becomes more of a final decision maker after everyone has had their say. It IS critical, though, to maintain someone in command, as there is no time to assemble a staff meeting when a ship is about to run aground, or a mid-air collision is about to occur. Many other well documented studies and books have come to this conclusion, and in the airline industry since CRM was introduced the accident rate has decreased dramatically. Overall, if you have a desire to understand high risk systems, this book has a lot of good information in it; however it is woefully out of date and for that reason among others, I can only recommend it with reservations. A better and much more contemporary introductory book on the subject is 'Inviting Disaster' by James R. Chiles. Remember, this book was written over twenty years ago, and much has changed since then. There is knowledge to be gleaned here, but you have to be prepared to sort the wheat from the chaff. ... show more
Reviewed in the United States on January 29, 2004 by Robert I. Hedges

A brilliant analysis.
Format: Kindle
This book is an expatiation of Murphy's Law. The author argues that complex systems are vulnerable to failure and that failures are unpredictable because, in complex systems, the way failing components fail synergistically is inherently impossible to foresee. The Challenger explosion, for example, has been blamed on a number of lapses in human judgment. But once one thing on the shuttle failed - I this case the O-rings on the solid rocket booster, an unanticipated cascade of failures followed. Similarly, the accident at Three Mile Island resulted from a faulty alarm which was known to be faulty, and was therefore ignored even as temperatures inside the containment dome were skyrocketing. The failure of a component, coupled with human misinterpretation of the failure. led to a cascade of bad events and wrong decisions. Perrow emphasizes that these events might be attributed to human error, but the humans involved have not seen this sequences of events before, such a cascade of related failures was never anticipated, and the humans have no way to understand what is happening. So "operator error" is an illusion. This book was written before the astounding disaster of Fukushima, but that series of catastrophes certainly fits Perrow's paradigm. Perrow is pessimistic about nuclear power. The fact that we haven't had more reactor disasters, Perrow says, is because the devices haven't yet had time to express themselves. Any social scientist, physical scientist, or policymaker should read this book. ... show more
Reviewed in the United States on April 18, 2014 by Dallas

Good Variety of Accident Scenarios
I have been part of the Electronics Technician FAA workforce since 1975. With that in mind I thought the Aviation and Space treatment was good in variety and detail presented. The ideas presented throughout the book of complexity and coupling make a lot of sense. The drawback to this book is that it was written in the 80's and updated in 1999. I wish I remembered more of some accidents described beyond the headlines. Some of the accidents are great examples of how analysis both in depth and quick at a glance still miss the big picture. I plan to read the Author's follow on book recently published (The Next Catastrophe...) ... show more
Reviewed in the United States on October 8, 2011 by Mr

"Man's reach always exceeds his grasp"
Format: Paperback
The material is a bit dated, but the lessons are timeless. Perrow references an old adage that "Man's reach always exceeds his grasp". That seems to be so true when we look at today's catastrophes such as the Gulf oil spill or the financial meltdown. Perrow presents a wide variety of remarkably well researched accidents across many industries to illustrate the problems with our complex modern systems. He makes reasonable recommendations as to how to deal with these problems, and along the way, he points out the major flaws of accident investigation boards and the risk assessment profession. Read this book! Its both instructional and (morbidly) entertaining. ... show more
Reviewed in the United States on May 4, 2011 by Daniel Heater

Read this. March 2011, TIMELY Emergent Properties
Format: Paperback
I read this 12 years ago. TOday, March 19, 2011, nuke disaster in Japan, more timely than ever. Perrow introduced me to tightly coupled, complex systems like nuke plants. I gravitated to his understandable explanations of the matrix of complex v linear and loose v tight coupling. Example of linear-tight is a bakery, and a University is complex-loose. Nuke plants are complex-tight. I agree with him that no amount of added safety features can be economically installed to make nuke plants safe. Either because there are emergent properties that can never be anticipated ( E.P. Chlorine is a toxic green gas, Sodium is a reactive gray metal. Combined they are table salt, partly responsible for life on earth, but you could NEVER have predicted that before hand from the starting ingredients) and or the cost $$$$$$ is prohibative. Case in point, the back-up generators for cooling Japan's now melting down nuke plant were on the ground to protect against typhoons from disabling them, but the tsunami got to them. But as per Perrow, even if there were tertiary back-ups up higher, another, additional unanticipatable flaw, might have emerged anyway. ... show more
Reviewed in the United States on March 19, 2011 by Laurie LM
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