dc.contributorUniversidade Estadual Paulista (Unesp)
dc.contributorUniversidade de São Paulo (USP)
dc.date.accessioned2014-05-20T13:38:21Z
dc.date.available2014-05-20T13:38:21Z
dc.date.created2014-05-20T13:38:21Z
dc.date.issued2012-01-01
dc.identifierWork-a Journal of Prevention Assessment & Rehabilitation. Amsterdam: IOS Press, v. 41, p. 3246-3251, 2012.
dc.identifier1051-9815
dc.identifierhttp://hdl.handle.net/11449/13303
dc.identifier10.3233/WOR-2012-0590-3246
dc.identifierWOS:000306361803060
dc.identifier2734132298792788
dc.description.abstractThis study analyzes an accident in which two maintenance workers suffered severe burns while replacing a circuit breaker panel in a steel mill, following model of analysis and prevention of accidents (MAPA) developed with the objective of enlarging the perimeter of interventions and contributing to deconstruction of blame attribution practices. The study was based on materials produced by a health service team in an in-depth analysis of the accident. The analysis shows that decisions related to system modernization were taken without considering their implications in maintenance scheduling and creating conflicts of priorities and of interests between production and safety; and also reveals that the lack of a systemic perspective in safety management was its principal failure. To explain the accident as merely non-fulfillment of idealized formal safety rules feeds practices of blame attribution supported by alibi norms and inhibits possible prevention. In contrast, accident analyses undertaken in worker health surveillance services show potential to reveal origins of these events incubated in the history of the system ignored in practices guided by the traditional paradigm.
dc.languageeng
dc.publisherIOS Press
dc.relationWork-a Journal of Prevention Assessment & Rehabilitation
dc.relation0.902
dc.relation0,463
dc.rightsAcesso restrito
dc.sourceWeb of Science
dc.subjectoccupational accidents
dc.subjectaccident prevention
dc.subjectaccident investigation
dc.subjectsurveillance system
dc.titleCircuit board accident - organizational dimension hidden by prescribed safety
dc.typeArtículos de revistas


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