Frankenstein homes: would you want to live in one? Bruce Taylor SEARCH (Scottish Centre for Environmental Design Research) Robert Gordon University Aberdeen
System accidents Arise from the unanticipated interaction of multiple failures or events System characterics that make them prone to this failure mode: Complex interactions Tight coupling
Complex System Input Output Input Output
Linear System InputOutput
Complex system characteristics Proximity of part or units that are not in a operational sequence Many common mode connections between components (parts, units or sub-systems) not in an operational sequence Unfamiliar or unintended feedback loops Many control parameters with potential interactions Indirect or inferential information sources Limited understanding of some processes
Loosely coupled systems flexibility in the way compoents interact ambiguous or flexible performance standards lack of monitoring
Engineering risk assessment based on moneterisation of social good cannot handle the difference between imposition of risk and acceptance of risk
Whose risk assessment? clients carers health professionals
“Dread Risk” lack of control over the activity fatal consequences if there was a mishap of some sort high catastrophic potential reactions of dread inequitable distribution of risks and benefits (including transfer of risks to future generations) belief that risks are increasing and not easily reducible
“Unkown Risks” unknown unobservable new delayed in their manifestation