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|Title: ||Academic analysis of the ICE Report ‘In Plain Sight: reducing the risk of infrastructure failure’|
|Authors: ||Chmutina, Ksenia|
Gibb, Alistair G.F.
Dainty, Andrew R.J.
Bosher, Lee S.
Swiss cheese model
|Issue Date: ||2018|
|Publisher: ||Loughborough University|
|Citation: ||CHMUTINA, K. ... et al., 2018. Academic analysis of the ICE Report ‘In Plain Sight: reducing the risk of infrastructure failure’. Loughborough: Loughborough University, 19pp.|
|Abstract: ||This is the final report from Loughborough University’s commission from the Institution of
Civil Engineers (ICE) to carry out an academic evaluation of the applicability and validity of
the ICE’s 12 Lines of Defence model, produced for infrastructure in response to the Grenfell
Tower fire. Having reviewed the main report, the interview transcripts and associated
literature we consider that this adaption of Reason’s Swiss Cheese Model as a basis of the
Lines of Defence is appropriate, especially as it is well recognised and understood by a wide
range of stakeholders. This notwithstanding, it does have some deficiencies, and so we have
proposed enhancements including an integration of post-incident analysis, appreciation for
crosscutting influencers that could positively or negatively impact every line of defence, and
a general risk management framework that would act as a context setting for the model and
ensure that the model can be understood by non-experts, and without specific prior
knowledge of the industry. The changes have been proposed in order to increase and
extend the reach of the model, without compromising its recognition and effectiveness.|
|Description: ||This is an official report.|
|Sponsor: ||Institution of Civil Engineers|
|Version: ||Accepted for publication|
|Appears in Collections:||Official Reports (Architecture, Building and Civil Engineering)|
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