A System Theoretic Analysis of the “7
نویسنده
چکیده
This paper seeks to analyze the ―7.23‖ Yongwen Railway accident in China from a system theoretic perspective. In particular, the STAMP safety control structure for this accident has been constructed and divided into two respective processes including system development and operation, which are then analyzed at each level. Furthermore, to understand why and how the system evolved over time, system dynamics models are constructed to describe the changes indirectly leading to the accident. As could be seen, this analysis raises some questions which are not included in the investigation report but critical to the comprehensive understanding of the accident. Based on the analysis results, recommendations are generated aiming at preventing the same kind of accidents in the future.
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