Man-made disasters: the role of communication failures in the incubation of disasters

What is the role of communication in the incubation of major accidents?

Barry Turner explored these themes, among many others, in his seminal man-made disasters work across 84 major accidents.

Turner found that communication was implicated as:

·        Completely unknown prior information

·        Prior information noted but not fully appreciated

·        Prior information noted by someone, but not combined with other information at an appropriate time

·        Prior information available, but ignored because there was no place for it within prevailing modes of understanding

He also found that:

·        Each disaster revealed a “complex and varied pattern of misunderstandings, ambiguities and failures of communication”

·        “Perfect communication” isn’t possible in any but the simplest of systems, if at all. These issues are likely amplified in large organisations

·        A “variable disjunction” of information, where resources to handle info is inadequate, is likely to “increase the propensity for information difficulties to accumulate in a hazardous manner”

·        Relevant info may be “buried in a mass of irrelevant information”. For instance, when CCing/reply all, recipients adopt strategies to “avoid being overwhelmed by it”. People may overlook the information, particularly if they see it as irrelevant

·        Information may be overlooked if it’s sent at a moment of crisis or inopportune moment

·        People may adopt a ‘passive’ mode of interpretation. For instance, the use of CCing, reply all or for information “are sometimes not treated as information at all”

·        It’s cautioned that we should pay attention not just to what information is available, but its distribution, the communication networks in place, and to the boundaries that impede information flow; of which may ‘permit disasters to occur’

Ref: Turner, B. A. (1997). Man-made disasters.

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