Sources of latent hazards
A latent hazard can result from a component
failure, operational error, software bug, misinformation about inconsistent
state transition or about communication problems, etc. If the
operators are not
aware of the hazard, they might become aware of it only after it is too late,
when the incidence materializes.
Sources of latent hazards
- A backup system is disabled (as was the case with the
disabling of the backup
cooling system in the MTI accident)
-
During
routine (functional) operation, one of the units changes to maintenance
mode
(same example) .
-
During
routine operation, the
operator unintentionally instigates a control
intended for use in
emergency only.
-
A
visual warning indicator is damaged.
-
In
response to an alarm, the sound is reduced, or the threshold is lowered, to prevent nuisance, and as a
result alarm is not generated in a subsequent event.
Characteristic
Latent hazards are typical of
systems that do not provide warnings about being in
exceptional states.
Aftermath wisdom
Latent hazard s are unexpected. When a latent
hazard is materialized, the result
may be characterized as a Black Swan (Taleb).
Updated on 18 Apr 2016.