Organizational Learning: A Theory of Action Perspective, Reis, issue.77/78, 1978. ,
DOI : 10.2307/40183951
Experience management, 2002. ,
An account of scientific transfer to the industry: the co-development of an incident analysis tool. 9th conference of the European Sociology Association, Sept, pp.2-05, 2009. ,
URL : https://hal.archives-ouvertes.fr/hal-00441216
Computer security impaired by legitimate users, Computers & Security, vol.23, issue.3, pp.253-264, 2004. ,
DOI : 10.1016/j.cose.2003.09.002
URL : https://hal.archives-ouvertes.fr/hal-00691818
Towards a new tool for measuring Safety Management Systems performance, 2nd Symposium on Resilience Engineering, 2006. ,
URL : https://hal.archives-ouvertes.fr/hal-00637874
Towards a model of safety culture, Safety Science, vol.36, issue.2, pp.111-136, 2000. ,
DOI : 10.1016/S0925-7535(00)00035-7
Six stages to the new view of human error, Safety Science Monitor, vol.11, issue.1, 2007. ,
Incorporating organizational factors into risk assessment through the analysis of work processes, Reliability Engineering & System Safety, vol.45, issue.1-2, pp.85-105, 1994. ,
DOI : 10.1016/0951-8320(94)90079-5
The Contribution of Human and Organizational Factors to Reshaping the Learning from Past Experience Process, Sept, pp.18-22, 2011. ,
Pouring CREAM into natural gas: The introduction of Common Performance Conditions into the safety management of gas networks, Safety Science, vol.54, pp.54-55, 2013. ,
DOI : 10.1016/j.ssci.2012.10.008
URL : https://hal.archives-ouvertes.fr/hal-00769813
Perspectives on safety culture, Safety Science, vol.34, issue.1-3, pp.193-214, 2000. ,
DOI : 10.1016/S0925-7535(00)00013-8
How to embed integrated risk management into the culture of an organisation, IIR Conference 'Implementing Integrated Safety Auditing, 2002. ,
De l'erreur humaine à la défaillance organisationnelle : essai de mise en perspective historique. La Revue de l'Electricité et de l'Electronique, pp.67-76, 2008. ,
Cognitive Reliability and Error Analysis Method, 1998. ,
Study on developments in accident investigation methods: a survey of the " state-of-the-art, SKI Report, p.50, 2008. ,
URL : https://hal.archives-ouvertes.fr/hal-00569424
A system for the feedback of experience from events in nuclear installations, 2006. ,
Failures without errors: quantification of context in HRA, Reliability Engineering & System Safety, vol.83, issue.2, pp.145-151, 2004. ,
DOI : 10.1016/j.ress.2003.09.006
Experiental learning : experience as source of learning and development, 1984. ,
DREAM -Driving Reliability and Error Analysis Method, 2002. ,
A Review of Accident Modelling Approaches for Complex Socio- Technical Systems, Proc. 12 th Australian Conference on Safety-Related Programmable Systems, pp.47-59, 2007. ,
Intégration du retour d'expérience dans les processus industriels. Application à Alstom Transports, 2004. ,
Human errors. A taxonomy for describing human malfunction in industrial installations, Journal of Occupational Accidents, vol.4, issue.2-4, pp.331-333, 1982. ,
DOI : 10.1016/0376-6349(82)90041-4
Human error Managing the organizational accidents A behavioral model of rational choice, Models of Man, Social and Rational: Mathematical Essays on Rational Human Behaviour in a Social Setting, 1957. ,
Software engineering, THERP, SC-R-64-1338, 1964. ,
Systèmes et modèles, introduction critique à l'analyse des systèmes, 1977. ,
expérience est un processus qui se justifie par la nécessité de maîtriser la complexité grandissante des systèmes techniques industriels. D'abord dominante, la sûreté de fonctionnement a peu à peu montré ses limites dans la prise en compte de la variabilité humaine. L'émergence du paradigme des facteurs humain et organisationnel tentant d'y remédier, le retour d'expérience a évolué. L'outil OCEANIE développé depuis, 2008. ,
guarnieri@mines-paristech.fr Denis BESNARD MINES ParisTech denis.besnard@mines-paristech.fr Pierre DESIDERI Gaz réseau Distribution France Frédérique LOTH Gaz réseau Distribution France MINES ParisTech CRC -Centre de recherche sur les Risques et les Crises rue Claude Daunesse, CS, vol.10207, p.6904 ,