Conclusion: The golden rules in relation to systemic safety

Abstract

In the complex interplay between opposing forces and their interactions, detailed knowledge of all the challenges facing the system (both safety and commercial challenges) and knowledge of its history, are vital in order to chart a safe course and make reasonable compromises and trade-offs. It is not really possible to make good decisions locally other than based on the criterion of overall trade-offs between these opposing forces; no decision in the area of risk management has any chance of being effective if there is no systemic vision.