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Cognition, Technology, and Organizational Limits: Lessons from the Air France 447 Disaster

Author

Listed:
  • Nick Oliver

    (University of Edinburgh Business School, Edinburgh EH8 9JS, United Kingdom)

  • Thomas Calvard

    (University of Edinburgh Business School, Edinburgh EH8 9JS, United Kingdom)

  • Kristina Potočnik

    (University of Edinburgh Business School, Edinburgh EH8 9JS, United Kingdom)

Abstract

Organizations, particularly those for whom safety and reliability are crucial, develop routines to protect them from failure. But even highly reliable organizations are not immune to disaster and prolonged periods of safe operation are punctuated by occasional catastrophes. Scholars of safety science label this the “paradox of almost totally safe systems,” noting that systems that are very safe under normal conditions may be vulnerable under unusual ones. In this paper, we explain, develop, and apply the concept of “organizational limits” to this puzzle through an analysis of the loss of Air France 447. We show that an initial, relatively minor limit violation set in train a cascade of human and technological limit violations, with catastrophic consequences. Focusing on cockpit automation, we argue that the same measures that make a system safe and predictable may introduce restrictions on cognition, which over time, inhibit or erode the disturbance-handling capability of the actors involved. We also note limits to cognition in system design processes that make it difficult to foresee complex interactions. We discuss the implications of our findings for predictability and control in contexts beyond aviation and ways in which these problems might be addressed.

Suggested Citation

  • Nick Oliver & Thomas Calvard & Kristina Potočnik, 2017. "Cognition, Technology, and Organizational Limits: Lessons from the Air France 447 Disaster," Organization Science, INFORMS, vol. 28(4), pages 729-743, August.
    • Handle: RePEc:inm:ororsc:v:28:y:2017:i:4:p:729-743
    DOI: 10.1287/orsc.2017.1138
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    References listed on IDEAS

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    1. Karl E. Weick, 2010. "Reflections on Enacted Sensemaking in the Bhopal Disaster," Journal of Management Studies, Wiley Blackwell, vol. 47(3), pages 537-550, May.
    2. William Ocasio, 2011. "Attention to Attention," Organization Science, INFORMS, vol. 22(5), pages 1286-1296, October.
    3. Mats Alvesson & André Spicer, 2012. "A Stupidity-Based Theory of Organizations," Journal of Management Studies, Wiley Blackwell, vol. 49(7), pages 1194-1220, November.
    4. Jay R. Galbraith, 1974. "Organization Design: An Information Processing View," Interfaces, INFORMS, vol. 4(3), pages 28-36, May.
    5. Pamela R. Haunschild & Francisco Polidoro & David Chandler, 2015. "Organizational Oscillation Between Learning and Forgetting: The Dual Role of Serious Errors," Organization Science, INFORMS, vol. 26(6), pages 1682-1701, December.
    6. Andrew D. Brown, 2000. "Making Sense of Inquiry Sensemaking," Journal of Management Studies, Wiley Blackwell, vol. 37(1), pages 1-1, January.
    7. Raghu Garud & Roger L. M. Dunbar & Caroline A. Bartel, 2011. "Dealing with Unusual Experiences: A Narrative Perspective on Organizational Learning," Organization Science, INFORMS, vol. 22(3), pages 587-601, June.
    8. William Ocasio, 1997. "Towards An Attention‐Based View Of The Firm," Strategic Management Journal, Wiley Blackwell, vol. 18(S1), pages 187-206, July.
    9. Karlene H. Roberts, 1990. "Some Characteristics of One Type of High Reliability Organization," Organization Science, INFORMS, vol. 1(2), pages 160-176, May.
    10. William H. Starbuck, 2009. "Perspective ---Cognitive Reactions to Rare Events: Perceptions, Uncertainty, and Learning," Organization Science, INFORMS, vol. 20(5), pages 925-937, October.
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