brent doberstein banda aceh, indonesia dec 26 2004 · tacoma narrows bridge, usa •aviation...

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1 Brent Doberstein University of Waterloo [email protected] Banda Aceh, Indonesia Dec 26 2004

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Page 1: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

1

Brent Doberstein

University of Waterloo [email protected]

Banda Aceh, Indonesia Dec 26 2004

Page 2: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

•What is failure knowledge?

• Disciplines using failure knowledge

• Use in disaster recovery

•Theory

•Practice: 2 Cases

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Page 3: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• “…knowledge or understanding emerging from a

systematic analysis of failure”

• Ex-ante failure knowledge

• Testing an experimental design or system until it fails, then

improving design/system to avoid future failure

• Ex-post failure knowledge

• Investigating accidental failure, then improving design or

system

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Page 4: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• Aviation industry (ex-post)

• steady and consistent advances based on the

“meticulous and painstaking analysis that goes

into understanding the crash of an airliner”

(Cannon and Edmondson 2005, 306).

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Page 5: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• Aviation industry

• steady and consistent advances

based on the “meticulous and

painstaking analysis that goes into

understanding the crash of an

airliner” (Cannon and Edmondson

2005, 306).

• Civil, Mechanical & Aeronautical

Engineering (ex-ante & ex-post)

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Page 6: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Tacoma Narrows bridge, USA

Page 7: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• Aviation industry

• steady and consistent advances based on the

“meticulous and painstaking analysis that goes

into understanding the crash of an airliner”

(Cannon and Edmondson 2005, 306).

• Civil & Mechanical Engineering

• Resource & Environmental

Management (largely ex-post)

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Page 8: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Page 9: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Failure knowledge

Failure Knowledge

(ex-post) 9

Page 10: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• “…knowledge or understanding emerging from a systematic

analysis of failure”

• Ex-ante failure knowledge

• Testing an experimental design or system until it fails, then

improving design/system to avoid future failure

• Ex-post failure knowledge

• Investigating accidental failure, then improving design or

system

PROBLEM: Generally unadvisable to stage an

intentional social failure…

Failure knowledge in social sciences usually

learning after unintentional failure (ex-post) 10

Page 11: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

• Disasters: confluence of hazardous potential (e.g.

flooding) & human vulnerability (e.g. living in a

floodplain)

• Failure knowledge:

• reduce hazard potential

• reduce human vulnerability

• increase resilience in the face of disaster

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Page 12: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Pre-

Disaster:

Mitigation &

planning

Hazard mapping

Risk assessment

Vulnerability assessment

Regional planning

Land use planning & zoning

Insurance

Incentives & penalties

Protection structures

Public education

Emergency

preparedness

plan

Disaster

Post-

Disaster:

Recovery

Relief: •Search/Rescue

•Medical

•Psychological

•Food aid

•Shelter

Rehabilitation •Debris removal

•Public services

(water, elect)

•Housing

•Reconnect families

•Relocate

Recovery: • Decrease vuln.

• Re-plan

• & DRR

• Rebuild

Does failure

knowledge

inform

recovery?

Challenges &

opportunities?

Page 13: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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• Challenges: Chaotic environment

• Time pressure

• Simultaneous

relief/rehabilitation/reconstruction

• Multiple institutions & multiple agendas

• Disaster profiteering

• Resistance: “slow down & plan properly”

• Opportunities

• Aid $

• Coordinating body(ies)

• New disaster recovery paradigm (2005)

Page 14: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

1. 1999 North Vargas State, Venezuela

debris flows (30-50,000 people est.

killed);

2. 2004 Banda Aceh, Indonesia tsunami

(80,000 est. killed)

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Page 15: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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o 900mm of rain in 24 hrs

o Simultaneous debris flows in 26 watersheds

o 30-50,000 killed oLargest debris flow disaster in

recent global history

Page 16: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Case #1: Failure Knowledge, Disaster Causes

• Rainfall

• Settlement(s) location:

• Alluvial fans

• No watershed monitoring

• Lack of hazard-oriented zoning

• No warning/evacuation system

• Lack of public awareness of risk

• “No history of recent debris flows”

• Ineffective physical protection structures

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Page 17: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Case #1: Disaster Recovery

Little to no evidence failure knowledge influenced recovery

• Recovery Philosophy: “Rebuild largely as before (1999)”

• Physical protection structures

• Far too small

• Monitoring/warning/evacuation system

• Largely absent 9 years after disaster (one siren, one

community)

• Public awareness

• Initially high, but fading…no evidence of community awareness

or preparedness exercises

• Zoning: unchanged post-disaster

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Page 18: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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High water mark

Evidence: massive

flow volumes

Page 19: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Small-scale

Engineered

Solutions

Page 20: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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2005 „mini-flood‟ 2008

Old flood deposits

Page 21: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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New

Destroyed in

1999

Page 22: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Clock stopped when tsunami struck: 9:00am

• Earthquake >9.0 strongest in >40 years

• Banda Aceh “shook for over 8 minutes”

• Tsunami: 20 minutes after earthquake stopped

• >20% of city’s Pop’n killed

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Page 23: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Seismic energy radiated over the 1500 kms rupture zone

Epicentre

Banda Aceh

•aftershocks

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Page 24: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Roof repair showing evidence of tsunami’s height

Former hospital 24

Page 25: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Case #2: Failure Knowledge, Disaster Causes

• City location (coastal, near known fault line)

• Lack of tsunami awareness

• Lack of monitoring/warning/evacuation

system

• Housing design (single story)

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Page 26: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

March 2009

Page 27: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Significant evidence failure knowledge recovery

• Recovery Philosophy: “Build Back Better”

• Tsunami-resistant housing + relocation villages

• Comprehensive monitoring, warning & evacuation

system

• Commitment to learning/failure knowledge

• Public awareness & Evacuation preparedness

Case #1: Disaster Recovery

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Page 28: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Different

styles:

Many

tsunami

resistant

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Banda Aceh

Relocation Village

Page 29: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Escape building

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Page 30: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Page 31: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Page 32: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Tsunami research & training

Page 33: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Networking:

South-south-north

cooperation

Page 34: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Tsunami warning drill: November

2008

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Page 35: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Failure

knowledge

Assess & mitigate all disaster causes

Social learning

Community-Based Disaster Recovery (CBDR)

Failure knowledge “Platforms” (collective learning/decision-making bodies)

Page 36: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

“The only good thing about

the bad things are the

lessons learned…” (Disaster survivor, 2005)

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Page 37: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

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Page 38: Brent Doberstein Banda Aceh, Indonesia Dec 26 2004 · Tacoma Narrows bridge, USA •Aviation industry •steady and consistent advances based on the “meticulous and painstaking

Brent Doberstein

University of Waterloo [email protected] 38