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Investigating Human Error Incidents Accidents And Complex Systems
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Book Synopsis Investigating Human Error by : Barry Strauch
Download or read book Investigating Human Error written by Barry Strauch and published by CRC Press. This book was released on 2017-03-16 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters. Based on the author's extensive experience as an accident investigator and instructor of both aircraft accident investigation techniques and human factors psychology, it reviews recent human factors literature, summarizes major transportation accidents, and shows how to investigate the types of errors that typically occur in high risk industries. It presents a model of human error causation influenced largely by James Reason and Neville Moray, and relates it to error investigations with step-by-step guidelines for data collection and analysis that investigators can readily apply as needed. This second edition of Investigating Human Error has been brought up to date throughout, with pertinent recent accidents and safety literature integrated. It features new material on fatigue, distraction (eg mobile phone and texting) and medication use. It also now explores the topics of corporate culture, safety culture and safety management systems. Additionally the second edition considers the effects of the reduction in the number of major accidents on investigation quality, the consequences of social changes on transportation safety (such as drinking and driving, cell phone use, etc), the contemporary role of accident investigation, and the effects of the prosecution of those involved in accidents.
Book Synopsis Investigating Human Error: Incidents, Accidents and Complex Systems by : Barry Strauch
Download or read book Investigating Human Error: Incidents, Accidents and Complex Systems written by Barry Strauch and published by Routledge. This book was released on 2018-05-08 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This volume presents a method to investigate the human performance issues associated with an accident or incident, with a detailed discussion of the types of data to collect, and methods of collecting and analyzing data. The book should be of interest to accident/incident investigators, specialists in nuclear, chemical processing, aviation and other critical industries, safety experts, researchers and students in the field of human error, human factors, ergonomics and industrial engineering, and government agencies for regulation, health and safety.
Book Synopsis A Human Error Approach to Aviation Accident Analysis by : Douglas A. Wiegmann
Download or read book A Human Error Approach to Aviation Accident Analysis written by Douglas A. Wiegmann and published by Routledge. This book was released on 2017-12-22 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.
Book Synopsis The Field Guide to Human Error Investigations by : Sidney Dekker
Download or read book The Field Guide to Human Error Investigations written by Sidney Dekker and published by Routledge. This book was released on 2017-11-01 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.
Book Synopsis Pre-Accident Investigations by : Dr Todd Conklin
Download or read book Pre-Accident Investigations written by Dr Todd Conklin and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-28 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a set of new skills written for the managers that drive safety in their workplace. This is Human Performance theory made simple. If you are starting a new program, revamping an old program, or simply interested in understanding more about safety performance, this guide will be extremely helpful.
Book Synopsis Ten Questions About Human Error by : Sidney Dekker
Download or read book Ten Questions About Human Error written by Sidney Dekker and published by CRC Press. This book was released on 2004-12-27 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ten Questions About Human Error asks the type of questions frequently posed in incident and accident investigations, people's own practice, managerial and organizational settings, policymaking, classrooms, Crew Resource Management Training, and error research. It is one installment in a larger transformation that has begun to identify both deep-rooted constraints and new leverage points of views of human factors and system safety. The ten questions about human error are not just questions about human error as a phenomenon, but also about human factors and system safety as disciplines, and where they stand today. In asking these questions and sketching the answers to them, this book attempts to show where current thinking is limited--where vocabulary, models, ideas, and notions are constraining progress. This volume looks critically at the answers human factors would typically provide and compares/contrasts them with current research insights. Each chapter provides directions for new ideas and models that could perhaps better cope with the complexity of the problems facing human error today. As such, this book can be used as a supplement for a variety of human factors courses.
Book Synopsis The Field Guide to Understanding 'Human Error' by : Sidney Dekker
Download or read book The Field Guide to Understanding 'Human Error' written by Sidney Dekker and published by CRC Press. This book was released on 2017-11-01 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: When faced with a ’human error’ problem, you may be tempted to ask 'Why didn’t these people watch out better?' Or, 'How can I get my people more engaged in safety?' You might think you can solve your safety problems by telling your people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure and demanding compliance. These are all expressions of 'The Bad Apple Theory' where you believe your system is basically safe if it were not for those few unreliable people in it. Building on its successful predecessors, the third edition of The Field Guide to Understanding ’Human Error’ will help you understand a new way of dealing with a perceived 'human error' problem in your organization. It will help you trace how your organization juggles inherent trade-offs between safety and other pressures and expectations, suggesting that you are not the custodian of an already safe system. It will encourage you to start looking more closely at the performance that others may still call 'human error', allowing you to discover how your people create safety through practice, at all levels of your organization, mostly successfully, under the pressure of resource constraints and multiple conflicting goals. The Field Guide to Understanding 'Human Error' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to understand and improve your safety work. You will be invited to think creatively and differently about the safety issues you and your organization face. In each, you will find possibilities for a new language, for different concepts, and for new leverage points to influence your own thinking and practice, as well as that of your colleagues and organization. If you are faced with a ’human error’ problem, abandon the fallacy of a quick fix. Read this book.
Book Synopsis Handbook of Human Factors in Air Transportation Systems by : Steven James Landry
Download or read book Handbook of Human Factors in Air Transportation Systems written by Steven James Landry and published by CRC Press. This book was released on 2017-11-22 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the primary applications of human factors engineering is in the aviation domain, and the importance of human factors has never been greater as U.S. and European authorities seek to modernize the air transportation system through the introduction of advanced automation. This handbook provides regulators, practitioners, researchers, and educators a comprehensive resource for understanding and applying human factors to air transportation.
Book Synopsis Behind Human Error by : David D. Woods
Download or read book Behind Human Error written by David D. Woods and published by CRC Press. This book was released on 2017-09-18 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label.
Book Synopsis Human Factors Models for Aviation Accident Analysis and Prevention by : Thomas G.C. Griffin
Download or read book Human Factors Models for Aviation Accident Analysis and Prevention written by Thomas G.C. Griffin and published by CRC Press. This book was released on 2017-03-02 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: The investigation and modelling of aviation accident causation is dominated by linear models. Aviation is, however, a complex system and as such suffers from being artificially manipulated into non-complex models and methods. This book addresses this issue by developing a new approach to investigating aviation accident causation through information networks. These networks centralise communication and the flow of information as key indicators of a system’s health and risk. This holistic approach focuses on the system environment, the activity that takes place within it, the strategies used to conduct this activity, the way in which the constituent parts of the system (both human and non-human) interact and the behaviour required. Each stage of this book identifies and expands upon the potential of the information network approach, maintaining firm focus on the overall health of a system. The book’s new model offers many potential developments and some key areas are studied in this research. Through the centralisation of barriers and information nodes the method can be applied to almost any situation. The application of Bayesian mathematics to historical data populations provides scope for studying error migration and barrier manipulation. The book also provides application of these predictions to a flight simulator study for the purposes of validation. Beyond this it also discusses the applicability of the approach to industry. Through working with a legacy airline the methods discussed are used as the basis for a new and prospective safety management system.
Book Synopsis Second Workshop on the Investigation and Reporting of Incidents and Accidents, IRIA 2003 by :
Download or read book Second Workshop on the Investigation and Reporting of Incidents and Accidents, IRIA 2003 written by and published by . This book was released on 2003 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Human Factors Methods and Accident Analysis by : Paul M. Salmon
Download or read book Human Factors Methods and Accident Analysis written by Paul M. Salmon and published by CRC Press. This book was released on 2017-09-18 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of, and practical guidance on, the range of human factors (HF) methods that can be used for the purposes of accident analysis and investigation in complex sociotechnical systems. Human Factors Methods and Accident Analysis begins with an overview of different accident causation models and an introduction to the concepts of accident analysis and investigation. It then presents a discussion focussing on the importance of, and difficulties associated with, collecting appropriate data for accident analysis purposes. Following this, a range of HF-based accident analysis methods are described, as well as step-by-step guidance on how to apply them. To demonstrate how the different methods are applied, and what the outputs are, the book presents a series of case study applications across a range of safety critical domains. It concludes with a chapter focussing on the data challenges faced when collecting, coding and analysing accident data, along with future directions in the area. Human Factors Methods and Accident Analysis is the first book to offer a practical guide for investigators, practitioners and researchers wishing to apply accident analysis methods. It is also unique in presenting a series of novel applications of accident analysis methods, including HF methods not previously used for these purposes (e.g. EAST, critical path analysis), as well as applications of methods in new domains.
Book Synopsis Improving the Continued Airworthiness of Civil Aircraft by : National Research Council
Download or read book Improving the Continued Airworthiness of Civil Aircraft written by National Research Council and published by National Academies Press. This book was released on 1998-09-11 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: As part of the national effort to improve aviation safety, the Federal Aviation Administration (FAA) chartered the National Research Council to examine and recommend improvements in the aircraft certification process currently used by the FAA, manufacturers, and operators.
Book Synopsis Rail Human Factors around the World by : John R Wilson
Download or read book Rail Human Factors around the World written by John R Wilson and published by CRC Press. This book was released on 2012-09-13 with total page 870 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rail human factors/ergonomics community has grown quickly and extensively, and there is much increased recognition of the vital importance of ergonomics/human factors by rail infrastructure owners, rail operating companies, system developers, regulators and national and trans-national government. This book, the third on rail human factors, is drawn from papers presented at the Lille 3rd International Conference on Rail Human Factors. The contributions cover the range of human and organisational issues on the railway, from driving to signalling and control to maintenance and engineering work, to passengers and security issues such as trespass, and address improvements in safety, reliability, use of capacity, efficiency and quality. The book represents the best of recent work in rail human factors, and starts to define the framework for the next few years. As well as the human factors areas listed above, the conference and thus the book are notable for sessions on simulation in rail human factors and on human factors in metro design and operation. The book also reflects the increased attention being paid to, and developments in, understanding all aspects of rail stakeholders’ behaviour, and also the contribution of ergonomics/human factors to innovative network control systems which will enhance reliability, safety and use of capacity. The book will be of interest to a number of groups: those working in the rail sector from a human factors point of view; the larger rail industry and related bodies generally; and in terms of transferrable knowledge to ergonomists and human factors specialists working in other industries.
Book Synopsis Handbook of Aviation Human Factors by : John A. Wise
Download or read book Handbook of Aviation Human Factors written by John A. Wise and published by CRC Press. This book was released on 2016-04-19 with total page 706 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete examination of issues and concepts relating to human factors in simulation, this book covers theory and application in space, ships, submarines, naval aviation, and commercial aviation. The authors examine issues of simulation and their effect on the validity and functionality of simulators as a training device. The chapters contain in d
Book Synopsis Modéliser les accidents et les catastrophes industrielles : la méthode STAMP by : HARDY Karim
Download or read book Modéliser les accidents et les catastrophes industrielles : la méthode STAMP written by HARDY Karim and published by Lavoisier. This book was released on 2012-11-07 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Synthèse unique en langue française, Modéliser les accidents et les catastrophes industrielles : la méthode STAMP est le fruit d’un travail de recherche sur les modèles d’accident au sein des systèmes, qu’ils soient techniques et/ou sociaux. Cet ouvrage décrit les principales grandes théories, modèles et approches mobilisables pour comprendre, évaluer et mettre en place une démarche de prévention des accidents et de gestion des risques au sein de systèmes sociotechniques. Il présente ainsi tous les éléments nécessaires à la compréhension des modèles d’accident : définitions, objectifs, cadres théoriques et scientifiques, limites et développements, etc... L’ouvrage aborde l’accident selon une approche systémique, notamment selon la théorie générale des systèmes de Bertalanffy. Puis il propose une étude du modèle STAMP et de la technique d’analyse des dangers STPA à travers sa mise en application au sein d’un système socio-technique industriel de traitement de sédiments contaminés, en vue d’en évaluer la sécurité et d’en améliorer la performance. Clair et concis, il permet ainsi : de connaître les principaux modèles d’accident existants et de les comprendre ; d’appréhender la modélisation d’accident comme un outil essentiel de compréhension et d’analyse des interactions entre les différents éléments d’un système et donc de son comportement ; d’acquérir et d’approfondir ses connaissances sur le modèle d’accident STAMP ainsi que sur son application au sein de systèmes socio-techniques. Modéliser les accidents et les catastrophes industrielles : la méthode STAMP s’adresse à tous les professionnels de la sécurité souhaitant consolider leur connaissance des évaluations de la sécurité ou des enquêtes sur les accidents au sein des systèmes socio-techniques.
Book Synopsis The Blame Machine: Why Human Error Causes Accidents by : Robert Whittingham
Download or read book The Blame Machine: Why Human Error Causes Accidents written by Robert Whittingham and published by Taylor & Francis. This book was released on 2004-02-18 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Blame Machine describes how disasters and serious accidents result from recurring, but potentially avoidable, human errors. It shows how such errors are preventable because they result from defective systems within a company. From real incidents, you will be able to identify common causes of human error and typical system deficiencies that have led to these errors. On a larger scale, you will be able to see where, in the organisational or management systems, failure occurred so that you can avoid them. The book also describes the existence of a 'blame culture' in many organisations, which focuses on individual human error whilst ignoring the system failures that caused it. The book shows how this 'blame culture' has, in the case of a number of past accidents, dominated the accident enquiry process hampering a proper investigation of the underlying causes. Suggestions are made about how progress can be made to develop a more open culture in organisations, both through better understanding of human error by managers and through increased public awareness of the issues. The book brings together documentary evidence from recent major incidents from all around the world and within the Rail, Water, Aviation, Shipping, Chemical and Nuclear industries. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. He is a member of the Human Factors in Reliability Group, and a Fellow of the Safety and Reliability Society.
