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How To Analyse Accident Causation
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Book Synopsis FRAM, the Functional Resonance Analysis Method by : Erik Hollnagel
Download or read book FRAM, the Functional Resonance Analysis Method written by Erik Hollnagel and published by Ashgate Publishing, Ltd.. This book was released on 2012 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: There has not yet been a comprehensive method that goes behind 'human error' and beyond the failure concept, and various complicated accidents have accentuated the need for it. The Functional Resonance Analysis Method (FRAM) fulfils that need. This book presents a detailed and tested method that can be used to model how complex and dynamic socio-technical systems work, and understand both why things sometimes go wrong but also why they normally succeed.
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 368 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.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309392527 Total Pages :273 pages Book Rating :4.3/5 (93 download)
Book Synopsis Commercial Motor Vehicle Driver Fatigue, Long-Term Health, and Highway Safety by : National Academies of Sciences, Engineering, and Medicine
Download or read book Commercial Motor Vehicle Driver Fatigue, Long-Term Health, and Highway Safety written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-09-12 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are approximately 4,000 fatalities in crashes involving trucks and buses in the United States each year. Though estimates are wide-ranging, possibly 10 to 20 percent of these crashes might have involved fatigued drivers. The stresses associated with their particular jobs (irregular schedules, etc.) and the lifestyle that many truck and bus drivers lead, puts them at substantial risk for insufficient sleep and for developing short- and long-term health problems. Commercial Motor Vehicle Driver Fatigue, Long-Term Health and Highway Safety assesses the state of knowledge about the relationship of such factors as hours of driving, hours on duty, and periods of rest to the fatigue experienced by truck and bus drivers while driving and the implications for the safe operation of their vehicles. This report evaluates the relationship of these factors to drivers' health over the longer term, and identifies improvements in data and research methods that can lead to better understanding in both areas.
Book Synopsis Traffic Safety and Human Behavior by : David Shinar
Download or read book Traffic Safety and Human Behavior written by David Shinar and published by Emerald Group Publishing. This book was released on 2017-06-22 with total page 1262 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive 2nd edition covers the key issues that relate human behavior to traffic safety. In particular it covers the increasing roles that pedestrians and cyclists have in the traffic system; the role of infotainment in driver distraction; and the increasing role of driver assistance systems in changing the driver-vehicle interaction.
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 Motor Vehicle Accident Reconstruction and Cause Analysis by : Rudolf Limpert
Download or read book Motor Vehicle Accident Reconstruction and Cause Analysis written by Rudolf Limpert and published by MICHIE. This book was released on 1978 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Ashgate Publishing, Ltd.. This book was released on 2015-03-28 with total page 227 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 Proactive Risk Management in a Dynamic Society by : Jens Rasmussen
Download or read book Proactive Risk Management in a Dynamic Society written by Jens Rasmussen and published by . This book was released on 2010-09 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Engineering a Safer World by : Nancy G. Leveson
Download or read book Engineering a Safer World written by Nancy G. Leveson and published by MIT Press. This book was released on 2012-01-13 with total page 555 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new approach to safety, based on systems thinking, that is more effective, less costly, and easier to use than current techniques. Engineering has experienced a technological revolution, but the basic engineering techniques applied in safety and reliability engineering, created in a simpler, analog world, have changed very little over the years. In this groundbreaking book, Nancy Leveson proposes a new approach to safety—more suited to today's complex, sociotechnical, software-intensive world—based on modern systems thinking and systems theory. Revisiting and updating ideas pioneered by 1950s aerospace engineers in their System Safety concept, and testing her new model extensively on real-world examples, Leveson has created a new approach to safety that is more effective, less expensive, and easier to use than current techniques. Arguing that traditional models of causality are inadequate, Leveson presents a new, extended model of causation (Systems-Theoretic Accident Model and Processes, or STAMP), then shows how the new model can be used to create techniques for system safety engineering, including accident analysis, hazard analysis, system design, safety in operations, and management of safety-critical systems. She applies the new techniques to real-world events including the friendly-fire loss of a U.S. Blackhawk helicopter in the first Gulf War; the Vioxx recall; the U.S. Navy SUBSAFE program; and the bacterial contamination of a public water supply in a Canadian town. Leveson's approach is relevant even beyond safety engineering, offering techniques for “reengineering” any large sociotechnical system to improve safety and manage risk.
Book Synopsis Cause Analysis Manual by : Fred Forck, CPT
Download or read book Cause Analysis Manual written by Fred Forck, CPT and published by Rothstein Publishing. This book was released on 2016-10-05 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: A failure or accident brings your business to a sudden halt. How did it happen? What’s at the root of the problem? What keeps it from happening again? Good detective work is needed -- but how do you go about it? In this new book, industry pioneer Fred Forck’s seven-step cause analysis methodology guides you to the root of the incident, enabling you to act effectively to avoid loss of time, money, productivity, and quality. From 30+ years of experience as a performance improvement consultant, self-assessment team leader, and trainer, Fred Forck, CPT, understands what you need to get the job done. He leads you through a clear step-by-step process of root cause evaluation, quality improvement, and corrective action. Using these straightforward tools, you can avoid errors, increase reliability, enhance performance, and improve bottom-line results -- while creating a resilient culture that avoids repeat failures. The key phases of this successful cause analysis include: Scoping the Problem Investigating the Factors Reconstructing the Story Establishing Contributing Factors Validating Underlying Factors Planning Corrective Actions Reporting Learnings At each stage, Cause Analysis Manual: Incident Investigation Method and Techniques gives you a wealth of real-world examples, models, thought-provoking discussion questions, and ready-to-use checklists and forms. The author provides: references for further reading hundreds of illustrative figures, tables, and diagrams a full glossary of terms and acronyms professional index You know that identifying causes and preventing business-disrupting events isn’t always easy. By following Fred Forck’s proven steps you will be able to identify contributing factors, align organizational behaviors, take corrective action, and improve business performance! Are you a professor or leader of seminars or workshops? On confirmed course adoption of Cause Analysis Manual: Incident Investigation Method and Techniques, you will have access to a comprehensive, professional Instructor’s Manual.
Book Synopsis Cognitive Work Analysis by : Kim J. Vicente
Download or read book Cognitive Work Analysis written by Kim J. Vicente and published by CRC Press. This book was released on 1999-04-01 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes, for the first time in pedagogical form, an approach to computer-based work in complex sociotechnical systems developed over the last 30 years by Jens Rasmussen and his colleagues at Risø National Laboratory in Roskilde, Denmark. This approach is represented by a framework called cognitive work analysis. Its goal is to help
Book Synopsis Accident Precursor Analysis and Management by : National Academy of Engineering
Download or read book Accident Precursor Analysis and Management written by National Academy of Engineering and published by National Academies Press. This book was released on 2004-09-16 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the aftermath of catastrophes, it is common to find prior indicators, missed signals, and dismissed alerts that, had they been recognized and appropriately managed before the event, could have resulted in the undesired event being averted. These indicators are typically called "precursors." Accident Precursor Analysis and Management: Reducing Technological Risk Through Diligence documents various industrial and academic approaches to detecting, analyzing, and benefiting from accident precursors and examines public-sector and private-sector roles in the collection and use of precursor information. The book includes the analysis, findings and recommendations of the authoring NAE committee as well as eleven individually authored background papers on the opportunity of precursor analysis and management, risk assessment, risk management, and linking risk assessment and management.
Book Synopsis Cardiothoracic Critical Care E-Book by : David Sidebotham
Download or read book Cardiothoracic Critical Care E-Book written by David Sidebotham and published by Elsevier Health Sciences. This book was released on 2007-09-12 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new bedside manual guides you through all the practical aspects of managing patients following cardiothoracic surgery and critically ill cardiology patients. Primarily designed to use in cardiothoracic intensive care units and coronary care units, it covers the perioperative management for the full range of cardiothoracic surgical procedures, the management of complications, and related issues. Core topics in cardiothoracic critical care, such as hemodynamic instability, arrhythmias, bleeding, and mechanical cardiac support, are afforded broad coverage. Also included are sections on advanced ventilatory techniques and veno-venous ECMO for treating severe respiratory failure, as well as nutritional support, treating and preventing infection, renal failure, and care of the dying patient. Concisely written and featuring liberal use of illustrations as well as an integrated, tightly edited style, and a limited number of key references, this volume will become your reference of choice for the care of of cardiothoracic surgery patients and critically ill cardiology patients. Find information quickly with concisely written text. Get a more complete picture with extensive illustrations. Focus on just the information you need using a a limited number of key references. Navigate the complexities of critical care for a fulll range of cardiothoracic surgery patients with in-depth coverage of perioperative care, management of complications, and more.
Book Synopsis Guidance on Investigating and Analysing Human and Organisational Factors Aspects of Incidents and Accidents by :
Download or read book Guidance on Investigating and Analysing Human and Organisational Factors Aspects of Incidents and Accidents written by and published by . This book was released on 2008 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Patient Safety by : Institute of Medicine
Download or read book Patient Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2003-12-20 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.
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 Organizational Accidents Revisited by : Professor James Reason
Download or read book Organizational Accidents Revisited written by Professor James Reason and published by Ashgate Publishing, Ltd.. This book was released on 2016-01-28 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing the Risks of Organizational Accidents introduced the notion of an ‘organizational accident’. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to ‘individual accidents’ whose damaging consequences are limited to relatively few people or assets. Although they share some common causal factors, they mostly have quite different causal pathways. The frequency of individual accidents - usually lost-time injuries - does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited extends and develops these ideas using a standardised causal analysis of some 10 organizational accidents that have occurred in a variety of domains in the nearly 20 years that have passed since the original was published. These analyses provide the ‘raw data’ for the process of drilling down into the underlying causal pathways. Many contributing latent conditions recur in a variety of domains. A number of these - organizational issues, design, procedures and so on - are examined in close detail in order to identify likely problems before they combine to penetrate the defences-in-depth. Where the 1997 book focused largely upon the systemic factors underlying organisational accidents, this complementary follow-up goes beyond this to examine what can be done to improve the ‘error wisdom’ and risk awareness of those on the spot; they are often the last line of defence and so have the power to halt the accident trajectory before it can cause damage. The book concludes by advocating that system safety should require the integration of systemic factors (collective mindfulness) with individual mental skills (personal mindfulness).
