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Pre Accident Investigations
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Book Synopsis Safety Differently by : Sidney Dekker
Download or read book Safety Differently written by Sidney Dekker and published by CRC Press. This book was released on 2014-06-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu
Book Synopsis Pre-Accident Investigations by : Todd Conklin
Download or read book Pre-Accident Investigations written by Todd Conklin 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: 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 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 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 Accident and Incident Investigation by : P. K. Singh
Download or read book Accident and Incident Investigation written by P. K. Singh and published by . This book was released on 2020-04-16 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: "............ An easy to understand compilation on Accident & Incident investigation" "............ a complete guide from scratch to Accident Report Writing" "............ one of the best professionally written books on the subject" "............ I can truly say, after starting I did not want to end the Book" The Book is an ultimate guide on conducting training on Accident and Incident Investigation at work sites. It covers procedures relevant inputs for production sites, Oil & Gas Industry, Chemical and Pharmaceutical industries. This book has been prepared in an easy to understand format which can be used as a Training Material too by anyone including QHSE/Safety trainers. Safety hazards are the most common type of hazard and they are present in virtually every workplace at one time or another. These hazards are unsafe conditions in a facility that can cause injury, illness, or even death. Near Miss, Accident and Incident have been explained in detail by way of examples. The method of reporting has also been described in depth. Steps to avoid Near miss and Accidents have been enumerated. The Heinrich Safety triangle model has also been discussed. This book will cover all major aspects of Accident and Incident investigation. The incidents and techniques used for investigation have been dealt in detail including questions to be put to the injured and people available at the investigation scene. How and when to interrogate has been clearly stated in the contents. The six step process of Investigation has been explained in detail including how to proceed with interviews. The description is supported by pictures for better understanding of concepts in a very concise way. The annexure provides Accident Notification, Investigation Report and Recommendation formats for report writing. The author is Institute of Learning and Management, UK certified Trainer and ISO 9001-2015 DNV & Bureau Veritas certified QMS/EMS Lead Auditor having 38 years of experience handling HSE/Safety and Training function in various industries in India and abroad. This book is a tribute to the Construction, Chemical, Petrochemical and Oil & Gas Industry.
Download or read book Behind Human Error written by David Woods and published by CRC Press. This book was released on 2017-09-18 with total page 495 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 Aircraft Accident and Incident Notification, Investigation, and Reporting by : United States. Federal Aviation Administration
Download or read book Aircraft Accident and Incident Notification, Investigation, and Reporting written by United States. Federal Aviation Administration and published by . This book was released on 1976 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Learning from Accidents by : Trevor Kletz
Download or read book Learning from Accidents written by Trevor Kletz and published by Routledge. This book was released on 2007-08-22 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Review of previous edition: "Trevor Kletz's book makes an invaluable contribution to the systematic, professional and scientific approach to accident investigation". The Chemical Engineer Fully revised and updated, the third edition of Learning from Accidents provides more information on accident investigation, including coverage of accidents involving liquefied gases, building collapse and other incidents that have occurred because faults were invisible (e.g. underground pipelines). By analysing accidents that have occurred Trevor Kletz shows how we can learn and thus be better able to prevent accidents happening again. Looking at a wide range of incidents, covering the process industries, nuclear industry and transportation, he analyses each accident in a practical and non-theoretical fashion and summarises each with a chain of events showing the prevention and mitigation which could have occurred at every stage. At all times Learning from Accidents, 3rd Edition emphasises cause and prevention rather than human interest or cleaning up the mess. Anyone involved in accident investigation and reporting of whatever sort and all those who work in industry, whether in design, operations or loss prevention will find this book full of invaluable guidance and advice.
Book Synopsis Aircraft Accident Investigation by : Richard H. Wood
Download or read book Aircraft Accident Investigation written by Richard H. Wood and published by . This book was released on 2006-01-01 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of aircraft accident investigation including inflight fires, electrical circuitry, and composite structure failure. The authors explain basic investigation techniques and procedures required by the National Transportation Safety Board (NTSB) and the International Civil Aviation Organization (ICAO). There are also chapters on accident analysis, investigation management, and report writing. The appendices include the Code of Ethics and Conduct of the International Society of Air Safety Investigators.
Book Synopsis Prevention of Accidents and Unwanted Occurrences by : Urban Kjellen
Download or read book Prevention of Accidents and Unwanted Occurrences written by Urban Kjellen and published by CRC Press. This book was released on 2017-03-07 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition comes after about 15 years of development in the field of safety science and practice. The book addresses the question of how to improve risk assessments, investigations, and organizational learning inside companies in order to prevent unwanted occurrences. The book helps the reader in analyzing the subject from different scientific perspectives to demonstrate how they contribute to an overall understanding. It also gives a comprehensive overview of different methods and tools for use in safety practice and helps the reader in analyzing their scope, merits, and shortcomings. The book raises a number of critical issues to be addressed in the improvement process.
Book Synopsis Simplicity in Safety Investigations by : Ian Long
Download or read book Simplicity in Safety Investigations written by Ian Long and published by Routledge. This book was released on 2017-09-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book aims to bring the science of safety into a simple and practical approach to investigating workplace incidents, using the ideas of some of the great safety science thinkers of our time. This book serves as an easy-to-follow, real-world reference for supervisors, managers and safety practitioners across many industries.
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 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 The Practice of Learning Teams by : Glynis McCarthy
Download or read book The Practice of Learning Teams written by Glynis McCarthy and published by . This book was released on 2020-08 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learning Teams from Dr Todd Conklin, PhD, are part of a way of looking at safety, quality and operational excellence differently by a facilitated approach to worker engagement and supporting the empowerment of people to own safety, quality or operational excellence. A Learning Team is notable because it encourages organizations to obtain and consider different perspectives and angles of functional diversity to define a problem in a group context. The different perspectives that emerge from a Learning Team group demonstrate that no one person holds all the knowledge needed to solve complex problems.A Learning Team involves facilitated engagement (using a facilitator) with workers to understand and then learn from the opportunities that are presented by:1) Everyday successful and safe work (Everyday Learning Teams)2) Events or incidents that could have or did harm workers (Event Learning Teams)3) Introduction of changes (Management of change) that could affect worker safety (Periodic Learning Teams).Learning Teams support both worker learning and organizational learning by allowing the different stakeholders groups to understand better what, when, how, and why, people do things differently rather than following formal, written procedures or systems. By understanding what is necessary to make sure things go right, it is possible to focus on ensuring that factors which make things go right are present in the workplace every day. In the book Dr Todd Conklin states: "The Practice of Learning Teams will become a powerful resource in changing the way organizations learn and improve their operations. This book is easy to read and full of great concepts that can be used as soon as you read them. I love a book where you read an idea in the morning and try the same idea that very afternoon."This book has been written to act as a guide on how to:1) Integrate Learning Teams into your organization2) Improve worker learning and build critical thinking skills for workers in their everyday work3) Improve organizational learning using Learning Teams4) Become an effective Learning Teams facilitator by understanding what core capabilities and competencies are neededThroughout this book, we will explore examples of applications of Learning Teams in safety, quality and operational excellence.As the reader, you will gain additional knowledge and understanding about Learning Teams in the context of:1) The expected outcomes of a Learning Team2) Where you are at and how you become an effective Learning Team facilitator3) Learning about what makes a successful Learning Team4) When you can use a Learning Team to build and improve worker knowledge5) When you can use a Learning Team to build and improve organizational knowledge6) An opportunity to see the different contexts in which a Learning Team can add value7) Reflecting and learning from real-life experiences where Learning Teams have been successful, and considering the pitfalls that make them less effective.
Book Synopsis Columbia Crew Survival Investigation Report by : Nasa
Download or read book Columbia Crew Survival Investigation Report written by Nasa and published by PDQ Press. This book was released on 2009 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: NASA commissioned the Columbia Accident Investigation Board (CAIB) to conduct a thorough review of both the technical and the organizational causes of the loss of the Space Shuttle Columbia and her crew on February 1, 2003. The accident investigation that followed determined that a large piece of insulating foam from Columbia's external tank (ET) had come off during ascent and struck the leading edge of the left wing, causing critical damage. The damage was undetected during the mission. The Columbia accident was not survivable. After the Columbia Accident Investigation Board (CAIB) investigation regarding the cause of the accident was completed, further consideration produced the question of whether there were lessons to be learned about how to improve crew survival in the future. This investigation was performed with the belief that a comprehensive, respectful investigation could provide knowledge that can protect future crews in the worldwide community of human space flight. Additionally, in the course of the investigation, several areas of research were identified that could improve our understanding of both nominal space flight and future spacecraft accidents. This report is the first comprehensive, publicly available accident investigation report addressing crew survival for a human spacecraft mishap, and it provides key information for future crew survival investigations. The results of this investigation are intended to add meaning to the sacrifice of the crew's lives by making space flight safer for all future generations.
Download or read book Mayday written by Marion F. Sturkey and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: MAYDAY examines airline accidents caused by mechanical failure, fire, mid-air collision, terrorist hijacking, and human error. Also, accidents caused by sabotage, suicide, fuel exhaustion, mistaken identity shoot-down, spatial disorientation, bad weather, controlled flight into terrain, and other perils. The author is a former military and commercial pilot. Armed with meticulous research, he cuts through the fog of technical aviation jargon and describes each accident in easy to understand layman's language. For each accident the reader witnesses the aerial crisis, the crash, the "black-box" recordings, the investigation, and the often elusive Probable Cause. Readers re-live the airline accidents which have marred man's conquest of the skies. MAYDAY is a gut-wrenching and mesmerizing read for all Aviation Enthusiasts.
Book Synopsis Pre-Accident Investigations by : Todd Conklin
Download or read book Pre-Accident Investigations written by Todd Conklin and published by CRC Press. This book was released on 2017-08-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning challenges safety and reliability professionals to get better answers by asking better questions. A provocative examination of human performance and safety management, the book delivers a thought-provoking discourse about how we work, and defines a new approach to operational learning. This is not a book about traditional safety. This is a book about creating "real" safety in your organization. In order to predict incidents before they happen, an organization should first understand how their processes can result in failure. Instead of managing the outcomes, they must learn to manage and understand the processes used to create them. Ideal for use in safety, human performance, psychology, cognitive and decision making, systems engineering, and risk assessment areas, this book equips the safety professional with the tools, steps, and models of success needed to create long-term value and change from safety programs.
