Investigating Human Error

Investigating Human Error PDF Author: Barry Strauch
Publisher: CRC Press
ISBN: 131711311X
Category : Technology & Engineering
Languages : en
Pages : 344

Book Description
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.

Investigating Human Error: Incidents, Accidents and Complex Systems

Investigating Human Error: Incidents, Accidents and Complex Systems PDF Author: Barry Strauch
Publisher: Routledge
ISBN: 1351727036
Category : Social Science
Languages : en
Pages : 324

Book Description
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.

A Human Error Approach to Aviation Accident Analysis

A Human Error Approach to Aviation Accident Analysis PDF Author: Douglas A. Wiegmann
Publisher: Routledge
ISBN: 1351962353
Category : Technology & Engineering
Languages : en
Pages : 174

Book Description
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.

The Field Guide to Human Error Investigations

The Field Guide to Human Error Investigations PDF Author: Sidney Dekker
Publisher: Routledge
ISBN: 1351786032
Category : Social Science
Languages : en
Pages : 137

Book Description
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.

Behind Human Error

Behind Human Error PDF Author: David Woods
Publisher: CRC Press
ISBN: 1317175530
Category : Technology & Engineering
Languages : en
Pages : 495

Book Description
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.

Human Factors Models for Aviation Accident Analysis and Prevention

Human Factors Models for Aviation Accident Analysis and Prevention PDF Author: Thomas G.C. Griffin
Publisher: Ashgate Publishing, Ltd.
ISBN: 1472432770
Category : Technology & Engineering
Languages : en
Pages : 227

Book Description
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.

Handbook of Human Factors in Air Transportation Systems

Handbook of Human Factors in Air Transportation Systems PDF Author: Steven James Landry
Publisher: CRC Press
ISBN: 1351653148
Category : Technology & Engineering
Languages : en
Pages : 429

Book Description
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.

Pre-Accident Investigations

Pre-Accident Investigations PDF Author: Dr Todd Conklin
Publisher: Ashgate Publishing, Ltd.
ISBN: 1409483541
Category : Technology & Engineering
Languages : en
Pages : 161

Book Description
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.

Rail Human Factors around the World

Rail Human Factors around the World PDF Author: John R Wilson
Publisher: CRC Press
ISBN: 0415644755
Category : Technology & Engineering
Languages : en
Pages : 870

Book Description
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.
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