The Field Guide to Human Error Investigations

The Field Guide to Human Error Investigations
Author: Sidney Dekker
Publisher: Routledge
Total Pages: 137
Release: 2017-11-01
Genre: Social Science
ISBN: 1351786032

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.

A Human Error Approach to Aviation Accident Analysis

A Human Error Approach to Aviation Accident Analysis
Author: Douglas A. Wiegmann
Publisher: Routledge
Total Pages: 174
Release: 2017-12-22
Genre: Technology & Engineering
ISBN: 1351962353

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.

Reducing Error and Influencing Behaviour

Reducing Error and Influencing Behaviour
Author: Great Britain. Health and Safety Executive
Publisher: Health and Safety Executive (Hse)
Total Pages: 88
Release: 1999
Genre: Engineering
ISBN: 9780717624522

This publication is aimed at managers in all industries. It explains why human factors are important in health and safety and how they need to be assessed and managed in the same way as other risk factors. It gives practical advice on how to develop systems designed to take account of human capabilities and fallibilities.

Behind Human Error

Behind Human Error
Author: David Woods
Publisher: CRC Press
Total Pages: 495
Release: 2017-09-18
Genre: Technology & Engineering
ISBN: 1317175530

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.

Advances in Patient Safety

Advances in Patient Safety
Author: Kerm Henriksen
Publisher:
Total Pages: 526
Release: 2005
Genre: Medical
ISBN:

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Total Worker Health

Total Worker Health
Author: Heidi L. Hudson
Publisher: American Psychological Association (APA)
Total Pages: 0
Release: 2019
Genre: Business & Economics
ISBN: 9781433830259

This book describes the theory and research evidence underlying Total Worker Health (R), an initiative of the National Institute for Occupational Safety and Health (NIOSH) that aims to create a culture of healthy workplaces nationwide.

Human Factor and Reliability Analysis to Prevent Losses in Industrial Processes

Human Factor and Reliability Analysis to Prevent Losses in Industrial Processes
Author: Salvador Avila Filho
Publisher: Elsevier
Total Pages: 572
Release: 2022-03-23
Genre: Technology & Engineering
ISBN: 0128196513

Human reliability is an issue that is increasingly discussed in the process and manufacturing industries to check factors that influence operator performance and trigger errors. Human Factor and Reliability Analysis to Prevent Losses in Industrial Processes: An Operational Culture Perspective provides a multidisciplinary analysis of work concepts and environments to reduce human error and prevent material, energy, image, and time losses. The book presents a methodology for the quantification and investigation of human reliability, and verification of the influence of human factors in the generation of process losses, consisting of the following steps: contextualization, data collection, and results; performing task and loss observation; socio-technical variable analyses; and data processing. Investigating human reliability, concepts, and models in situations of human error in practice, the book identifies where low reliability occurs and then visualizes where and how to perform an intervention. This guide is an excellent resource for professionals in chemical, petrochemical, oil, and nuclear industries for managing and analyzing safety and loss risks and for students in chemical and process engineering. - Relates human reliability to the environment, leadership, decision models, possible mistakes and successes, mental map constructions, and organizational cultures - Provides techniques for the diagnosis of human and operational reliability - Gives examples of the application of methodologies in the stage of diagnosis and program construction - Discusses competences for the analysis of process losses in industry - Investigates real-life situations where human errors cause losses - Includes practical examples and case studies

Managing the Risks of Organizational Accidents

Managing the Risks of Organizational Accidents
Author: James Reason
Publisher: Routledge
Total Pages: 272
Release: 2016-01-29
Genre: Technology & Engineering
ISBN: 1134855354

Major accidents are rare events due to the many barriers, safeguards and defences developed by modern technologies. But they continue to happen with saddening regularity and their human and financial consequences are all too often unacceptably catastrophic. One of the greatest challenges we face is to develop more effective ways of both understanding and limiting their occurrence. This lucid book presents a set of common principles to further our knowledge of the causes of major accidents in a wide variety of high-technology systems. It also describes tools and techniques for managing the risks of such organizational accidents that go beyond those currently available to system managers and safety professionals. James Reason deals comprehensively with the prevention of major accidents arising from human and organizational causes. He argues that the same general principles and management techniques are appropriate for many different domains. These include banks and insurance companies just as much as nuclear power plants, oil exploration and production companies, chemical process installations and air, sea and rail transport. Its unique combination of principles and practicalities make this seminal book essential reading for all whose daily business is to manage, audit and regulate hazardous technologies of all kinds. It is relevant to those concerned with understanding and controlling human and organizational factors and will also interest academic readers and those working in industrial and government agencies.

Human Error in Aviation

Human Error in Aviation
Author: R.Key Dismukes
Publisher: Routledge
Total Pages: 608
Release: 2017-07-05
Genre: Psychology
ISBN: 1351563475

Most aviation accidents are attributed to human error, pilot error especially. Human error also greatly effects productivity and profitability. In his overview of this collection of papers, the editor points out that these facts are often misinterpreted as evidence of deficiency on the part of operators involved in accidents. Human factors research reveals a more accurate and useful perspective: The errors made by skilled human operators - such as pilots, controllers, and mechanics - are not root causes but symptoms of the way industry operates. The papers selected for this volume have strongly influenced modern thinking about why skilled experts make errors and how to make aviation error resilient.

NUREG/CR.

NUREG/CR.
Author: U.S. Nuclear Regulatory Commission
Publisher:
Total Pages: 164
Release: 1977
Genre: Nuclear energy
ISBN: