The Blame Machine Why Human Error Causes Accidents

Author : Robert Whittingham
Publisher : Taylor & Francis
Page : 285 pages
File Size : 41,8 Mb
Release : 2004-02-18
Category : Technology & Engineering
ISBN : 9781136359576

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The Blame Machine: Why Human Error Causes Accidents by Robert Whittingham Pdf

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.

Author : David D. Woods,Sidney Dekker,Richard Cook,Leila Johannesen,Nadine Sarter
Publisher : CRC Press
Page : 292 pages
File Size : 53,8 Mb
Release : 2017-09-18
Category : Technology & Engineering
ISBN : 9781317175537

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Behind Human Error by David D. Woods,Sidney Dekker,Richard Cook,Leila Johannesen,Nadine Sarter Pdf

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.

Author : B.S. Dhillon
Publisher : CRC Press
Page : 260 pages
File Size : 54,6 Mb
Release : 2012-07-05
Category : Technology & Engineering
ISBN : 9781466506954

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Safety and Human Error in Engineering Systems by B.S. Dhillon Pdf

In an approach that combines coverage of safety and human error into a single volume, Safety and Human Error in Engineering Systems eliminates the need to consult many different and diverse sources for those who need information about both topics. The book begins with an introduction to aspects of safety and human error and a discussion of mathematical concepts that builds understanding of the material presented in subsequent chapters. The author describes the methods that can be used to perform safety and human error analysis in engineering systems and includes examples, along with their solutions, as well as problems to test reader comprehension. He presents a total of ten methods considered useful for performing safety and human error analysis in engineering systems. The book also covers safety and human error transportation systems, medical systems, and mining equipment as well as robots and software. Nowadays, engineering systems are an important element of the world economy as each year billions of dollars are spent to develop, manufacture, and operate various types of engineering systems around the globe. A rise in accidental deaths has put the spotlight on the role human error plays in the safety and failure of these systems. Written by an expert in various aspects of healthcare, engineering management, design, reliability, safety, and quality, this book provides tools and techniques for improving engineering systems with respect to human error and safety.

Author : Fred A. Manuele
Publisher : John Wiley & Sons
Page : 624 pages
File Size : 43,8 Mb
Release : 2014-03-26
Category : Technology & Engineering
ISBN : 9781118840986

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Advanced Safety Management by Fred A. Manuele Pdf

Provides guidance to managers, safety professionals, educators and students on having operational risk management systems that meet the requirements of Z10. Emphasizes Management Leadership and Employee Involvement, the most important section in Z10, with particular reference to contributions that employees can make. A new provision was added to Z10 on Risk Assessment which along with Avoidance of Human Error is addressed. Revised and expanded coverage of Management of Change and The Procurement Process New chapters cover Macro Thinking – The Socio-Technical Model; Safety Professionals as Culture Change Agents; Prevention through Design, and A Primer on System Safety

Author : Fred A. Manuele
Publisher : John Wiley & Sons
Page : 300 pages
File Size : 45,7 Mb
Release : 2011-09-20
Category : Technology & Engineering
ISBN : 9781118210161

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Advanced Safety Management Focusing on Z10 and Serious Injury Prevention by Fred A. Manuele Pdf

Learn how to improve the effectiveness of safety and health management systems by adopting ANSI Z10 provisions and avoid serious workplace injuries. This reference addresses specific provisions, including risk assessment methods and prioritization; applying a prescribed hierarchy of controls; implementing safety design reviews; and more. It also explains how to integrate best practices for the prevention of serious injuries in your workplace. See how implementing the ANSI Z10 standard can enhance your company’s productivity, cost efficiency, and quality.

Author : Trevor Kletz
Publisher : Routledge
Page : 296 pages
File Size : 55,6 Mb
Release : 2018-05-11
Category : Technology & Engineering
ISBN : 9781351467247

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An Engineer's View of Human Error by Trevor Kletz Pdf

This title looks at how people, as opposed to technology and computers, are arguably the most unreliable factor within plants, leading to dangerous situations.

Author : Shiyong Liu,Kaizhong Guo
Publisher : Springer Nature
Page : 619 pages
File Size : 45,5 Mb
Release : 2023-03-07
Category : Technology & Engineering
ISBN : 9783031008207

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Error Logic: Paving Pathways for Intelligent Error Identification and Management by Shiyong Liu,Kaizhong Guo Pdf

This book offers a brand-new theoretical system and relevant tools for intelligently identifying errors in the decision-making process, investigating the complexities and erring mechanisms of dysfunctional socioeconomic systems, and therefore helping design error-proof systems. The error logic is invented to pioneer a new branch for the field of logic, which can be applied to various fields including mathematics, philosophy, computer science, artificial intelligence, linguistics, management science, and systems science. Researchers, postgraduates, and undergraduates in relevant fields can use it as a reference for enhancing their understanding of the tempo-spatial dynamics and transformation of errors in complicated systems. The manuscript also provides vivid and thought-provoking examples and applications to help readers understand how to apply the concepts and theory in real socioeconomic systems.

Author : Thomas Hoff,Cato Alexander Bjørkli
Publisher : Tapir Academic Press
Page : 284 pages
File Size : 40,6 Mb
Release : 2008
Category : Computers
ISBN : 8251923417

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Embodied Minds--technical Environments by Thomas Hoff,Cato Alexander Bjørkli Pdf

The deep integration of technology into our modern society forces us to rethink the relationship humans have to their surroundings. The rise of complex socio-technical systems denotes how humans and technology have entered a symbiotic relationship where the coordinated and fluent interaction between the two is a crucial condition for modern societies to function. The disharmony in the relationship between humans and technology has immediate and serious consequences. Accidents and failed operations in transport, incomprehensible user interfaces, and failure to learn from experience are all examples from everyday life, suggesting that the understanding of human-technology relationships is not sufficient. This book investigates how humans relate to technology in our modern society, and how the basic assumption of human thought and behavior guide human efforts to improve and control technology. The fact is that the skilled use of technology in expert systems and everyday life challenges the traditional conception of humans and technology as two separate elements in the analysis of work. The book shows how this dualism is evident and problematic in a wide range of areas, such as investigation of human error in accidents, case studies of innovative interface solutions, simulator training strategies, analysis of work practices in complex systems, and traffic safety research. Embodied Minds - Technical Environments supplements the ongoing effort to understand how technology can be integrated with more confidence in modern society.

Author : Sidney Dekker
Publisher : Routledge
Page : 137 pages
File Size : 44,6 Mb
Release : 2017-11-01
Category : Social Science
ISBN : 9781351786034

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The Field Guide to Human Error Investigations by Sidney Dekker Pdf

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.

Author : Douglas A. Wiegmann,Scott A. Shappell
Publisher : Routledge
Page : 174 pages
File Size : 45,7 Mb
Release : 2017-12-22
Category : Technology & Engineering
ISBN : 9781351962353

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A Human Error Approach to Aviation Accident Analysis by Douglas A. Wiegmann,Scott A. Shappell Pdf

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.

Author : Professor Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
Page : 249 pages
File Size : 46,5 Mb
Release : 2014-12-28
Category : Technology & Engineering
ISBN : 9781472439079

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The Field Guide to Understanding 'Human Error' by Professor Sidney Dekker Pdf

This latest edition of 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.

Author : Sidney Dekker
Publisher : CRC Press
Page : 233 pages
File Size : 42,6 Mb
Release : 2004-12-27
Category : Technology & Engineering
ISBN : 9781410612069

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Ten Questions About Human Error by Sidney Dekker Pdf

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.

Author : Jens Rasmussen,Keith Duncan,Jacques Leplat
Publisher : Unknown
Page : 386 pages
File Size : 47,5 Mb
Release : 1987
Category : House & Home
ISBN : UOM:39015011740415

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New Technology and Human Error by Jens Rasmussen,Keith Duncan,Jacques Leplat Pdf

Covers cognitive aspects of human error, as well as errors deriving from affective, motivational or environmental factors. Includes a taxonomic framework that encompasses both the psychological roots of systematic error forms and the local environmental factors which elicit them.

Author : Barry Strauch
Publisher : Routledge
Page : 261 pages
File Size : 50,6 Mb
Release : 2018-05-08
Category : Social Science
ISBN : 9781351727020

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Investigating Human Error by Barry Strauch Pdf

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.

Author : Anonim
Publisher : Unknown
Page : 1286 pages
File Size : 53,9 Mb
Release : 2004
Category : Electronics
ISBN : UOM:39015058891758

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Nuts & Volts by Anonim Pdf