Investigating Human Error: Incidents, Accidents, and Complex Systems

by
Format: Nonspecific Binding
Pub. Date: 2004-01-28
Publisher(s): Routledge
List Price: $57.73

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Summary

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.

Table of Contents

List of Figures vii
List of Tables ix
Foreword xi
Preface xix
Part I Errors and Complex Systems 1(28)
1 Introduction
3(8)
2 Errors, Complex Systems, Accidents, and Investigations
11(18)
Part II Antecedents 29(90)
3 Equipment
31(16)
4 The Operator
47(16)
5 The Company and the Regulator
63(16)
6 Maintenance and Inspection
79(12)
7 Multi-Operator Systems
91(16)
8 Culture
107(12)
Part III Data and Data Analysis 119(76)
9 System Recorders
121(14)
10 Written Documentation
135(12)
11 Interviews
147(22)
12 Analysis
169(26)
Part IV Issues 195(38)
13 Situation Awareness and Decision Making
197(20)
14 Automation
217(16)
Part V Applying the Data 233(34)
15 Case Study
235(26)
16 Final Thoughts
261(6)
References 267(24)
Index 291

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