Investigating Human Error: Incidents, Accidents, and Complex Systems

by Strauch,Barry

• ISBN13: 9780754641223
• ISBN10: 0754641228
• Format: Nonspecific Binding
• Copyright: 2004-01-28
• Publisher: Routledge

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