Beschreibung:
A systemic organizational approach to safety can replace the hitherto piecemeal approaches. The book uses four linked case studies to enable readers to achieve this. It introduces Reason's Model, applies it to the flight deck, aviation maintenance and air traffic control environment and suggests a set of practical tools for accident prevention.
Contents: Foreword by the Honorable Mr. Justice Virgil P. Moshansky; Widening the search for accident causes: a theoretical framework; Erebus and beyond; Pathogens in the snow: the crash of flight 1363; The BAC 1-11 windscreen accident; The Australian airmiss study; Remedial implications: some practical applications of theory; Index.