Beschreibung:
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.
Preface; Introduction; Part I Errors and Complex Systems; Errors, Complex Systems, Accidents, and Investigations; Analyzing the Data; Equipment; Part II: Antecedents; The Operator; The Company; The regulator; Culture; Operator Teams; Part III: Sources of Data; Electronic Data; Interviews; Written Documentation; Part IV: Issues; Maintenance and Inspection; Situation Awareness and Decision Making; Automation; Case Study; Final Thoughts; References