Safety Causation Analysis in Sociotechnical Systems PDF Download
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Author: Esmaeil Zarei
Publisher: Springer Nature
ISBN: 303162470X
Category : Electronic books
Languages : en
Pages : 537
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Book Description
Author: Esmaeil Zarei
Publisher: Springer Nature
ISBN: 303162470X
Category : Electronic books
Languages : en
Pages : 537
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Book Description
Author: Nancy G. Leveson
Publisher: MIT Press
ISBN: 0262297302
Category : Science
Languages : en
Pages : 555
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Book Description
A new approach to safety, based on systems thinking, that is more effective, less costly, and easier to use than current techniques. Engineering has experienced a technological revolution, but the basic engineering techniques applied in safety and reliability engineering, created in a simpler, analog world, have changed very little over the years. In this groundbreaking book, Nancy Leveson proposes a new approach to safety—more suited to today's complex, sociotechnical, software-intensive world—based on modern systems thinking and systems theory. Revisiting and updating ideas pioneered by 1950s aerospace engineers in their System Safety concept, and testing her new model extensively on real-world examples, Leveson has created a new approach to safety that is more effective, less expensive, and easier to use than current techniques. Arguing that traditional models of causality are inadequate, Leveson presents a new, extended model of causation (Systems-Theoretic Accident Model and Processes, or STAMP), then shows how the new model can be used to create techniques for system safety engineering, including accident analysis, hazard analysis, system design, safety in operations, and management of safety-critical systems. She applies the new techniques to real-world events including the friendly-fire loss of a U.S. Blackhawk helicopter in the first Gulf War; the Vioxx recall; the U.S. Navy SUBSAFE program; and the bacterial contamination of a public water supply in a Canadian town. Leveson's approach is relevant even beyond safety engineering, offering techniques for “reengineering” any large sociotechnical system to improve safety and manage risk.
Author: Dr Guy H Walker
Publisher: Ashgate Publishing, Ltd.
ISBN: 1409486850
Category : Technology & Engineering
Languages : en
Pages : 216
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Book Description
Human Factors Methods and Accident Analysis is the first book to offer a practical guide for investigators, practitioners and researchers wishing to apply accident analysis methods. It is also unique in presenting a series of novel applications of accident analysis methods, including HF methods not previously used for these purposes (e.g. EAST, critical path analysis), as well as applications of methods in new domains.
Author: Erik Hollnagel
Publisher: CRC Press
ISBN: 135193595X
Category : Technology & Engineering
Languages : en
Pages : 216
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Book Description
Resilience engineering has consistently argued that safety is more than the absence of failures. Since the first book was published in 2006, several book chapters and papers have demonstrated the advantage in going behind 'human error' and beyond the failure concept, just as a number of serious accidents have accentuated the need for it. But there has not yet been a comprehensive method for doing so; the Functional Resonance Analysis Method (FRAM) fulfils that need. Whereas commonly used methods explain events by interpreting them in terms of an already existing model, the FRAM is used to model the functions that are needed for everyday performance to succeed. This model can then be used to explain specific events, by showing how functions can be coupled and how the variability of everyday performance sometimes may lead to unexpected and out-of-scale outcomes - either good or bad. The FRAM is based on four principles: equivalence of failures and successes, approximate adjustments, emergence, and functional resonance. As the FRAM is a method rather than a model, it makes no assumptions about how the system under investigation is structured or organised, nor about possible causes and cause-effect relations. Instead of looking for failures and malfunctions, the FRAM explains outcomes in terms of how functions become coupled and how everyday performance variability may resonate. This book presents a detailed and tested method that can be used to model how complex and dynamic socio-technical systems work, to understand why things sometimes go wrong but also why they normally succeed.
Author: Professor Erik Hollnagel
Publisher: Ashgate Publishing, Ltd.
ISBN: 1472423070
Category : Political Science
Languages : en
Pages : 201
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Book Description
Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ‘avoiding that something goes wrong’ to ‘ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoretical and practical consequences of the new perspective on the level of day-to-day operations as well as on the level of strategic management (safety culture). Safety-I and Safety-II is written for all professionals responsible for their organisation's safety, from strategic planning on the executive level to day-to-day operations in the field. It presents the detailed and tested arguments for a transformation from protective to productive safety management.
Author: Erik Hollnagel
Publisher: Routledge
ISBN: 1351955934
Category : Transportation
Languages : en
Pages : 213
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Book Description
Accidents are preventable, but only if they are correctly described and understood. Since the mid-1980s accidents have come to be seen as the consequence of complex interactions rather than simple threads of causes and effects. Yet progress in accident models has not been matched by advances in methods. The author's work in several fields (aviation, power production, traffic safety, healthcare) made it clear that there is a practical need for constructive methods and this book presents the experiences and the state-of-the-art. The focus of the book is on accident prevention rather than accident analysis and unlike other books, has a proactive rather than reactive approach. The emphasis on design rather than analysis is a trend also found in other fields. Features of the book include: -A classification of barrier functions and barrier systems that will enable the reader to appreciate the diversity of barriers and to make informed decisions for system changes. -A perspective on how the understanding of accidents (the accident model) largely determines how the analysis is done and what can be achieved. The book critically assesses three types of accident models (sequential, epidemiological, systemic) and compares their strengths and weaknesses. -A specific accident model that captures the full complexity of systemic accidents. One consequence is that accidents can be prevented through a combination of performance monitoring and barrier functions, rather than through the elimination or encapsulation of causes. -A clearly described methodology for barrier analysis and accident prevention. Written in an accessible style, Barriers and Accident Prevention is designed to provide a stimulating and practical guide for industry professionals familiar with the general ideas of accidents and human error. The book is directed at those involved with accident analysis and system safety, such as managers of safety departments, risk and safety consultants, human factors professionals, and accident investigators. It is applicable to all major application areas such as aviation, ground transportation, maritime, process industries, healthcare and hospitals, communication systems, and service providers.
Author: Hal W. Hendrick
Publisher: CRC Press
ISBN: 1410612414
Category : Technology & Engineering
Languages : en
Pages : 415
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Book Description
This book's primary objective is to provide a comprehensive coverage of ergonomics in overall work system analysis and design. It provides a summary of the historical development of macroergonomics. It explains how an understanding of macroergonomics can lead to improvements in such things as reducing work-related lost time accidents; and describes the methods and tools used in work system analysis and design. Throughout, the integrating theme is that the full potential of an organization--in terms of productivity, safety, health, and Quality of Work Life (QWL)--can't be met unless the overall work system is designed to conform with the characteristics of its technology, personnel subsystem, and the external environment upon which it depends for its survival and success. Using a sociotechnical systems approach, this text discusses the application of macroergonomics to training system development, hazard management, technology transfer, large scale organizational change projects, office and factory automation, community planning and development, and job design. For each of these applications, actual case examples will be included. The book will appeal to teachers of introductory human factors/ergonomics courses as a supplemental text or as the primary text for a course fully devoted to macroergonomics. In addition, it should also appeal to practicing ergonomists internationally as a must add to their personal professional libraries.
Author: Benoît Journé
Publisher: Springer Nature
ISBN: 3030256391
Category : Technology & Engineering
Languages : en
Pages : 139
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Book Description
This open access book addresses several questions regarding the implementation of human and organisational factors (HOF) so that recent improvements in industrial safety can be built upon. It addresses sources of frustration in senior management with high expectations of operational recommendations and disquiet on the part of HOF specialists struggling to have an impact on high-level decision making. The brief explores these issues with an emphasis on examples and lessons learned based on the experience of its authors, who come from different academic disciplines and various industrial sectors such as oil and gas, energy and transportation. It then offers some ways forward for a better consideration of HOF in hazardous companies with a view of promoting safety and facing challenges in a rapidly changing world.
Author: Paul M. Salmon
Publisher: CRC Press
ISBN: 1317149378
Category : Technology & Engineering
Languages : en
Pages : 436
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Book Description
Having an accurate understanding of what is going on is a key commodity for teams working within military systems. 'Situation awareness' (SA) is the term that is used within human factors circles to describe the level of awareness that operators have of the situation that they are engaged in; it focuses on how operators develop and maintain a sufficient understanding of 'what is going on' in order to achieve success in task performance. Over the past two decades, the construct has become a fundamental theme within the areas of system design and evaluation and has received considerable attention from the human factors research community. Despite this, there is still considerable debate over how SA operates in complex collaborative systems and how SA achievement and maintenance is best supported through system, procedure and interface design. This book focuses on the recently developed concept of distributed situation awareness, which takes a systems perspective on the concept and moves the focus on situation awareness out of the heads of individual operators and on to the overall joint cognitive system consisting of human and technological agents. Situation awareness is viewed as an emergent property of collaborative systems, something that resides in the interaction between elements of the system and not in the heads of individual operators working in that system. The first part of the book presents a comprehensive review and critique of existing SA theory and measurement approaches, following which a novel model for complex collaborative systems, the distributed SA model, and a new modelling procedure, the propositional network approach, are outlined and demonstrated. The next part focuses on real-world applications of the model and modelling procedure, and presents four case studies undertaken in the land warfare, multinational warfare and energy distribution domains. Each case study is described in terms of the domain in question, the methodology employed, and the findings derived in relation to situation awareness theory. The third and final part of the book then concentrates on theoretical development, and uses the academic literature and the findings from the case study applications to validate and extend the distributed SA model described at the beginning of the book. In closing, the utility of the distributed SA model and modeling procedure are outlined and a series of initial guidelines for supporting distributed SA through system design are articulated.
Author: Scott Mclean
Publisher: Taylor & Francis
ISBN: 1040090885
Category : Sports & Recreation
Languages : en
Pages : 296
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Book Description
Sport is increasingly being described as a complex system. This inherent complexity cannot be understood by examining components in isolation; rather, the system as a whole should represent the unit of analysis. Systems thinking is the answer to understanding this complexity and is gaining traction in sport. Systems thinking provides a philosophy and a set of associated methods which can be used to understand and optimise the behaviour of complex systems, such as those inherent within sport. This book presents, for the first time, a practical guide to applying contemporary systems thinking methods in sport as well as case study applications demonstrating how their outputs can be translated in practice. The methods described in this book can be used for better understanding the systemic influences in a broad range of sport contexts, including performance, injury, team functioning, decision‐making, adverse incidents, sports organisation design and redesign, technology implementation, and proactive risk assessments. Systems Thinking Methods in Sport provides a practical step‐by‐step guide for sports practitioners and stakeholders, as well as university students and academics in applying state‐of‐the‐art systems thinking methods to sport.
