The Blame Machine: Why Human Error Causes Accidents

The Blame Machine: Why Human Error Causes Accidents PDF Author: Robert Whittingham
Publisher: Taylor & Francis
ISBN: 1136359575
Category : Technology & Engineering
Languages : en
Pages : 285

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Book Description
The Blame Machine describes how disasters and serious accidents result from recurring, but potentially avoidable, human errors. It shows how such errors are preventable because they result from defective systems within a company. From real incidents, you will be able to identify common causes of human error and typical system deficiencies that have led to these errors. On a larger scale, you will be able to see where, in the organisational or management systems, failure occurred so that you can avoid them. The book also describes the existence of a 'blame culture' in many organisations, which focuses on individual human error whilst ignoring the system failures that caused it. The book shows how this 'blame culture' has, in the case of a number of past accidents, dominated the accident enquiry process hampering a proper investigation of the underlying causes. Suggestions are made about how progress can be made to develop a more open culture in organisations, both through better understanding of human error by managers and through increased public awareness of the issues. The book brings together documentary evidence from recent major incidents from all around the world and within the Rail, Water, Aviation, Shipping, Chemical and Nuclear industries. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. He is a member of the Human Factors in Reliability Group, and a Fellow of the Safety and Reliability Society.

The Blame Machine: Why Human Error Causes Accidents

The Blame Machine: Why Human Error Causes Accidents PDF Author: Robert Whittingham
Publisher: Taylor & Francis
ISBN: 1136359575
Category : Technology & Engineering
Languages : en
Pages : 285

Get Book Here

Book Description
The Blame Machine describes how disasters and serious accidents result from recurring, but potentially avoidable, human errors. It shows how such errors are preventable because they result from defective systems within a company. From real incidents, you will be able to identify common causes of human error and typical system deficiencies that have led to these errors. On a larger scale, you will be able to see where, in the organisational or management systems, failure occurred so that you can avoid them. The book also describes the existence of a 'blame culture' in many organisations, which focuses on individual human error whilst ignoring the system failures that caused it. The book shows how this 'blame culture' has, in the case of a number of past accidents, dominated the accident enquiry process hampering a proper investigation of the underlying causes. Suggestions are made about how progress can be made to develop a more open culture in organisations, both through better understanding of human error by managers and through increased public awareness of the issues. The book brings together documentary evidence from recent major incidents from all around the world and within the Rail, Water, Aviation, Shipping, Chemical and Nuclear industries. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. He is a member of the Human Factors in Reliability Group, and a Fellow of the Safety and Reliability Society.

A Human Error Approach to Aviation Accident Analysis

A Human Error Approach to Aviation Accident Analysis PDF Author: Douglas A. Wiegmann
Publisher: Routledge
ISBN: 1351962353
Category : Technology & Engineering
Languages : en
Pages : 174

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Book Description
Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.

Advanced Safety Management Focusing on Z10 and Serious Injury Prevention

Advanced Safety Management Focusing on Z10 and Serious Injury Prevention PDF Author: Fred A. Manuele
Publisher: John Wiley & Sons
ISBN: 1118210166
Category : Technology & Engineering
Languages : en
Pages : 300

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Book Description
Learn how to improve the effectiveness of safety and health management systems by adopting ANSI Z10 provisions and avoid serious workplace injuries. This reference addresses specific provisions, including risk assessment methods and prioritization; applying a prescribed hierarchy of controls; implementing safety design reviews; and more. It also explains how to integrate best practices for the prevention of serious injuries in your workplace. See how implementing the ANSI Z10 standard can enhance your company’s productivity, cost efficiency, and quality.

Human Reliability and Error in Transportation Systems

Human Reliability and Error in Transportation Systems PDF Author: Balbir S. Dhillon
Publisher: Springer Science & Business Media
ISBN: 1846288126
Category : Technology & Engineering
Languages : en
Pages : 191

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Book Description
Human errors contribute significantly to most transportation crashes: approximately 70 to 90 percent of crashes are the result of human error. This book examines human reliability across all types of transportation systems. The material is accessible to readers with no previous knowledge in the field and is supported with a full explanation of the necessary mathematical concepts together with numerous examples and test problems.

Advanced Safety Management

Advanced Safety Management PDF Author: Fred A. Manuele
Publisher: John Wiley & Sons
ISBN: 1118840984
Category : Technology & Engineering
Languages : en
Pages : 482

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Book Description
Provides guidance to managers, safety professionals, educators and students on having operational risk management systems that meet the requirements of Z10. Emphasizes Management Leadership and Employee Involvement, the most important section in Z10, with particular reference to contributions that employees can make. A new provision was added to Z10 on Risk Assessment which along with Avoidance of Human Error is addressed. Revised and expanded coverage of Management of Change and The Procurement Process New chapters cover Macro Thinking – The Socio-Technical Model; Safety Professionals as Culture Change Agents; Prevention through Design, and A Primer on System Safety

The Field Guide to Human Error Investigations

The Field Guide to Human Error Investigations PDF Author: Sidney Dekker
Publisher: Routledge
ISBN: 1351786032
Category : Social Science
Languages : en
Pages : 137

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Book Description
This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.

Embodied Minds--technical Environments

Embodied Minds--technical Environments PDF Author: Thomas Hoff
Publisher: Tapir Academic Press
ISBN: 9788251923415
Category : Computers
Languages : en
Pages : 284

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Book Description
The deep integration of technology into our modern society forces us to rethink the relationship humans have to their surroundings. The rise of complex socio-technical systems denotes how humans and technology have entered a symbiotic relationship where the coordinated and fluent interaction between the two is a crucial condition for modern societies to function. The disharmony in the relationship between humans and technology has immediate and serious consequences. Accidents and failed operations in transport, incomprehensible user interfaces, and failure to learn from experience are all examples from everyday life, suggesting that the understanding of human-technology relationships is not sufficient. This book investigates how humans relate to technology in our modern society, and how the basic assumption of human thought and behavior guide human efforts to improve and control technology. The fact is that the skilled use of technology in expert systems and everyday life challenges the traditional conception of humans and technology as two separate elements in the analysis of work. The book shows how this dualism is evident and problematic in a wide range of areas, such as investigation of human error in accidents, case studies of innovative interface solutions, simulator training strategies, analysis of work practices in complex systems, and traffic safety research. Embodied Minds - Technical Environments supplements the ongoing effort to understand how technology can be integrated with more confidence in modern society.

Accidents and Disasters

Accidents and Disasters PDF Author: Satish Chandra
Publisher: Springer Nature
ISBN: 9811999848
Category : Technology & Engineering
Languages : en
Pages : 162

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Book Description
This book deals with the contemporary subject of perception of risk and its influence on accidents and disasters. The contents examine the conventional viewpoints on human errors, incubation of errors, complexity and organisational deviance as a cause for accidents. Work of Mary Douglas with regard to risk, Charles Perrow's work on the normal accident theory and Diane Vaughan's theory on normalisation of deviance are examined from a fresh perspective in this book. It also discusses prominent accidents in aviation, space, nuclear energy, automotive and healthcare, using the pandemic and Boeing 737 Max as a backdrop to study accidents and disasters. It further explores the background and similarities to these events and addresses the core issues such as the state of regulation, the worldview of the sociologists, and proposes that mental models of complex systems, avarice and risk for gain as other possibilities for accidents. Using the concept of nudge in behavioural economics and the Elinor Ostrom’s viewpoint on regulating for common good, it suggests a way forward through the High Reliability Organisation Theory (HRO) leading to enhanced risk perception. The book will be of interest to those who would like to understand the need to incorporate risk perception into regulation, engineers and scientists, professionals and policy makers working in the areas of disaster and risk management, technology areas like aviation, nuclear plants, space and healthcare, students of the sociology of risk and of course the general reader.

Preventing Corporate Accidents

Preventing Corporate Accidents PDF Author: R B Whittingham
Publisher: Routledge
ISBN: 1136372172
Category : Technology & Engineering
Languages : en
Pages : 365

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Book Description
The passing of the Corporate Manslaughter and Corporate Homicide Bill in the UK and increasing public and investor pressure for good Corporate Governance and Corporate Social Responsibility, means organizations now, more than ever, need to ensure they do all they can to prevent major accidents. However, past experience shows that just implementing safety management systems is not enough and this book makes the case for a more holistic and ethical approach to improving corporate systems as a whole. Preventing Corporate Accidents shows how major accidents can result from human error and defects in corporate systems. The book describes accident prevention strategies, from safety culture, safety management systems, foresight and planning to safety regulations, corporate ethics, corporate social responsibility and the learning organization. Barry Whittingham illustrates with international case studies from various industries how and why these defences have failed in the past, and more importantly, how to strengthen corporate systems to prevent future major accidents. The case studies include: The loss of the space shuttle Columbia Infant heart surgery at Bristol Royal Infirmary The Davis-Besse nuclear power plant incident The fire and explosion at the Conoco-Phillips Humber oil refinery Herald of Free Enterprise and Southall rail accident manslaughter prosecutions This book is essential reading for all those with a professional interest in health and safety management, the control of major risk and accident prevention, in particular for directors, senior managers and health & safety professionals in high-hazard industries and public operations, such as nuclear, chemicals, construction, oil and gas, energy, manufacturing and transportation. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore, oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. Barry is a Fellow of the Safety and Reliability Society.

Patient Safety and Health Care Management

Patient Safety and Health Care Management PDF Author: Grant T. Savage
Publisher: Emerald Group Publishing
ISBN: 1846639549
Category : Medical
Languages : en
Pages : 299

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Book Description
Contains four sections that include, theoretical perspectives on managing patient safety, top management perspectives on patient safety, health information technology perspectives on patient safety, and organizational behavior and change perspectives on patient safety.