| Description |
ix, 160 pages : illustrations ; 24 cm |
| Contents |
Pt. 1. Human error as a cause of mishaps -- 1. The Bad Apple Theory -- 2. Reacting to Failure -- 3. What is the Cause? -- 4. Human Error by any Other Name -- 5. Human Error in the Head or in the World? -- 6. Put Data in Context -- Pt. 2. Human error as symptom of trouble deeper inside the system -- 7. Human Error - the New View -- 8. Human Factors Data -- 9. Reconstruct the Unfolding Mindset -- 10. Patterns of Failure -- 11. Writing Recommendations -- 12. Learning from Failure -- 13. Rules for in the Rubble |
| Summary |
"Human error may be the dominant contributor to incidents and accidents today; it is probably also the most misunderstood. Little or no guidance is available for those who need to reconstruct the human contribution to system failure. Human error investigations are often forced to follow a path of intuition or common sense and are exposed to the distortions of hindsight. This Field Guide suggests methods, reminders and pointers that are well-grounded in the theoretical underpinnings of understanding human performance in complex contexts, helping investigators produce credible, well-documented findings." |
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"The Field Guide's premise is that human error is systematically connected to features of people's tools and tasks. If we want to understand what went on in people's minds, we must begin with a reconstruction of the situation in which the mind found itself. The key to an investigation is not to point out where people went wrong, but to understand how their assessments and actions made sense inside that situation at the time. The Field Guide offers investigators a way of how to do this."--BOOK JACKET |
| Bibliography |
Includes bibliographical references and index |
| Subject |
System failures (Engineering)
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Human engineering.
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Industrial accidents.
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| LC no. |
2001095458 |
| ISBN |
0754619176 |
|
0754619249 paperback |
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