Title The blame machine : why human error causes accidents / Robert B. Whittingham

Published Amsterdam ; Boston : Elsevier Butterworth-Heinemann, 2004

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Description 1 online resource (xiv, 271 pages) : illustrations Contents Cover -- Contents -- Preface -- Acknowledgements -- Part I Understanding human error -- 1 To err is human -- 1.1 Defining human error -- 1.2 Random and systemic errors -- References -- 2 Errors in practice -- 2.1 Introduction -- 2.2 Genotypes and phenotypes -- 2.3 The skill, rule and knowledge taxonomy -- 2.4 The generic error modelling system taxonomy -- References -- 3 Latent errors and violations -- 3.1 Introduction -- 3.2 Latent and active errors -- 3.3 Violations -- References -- 4 Human reliability analysis -- 4.1 Introduction -- 4.2 Measuring human reliability -- 4.3 Human reliability methods -- 4.4 Task decomposition -- 4.5 Error identification -- References -- 5 Human error modelling -- 5.1 Introduction -- 5.2 Basic probability theory -- 5.3 Error recovery -- 5.4 Error dependency -- References -- 6 Human error in event sequences -- 6.1 Introduction -- 6.2 Human reliability event trees -- 6.3 Scenario analysis -- 6.4 Overview of human error modelling -- Part II Accident case studies -- 7 Organizational and management errors -- 7.1 Introduction -- 7.2 The Flixborough chemical plant disaster -- 7.3 The capsize of the Herald of Free Enterprise -- 7.4 Privatization of the railways -- References -- 8 Design errors -- 8.1 Introduction -- 8.2 The fire and explosion at BP Grangemouth -- 8.3 The sinking of the ferry 'Estonia' -- 8.4 The Abbeystead explosion -- References -- 9 Maintenance errors -- 9.1 Introduction -- 9.2 Engine failure on the Royal Flight -- 9.3 The railway accident at Hatfield -- 9.4 The railway accident at Potters Bar -- References -- 10 Active errors in railway operations -- 10.1 Introduction -- 10.2 Signals passed at danger -- 10.3 The train accident at Purley -- 10.4 The driver's automatic warning system -- 10.5 The Southall and Ladbroke Grove rail accidents -- 10.6 Human error analysis of signals passed at danger -- 10.7 Driver protection against SPADs -- References -- 11 Active errors in aviation -- 11.1 Introduction -- 11.2 The loss of flight KAL007 -- 11.3 The Kegworth accident -- References -- 12 Violations -- 12.1 Introduction -- 12.2 The Chernobyl accident -- 12.3 The Airbus A320 crash at Mulhouse -- References -- 13 Incident response errors -- 13.1 Introduction -- 13.2 Fire on Swissair flight SR111 -- 13.3 The Channel Tunnel fire -- References -- 14 Conclusions -- 14.1 Human error and blame -- 14.2 Understanding human error -- 14.3 Human error in industry -- References -- Appendix: Train protection systems -- A.1 Introduction -- A.2 Protection against train collisions -- A.2.1 The time interval system -- A.2.2 The block system -- A.2.3 Multi-aspect signals -- A.2.4 The automatic warning system -- A.2.5 Train protection and warning system -- A.2.6 Automatic train protection -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- K -- L -- M -- N Summary Understand how to improve safety by focussing on systems, not people Bibliography Includes bibliographical references and index Notes English Print version record Subject Accidents. Accidents -- Prevention. Human engineering. Accidents Accident Prevention Ergonomics accidents. ergonomics. HEALTH & FITNESS -- Safety. Accidents Accidents -- Prevention Human engineering Fouten. Ongevallen. Ergonomie. Betrouwbaarheid. Analyse (algemeen) Genre/Form Electronic books Case studies Form Electronic book ISBN 9780080472126 0080472125 1136359583 9781136359583 1280966378 9781280966378 9786610966370 6610966370

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