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The blame machine : why human error causes accidents /
Understand how to improve safety by focussing on systems, not people.
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Amsterdam ; Boston :
Elsevier Butterworth-Heinemann,
2004.
|
| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- 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.