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Near miss reporting as a safety tool /
Near Miss Reporting as a Safety Tool arises from a meeting of safety professionals, academicians, and consultants from Western-Europe and Canada held in Eindhoven, the Netherlands, in September 1989. The book deals with near-miss reporting in various systems, mostly in the context of errors and acci...
| Clasificación: | Libro Electrónico |
|---|---|
| Otros Autores: | , , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Oxford :
Butterworth-Heinemann,
1991.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Front Cover; Near Miss Reporting as a Safety Tool; Copyright Page; Table of Contents; List of Contributors; FOREWORD; CHAPTER 1. INTRODUCTION; 1. PURPOSES OF COLLECTING AND ANALYSING NEAR-MISS DATA; 2. ACCIDENTS VS. NEAR MISSES VS. BEHAVIOURAL ACTS; 3. METHODS FOR COLLECTING NEAR-MISS DATA; 4. A BRIEF OVERVIEW OF THE BOOK; CHAPTER 2. TOO LITTLE AND TOO LATE: A COMMENTARY ON ACCIDENT AND INCIDENT REPORTING SYSTEMS; ABSTRACT; 1. TRACING THE HISTORY OF ""ORGANISATIONAL"" ACCIDENTS; 2. THE RESIDENT PATHOGEN METAPHOR; 3. ORGANISATIONAL FAILURE TYPES AND INDIVIDUAL FAILURE TOKENS.
- 4. a model of accident causation5. the two faces of safety; 6. introducing the safety space
- 7. navigating the safety space
- 8. safety information system channels; 9. conclusion: managing the manageable; references; chapter 3. a framework for designing near miss management systems; 1. general functional specifications; 2. basic nmms framework; 3. implications of different purposes for nmms design; 4. extended nmms framework; 5. usefulness and uses of the nmms framework; chapter 4. understanding, reporting and preventing human fixation errors; 1. introduction.
- 2. definition of fixation errors3. a case of fixation error coming from industry; 4. cosimo: a cognitive simulation model; 5. a fixation case as reproduced by cosimo; 6. cognitive modelling and improvement of reporting systems; 7. mitigation of fixations and prevention of human errors; 8. cognitive modelling and training improvement; 9. conclusion; acknowledgement; references; chapter 5. ""near miss"" reporting pitfalls for nuclear plants; 1. introduction; 2. case 1: how to kill off near-miss reporting; 3. case 2: identification of near-misses.
- 4. case 3: i don't want to know about near-misses5. conclusion; chapter 6. development of a near miss management system at a chemical process plant; 1. safety management at exxon-rap; 2. design of a nmms; 3. organisational aspects; 4. preliminary results; 5. further developments; 6. evaluation; acknowledgements; references; appendix; chapter 7. ida: an interactive program for the collection and processing of accident data; 1. introduction; 2. problem diagnosis and proposed solutions; 3. field applications; 4. discussion; 5. conclusion; 6. references.
- Chapter 8. signals passed at danger: near miss reporting from a railway perspective1. introduction; 2. the present situation; 3. a european comparison; 4. previous studies of signals passed at danger; 5. problems of analysis; 6. an improved data collection system; 7. implementation issues; 8. discussion; references; chapter 9. video analysis of road user behaviour at intersections; abstract; 1. introduction; 2. method; 4. discussion and conclusions; references; chapter 10. use of traffic conflicts for near-miss reporting; abstract; 1. introduction; 2. traffic conflict registration.