In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters.
In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters.
Barry Strauch has lectured and taught human factors, accident investigation techniques, and human error to accident investigators, graduate students, and government and industry officials throughout the world. He is an adjunct faculty member of the psychology department of George Mason University in Fairfax, Virginia. He has been with the National Transportation Safety Board for more than 30 years as a human performance investigator, major aircraft accident investigator in charge, chief of the human performance division and, currently, National Resource Specialist - Human Factors. He has investigated accidents in all major transportation modes, involving vehicles ranging from passenger trains, to Boeing 747s, to nuclear attack submarines. He earned a PhD in educational psychology from the Pennsylvania State University and holds a commercial pilot certificate, with an instrument aeroplane rating.
Inhaltsangabe
Preface Introduction Part I Errors and Complex Systems Errors, Complex Systems, Accidents, and Investigations Analyzing the Data Equipment Part II: Antecedents The Operator The Company The regulator Culture Operator Teams Part III: Sources of Data Electronic Data Interviews Written Documentation Part IV: Issues Maintenance and Inspection Situation Awareness and Decision Making Automation Case Study Final Thoughts References
Preface Introduction Part I Errors and Complex Systems Errors, Complex Systems, Accidents, and Investigations Analyzing the Data Equipment Part II: Antecedents The Operator The Company The regulator Culture Operator Teams Part III: Sources of Data Electronic Data Interviews Written Documentation Part IV: Issues Maintenance and Inspection Situation Awareness and Decision Making Automation Case Study Final Thoughts References
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