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Pre-Accident Investigations

Pre-Accident Investigations
Author: Todd Conklin
Publisher: CRC Press
Total Pages: 231
Release: 2019-05-10
Genre: Technology & Engineering
ISBN: 1351909258

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Time-pressed, professionals looking for practical guidance to shape their current or future safety programs should use this book. Pre-Accident Investigations: An Introduction to Organizational Safety helps to identify complex potential incidents before they take place. Based around the ’New View’ of human error, it offers established human performance theory in a highly practical context. Written in an engaging, conversational style, around several case studies, the book is grounded in reality, with examples with which anyone can identify. It is an ideal aid for senior safety executives who want to spread the safety message among their colleagues. It is also an excellent choice for course tutors looking for a narrative-led primer.


Safety Differently

Safety Differently
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 304
Release: 2014-06-23
Genre: Technology & Engineering
ISBN: 1482242001

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The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu


Pre-Accident Investigations

Pre-Accident Investigations
Author: Todd Conklin
Publisher: CRC Press
Total Pages: 138
Release: 2017-08-10
Genre: Technology & Engineering
ISBN: 1315356422

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Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning challenges safety and reliability professionals to get better answers by asking better questions. A provocative examination of human performance and safety management, the book delivers a thought-provoking discourse about how we work, and defines a new approach to operational learning. This is not a book about traditional safety. This is a book about creating "real" safety in your organization. In order to predict incidents before they happen, an organization should first understand how their processes can result in failure. Instead of managing the outcomes, they must learn to manage and understand the processes used to create them. Ideal for use in safety, human performance, psychology, cognitive and decision making, systems engineering, and risk assessment areas, this book equips the safety professional with the tools, steps, and models of success needed to create long-term value and change from safety programs.


Incident Investigation and Accident Prevention in the Process and Allied Industries

Incident Investigation and Accident Prevention in the Process and Allied Industries
Author: Nigel Hyatt
Publisher: CRC Press
Total Pages: 600
Release: 2018-10-08
Genre: Technology & Engineering
ISBN: 1439822441

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To prevent future accidents, a complete examination of the causes and contributory factors of an accident is necessary. Stressing the need to correct these issues, Incident Investigation and Accident Prevention in the Process and Allied Industries strikes a balance between the theoretical and applied aspects of accident investigation while also addressing accident prevention. Based on the authors forty years of experience, this detailed work covers an extensive range of topics often encountered during an incident investigation. Since the scope and needs of investigations can widely vary, the author begins with an introduction that provides guidance on how to use the book. He supplies a "roadmap" of incident investigation, making the material accessible to novices yet also valuable to more seasoned investigators. Topics include: Responding to occurrence of incidents and emergency response Securing the site and handling eyewitness testimonies Notification of appropriate authorities, compliance requirements, and legal and insurance issues Internal/external incident investigation options and investigation team requirements Disassembly, gathering, screening, tagging, storing of evidence, and post-incident testing Establishing preliminary causal mechanisms and root cause determinations Multiple cause determination, incident modeling, and human error evaluation and reporting Remedial and preventative measures, lessons learned, and reconstruction and retraining Accident prevention through predictive methodologies, including pro-active measures Pre- and post-incident management Corporate structuring, attitudinal problems, and planning an accident prevention program


Drift into Failure

Drift into Failure
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 332
Release: 2016-12-05
Genre: Technology & Engineering
ISBN: 1351942913

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What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? Or the oil spill disaster in the Gulf of Mexico with the burn-up of Space Shuttle Columbia? These were systems that drifted into failure. While pursuing success in a dynamic, complex environment with limited resources and multiple goal conflicts, a succession of small, everyday decisions eventually produced breakdowns on a massive scale. We have trouble grasping the complexity and normality that gives rise to such large events. We hunt for broken parts, fixable properties, people we can hold accountable. Our analyses of complex system breakdowns remain depressingly linear, depressingly componential - imprisoned in the space of ideas once defined by Newton and Descartes. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. Our technologies have gotten ahead of our theories. We are able to build things - deep-sea oil rigs, jackscrews, collateralized debt obligations - whose properties we understand in isolation. But in competitive, regulated societies, their connections proliferate, their interactions and interdependencies multiply, their complexities mushroom. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure. It studies sensitive dependence on initial conditions, unruly technology, tipping points, diversity - and finds that failure emerges opportunistically, non-randomly, from the very webs of relationships that breed success and that are supposed to protect organizations from disaster. It develops a vocabulary that allows us to harness complexity and find new ways of managing drift.


The Field Guide to Human Error Investigations

The Field Guide to Human Error Investigations
Author: Sidney Dekker
Publisher: Routledge
Total Pages: 137
Release: 2017-11-01
Genre: Social Science
ISBN: 1351786032

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This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.


Accident and Incident Investigation

Accident and Incident Investigation
Author: P. K. Singh
Publisher:
Total Pages: 103
Release: 2020-04-16
Genre:
ISBN:

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"............ An easy to understand compilation on Accident & Incident investigation" "............ a complete guide from scratch to Accident Report Writing" "............ one of the best professionally written books on the subject" "............ I can truly say, after starting I did not want to end the Book" The Book is an ultimate guide on conducting training on Accident and Incident Investigation at work sites. It covers procedures relevant inputs for production sites, Oil & Gas Industry, Chemical and Pharmaceutical industries. This book has been prepared in an easy to understand format which can be used as a Training Material too by anyone including QHSE/Safety trainers. Safety hazards are the most common type of hazard and they are present in virtually every workplace at one time or another. These hazards are unsafe conditions in a facility that can cause injury, illness, or even death. Near Miss, Accident and Incident have been explained in detail by way of examples. The method of reporting has also been described in depth. Steps to avoid Near miss and Accidents have been enumerated. The Heinrich Safety triangle model has also been discussed. This book will cover all major aspects of Accident and Incident investigation. The incidents and techniques used for investigation have been dealt in detail including questions to be put to the injured and people available at the investigation scene. How and when to interrogate has been clearly stated in the contents. The six step process of Investigation has been explained in detail including how to proceed with interviews. The description is supported by pictures for better understanding of concepts in a very concise way. The annexure provides Accident Notification, Investigation Report and Recommendation formats for report writing. The author is Institute of Learning and Management, UK certified Trainer and ISO 9001-2015 DNV & Bureau Veritas certified QMS/EMS Lead Auditor having 38 years of experience handling HSE/Safety and Training function in various industries in India and abroad. This book is a tribute to the Construction, Chemical, Petrochemical and Oil & Gas Industry.


A Human Error Approach to Aviation Accident Analysis

A Human Error Approach to Aviation Accident Analysis
Author: Douglas A. Wiegmann
Publisher: Routledge
Total Pages: 174
Release: 2017-12-22
Genre: Technology & Engineering
ISBN: 1351962353

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Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.


Aircraft Accident Investigation

Aircraft Accident Investigation
Author: Richard H. Wood
Publisher:
Total Pages: 516
Release: 2006-01-01
Genre: Aeronautics
ISBN: 9781892944177

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This book covers all aspects of aircraft accident investigation including inflight fires, electrical circuitry, and composite structure failure. The authors explain basic investigation techniques and procedures required by the National Transportation Safety Board (NTSB) and the International Civil Aviation Organization (ICAO). There are also chapters on accident analysis, investigation management, and report writing. The appendices include the Code of Ethics and Conduct of the International Society of Air Safety Investigators.


Ten Questions About Human Error

Ten Questions About Human Error
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 233
Release: 2004-12-27
Genre: Technology & Engineering
ISBN: 1410612066

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Ten Questions About Human Error asks the type of questions frequently posed in incident and accident investigations, people's own practice, managerial and organizational settings, policymaking, classrooms, Crew Resource Management Training, and error research. It is one installment in a larger transformation that has begun to identify both deep-rooted constraints and new leverage points of views of human factors and system safety. The ten questions about human error are not just questions about human error as a phenomenon, but also about human factors and system safety as disciplines, and where they stand today. In asking these questions and sketching the answers to them, this book attempts to show where current thinking is limited--where vocabulary, models, ideas, and notions are constraining progress. This volume looks critically at the answers human factors would typically provide and compares/contrasts them with current research insights. Each chapter provides directions for new ideas and models that could perhaps better cope with the complexity of the problems facing human error today. As such, this book can be used as a supplement for a variety of human factors courses.