Pre Accident Investigations

Author: Todd Conklin
Publisher: CRC Press
ISBN: 1315356422
Format: PDF
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The Problem Is the Question 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. Don't Focus on Safety as an Outcome 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. Create Change in Your Organization Written by a top industry expert, the book provides a new definition of safety and utilizes knowledge from the field and the floor. 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. Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning serves safety managers, safety officers, safety specialists, risk managers loss control personnel, safety engineers, safety auditors, human factors and ergonomics engineers, industrial engineers, safety representatives, lecturers, and trainers.

Pre Accident Investigations

Author: Dr Todd Conklin
Publisher: Ashgate Publishing, Ltd.
ISBN: 1409483541
Format: PDF, ePub, Mobi
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This book is a set of new skills written for the managers that drive safety in their workplace. This is Human Performance theory made simple. If you are starting a new program, revamping an old program, or simply interested in understanding more about safety performance, this guide will be extremely helpful.

Workplace Fatalities

Author: Todd E. Conklin
Publisher:
ISBN: 9781546979654
Format: PDF, ePub
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Many organizations tell us that work has never been as safe as it is today. They will show the lowest injury figures ever, and the rosiest incident counts in years. They want to be proud of these accomplishments, and perhaps they should be. But behind these results hides complexity and contradiction-a messiness that Todd Conklin takes us into with this book. For one, it is pretty obvious by now that trying to lower our incident and injury rates leaves the risk of process safety disasters and fatalities pretty much unaffected. Getting better at managing injuries and incidents doesn't help us prevent fatalities and accidents-we've known that for a long time (Salminen, Saari, Saarela, & Rasanen, 1992). The number of fatalities in, say, construction, or the energy industry, has remained relatively stable over the past decades (Amalberti, 2013; National-Safety-Council, 2004), even when many organizations proudly report entire years (or more) without injury. Lowering the injury or non- serious incident rate can actually put an organization at greater risk of accidents and fatalities. In shipping, for example, injury counts were halved over a recent decade, but the number of shipping accidents tripled (Storkersen, Antonsen, & Kongsvik, 2016). In construction, most workers lost their lives precisely in the years with the lowest injury counts (Saloniemi & Oksanen, 1998). And in aviation, airlines with the fewest incidents have the highest passenger mortality risk (Barnett & Wang, 2000).What lies behind these fatalities? Do they really happen because some people don't wear their personal protective equipment; that some don't wear gloves when rules say they should? WorkPlace Fatalities: Failure to Predict is the first book for the industry professional that speaks directly to this important challenge: If your organization is so safe - Why do we have fatal and serious events?

Behind Human Error

Author: David D. Woods
Publisher: CRC Press
ISBN: 1317175530
Format: PDF, Kindle
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Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label.

Human Factors in the Chemical and Process Industries

Author: Janette Edmonds
Publisher: Elsevier
ISBN: 0128038780
Format: PDF, ePub, Docs
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Human Factors in the Chemical and Process Industries: Making it Work in Practice is a comprehensive overview of human factors within this sector, focusing on the practical application. It has been written by acknowledged industry experts from the Keil Centre, which is a leading practice of chartered ergonomics and human factors specialists, chartered safety specialists, registered occupational psychologists, and registered clinical psychologists. The book was inspired by the international human factors training course run by the Keil Centre with the IChemE, which has reached four continents across the world. The book is written for those who want a comprehensive overview of the subject, focusing on the practical application of human factors. It has been written for safety professionals, engineers and operational disciplines within industry, and those aspiring to these disciplines, who either deal with human factors issues or any aspect of the ‘human element’ in their core role. The book explains what ‘human factors’ is about and how human factors issues are best managed from a practical perspective. It will help readers develop a greater understanding of the area and how to establish more effective solutions for human factors related issues. Provides comprehensive coverage of the most relevant human factors within this sector, with succinct overviews of each topic Uses case studies and practical examples to illustrate topics and explains the material in a fully accessible, easy to understand style Written by a single team of eleven industry practitioners, drawing on the combined expertise of different human factors specialisms which are rarely comprehensively combined in a single resource

Challenging the Safety Quo

Author: Craig Marriott
Publisher: Routledge
ISBN: 1351364669
Format: PDF, ePub, Mobi
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Safety is broken. The people who are responsible for helping you stay safe should be at the top of your Christmas card list but all too often they are despised, ridiculed and ignored. But safety management is beginning to be challenged. Businesses have begun to realise that what they have been doing is no longer providing any additional value. The same issues are repeatedly raised by corporate leadership: How do we get our workforce engaged in safety? How do we improve safety systems to gain commitment from all employees? How do we improve safety understanding to make the case for change? How do we embed safety as an integral part of culture in an environment of ongoing change and cost pressure? Challenging the Safety Quo makes the case for change based on stagnating performance, identifies areas where there are problems and proposes alternative ways to progress. Provocative but practical, it outlines the business benefits to be gained from putting in place the right approaches to managing safety, although not in the way traditionally presented by most safety managers. This book translates theory into practice; putting an accessible, practical and usable spin on cutting edge thinking in safety.

Beyond Blame

Author: Dave Zwieback
Publisher: "O'Reilly Media, Inc."
ISBN: 1491914467
Format: PDF, Mobi
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Failure is inevitable and a postmortem analysis, conducted in an open, blameless way, is the best way for IT techs and managers to learn from outages and near-misses. But when the "root cause" is determined to be "human error" (or worse, particular humans), the real causes and conditions are lost. In this insightful book, IT veteran Dave Zwieback shows you an approach for making postmortems blameless, so you can focus instead on addressing areas of fragility within systems and organizations. If you’re involved with assessing why something goes wrong on a project or at your company—as a system administrator, developer, team manager, or executive—the concrete steps in this guide will help you find a real solution that works. Recognize and mitigate the effects of stress during outages Learn how to communicate effectively in a charged, high-stakes postmortem conversation Collect the necessary data before the postmortem begins Focus on determining the actual causes and conditions of an outage Learn techniques for writing up a postmortem for either internal or external use

The Field Guide to Understanding Human Error

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 1351889753
Format: PDF, ePub, Docs
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When faced with a human error problem, you may be tempted to ask 'Why didn't they watch out better? How could they not have noticed?'. You think you can solve your human error problem by telling people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure. These are all expressions of 'The Bad Apple Theory', where you believe your system is basically safe if it were not for those few unreliable people in it. This old view of human error is increasingly outdated and will lead you nowhere. The new view, in contrast, understands that a human error problem is actually an organizational problem. Finding a 'human error' by any other name, or by any other human, is only the beginning of your journey, not a convenient conclusion. The new view recognizes that systems are inherent trade-offs between safety and other pressures (for example: production). People need to create safety through practice, at all levels of an organization. Breaking new ground beyond its successful predecessor, The Field Guide to Understanding Human Error guides you through the traps and misconceptions of the old view. It explains how to avoid the hindsight bias, to zoom out from the people closest in time and place to the mishap, and resist the temptation of counterfactual reasoning and judgmental language. But it also helps you look forward. It suggests how to apply the new view in building your safety department, handling questions about accountability, and constructing meaningful countermeasures. It even helps you in getting your organization to adopt the new view and improve its learning from failure. So if you are faced by a human error problem, abandon the fallacy of a quick fix. Read this book.

Drift into Failure

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 1351942913
Format: PDF, Mobi
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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.

Ten Questions About Human Error

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 1410612066
Format: PDF, ePub, Docs
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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.