Download or read book Organizational Accidents Revisited written by James Reason and published by CRC Press. This book was released on 2016-05-26 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing the Risks of Organizational Accidents introduced the notion of an ’organizational accident’. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to ’individual accidents’ whose damaging consequences are limited to relatively few people or assets. Although they share some common causal factors, they mostly have quite different causal pathways. The frequency of individual accidents - usually lost-time injuries - does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited extends and develops these ideas using a standardized causal analysis of some 10 organizational accidents that have occurred in a variety of domains in the nearly 20 years that have passed since the original was published. These analyses provide the ’raw data’ for the process of drilling down into the underlying causal pathways. Many contributing latent conditions recur in a variety of domains. A number of these - organizational issues, design, procedures and so on - are examined in close detail in order to identify likely problems before they combine to penetrate the defences-in-depth. Where the 1997 book focused largely upon the systemic factors underlying organizational accidents, this complementary follow-up goes beyond this to examine what can be done to improve the ’error wisdom’ and risk awareness of those on the spot; they are often the last line of defence and so have the power to halt the accident trajectory before it can cause damage. The book concludes by advocating that system safety should require the integration of systemic factors (collective mindfulness) with individual mental skills (personal mindfulness).
Download or read book Organizational Accidents Revisited written by Professor James Reason and published by Ashgate Publishing, Ltd.. This book was released on 2016-01-28 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing the Risks of Organizational Accidents introduced the notion of an ‘organizational accident’. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to ‘individual accidents’ whose damaging consequences are limited to relatively few people or assets. Although they share some common causal factors, they mostly have quite different causal pathways. The frequency of individual accidents - usually lost-time injuries - does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited extends and develops these ideas using a standardised causal analysis of some 10 organizational accidents that have occurred in a variety of domains in the nearly 20 years that have passed since the original was published. These analyses provide the ‘raw data’ for the process of drilling down into the underlying causal pathways. Many contributing latent conditions recur in a variety of domains. A number of these - organizational issues, design, procedures and so on - are examined in close detail in order to identify likely problems before they combine to penetrate the defences-in-depth. Where the 1997 book focused largely upon the systemic factors underlying organisational accidents, this complementary follow-up goes beyond this to examine what can be done to improve the ‘error wisdom’ and risk awareness of those on the spot; they are often the last line of defence and so have the power to halt the accident trajectory before it can cause damage. The book concludes by advocating that system safety should require the integration of systemic factors (collective mindfulness) with individual mental skills (personal mindfulness).
Download or read book Managing the Risks of Organizational Accidents written by James Reason and published by Routledge. This book was released on 2016-01-29 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Major accidents are rare events due to the many barriers, safeguards and defences developed by modern technologies. But they continue to happen with saddening regularity and their human and financial consequences are all too often unacceptably catastrophic. One of the greatest challenges we face is to develop more effective ways of both understanding and limiting their occurrence. This lucid book presents a set of common principles to further our knowledge of the causes of major accidents in a wide variety of high-technology systems. It also describes tools and techniques for managing the risks of such organizational accidents that go beyond those currently available to system managers and safety professionals. James Reason deals comprehensively with the prevention of major accidents arising from human and organizational causes. He argues that the same general principles and management techniques are appropriate for many different domains. These include banks and insurance companies just as much as nuclear power plants, oil exploration and production companies, chemical process installations and air, sea and rail transport. Its unique combination of principles and practicalities make this seminal book essential reading for all whose daily business is to manage, audit and regulate hazardous technologies of all kinds. It is relevant to those concerned with understanding and controlling human and organizational factors and will also interest academic readers and those working in industrial and government agencies.
Download or read book A Life in Error written by Professor James Reason and published by Ashgate Publishing, Ltd.. This book was released on 2013-11-01 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: This succinct but absorbing book covers the main way stations on James Reason’s 40-year journey in pursuit of the nature and varieties of human error. He presents an engrossing and very personal perspective, offering the reader exceptional insights, wisdom and wit as only James Reason can. A Life in Error charts the development of his seminal and hugely influential work from its original focus on individual cognitive psychology through the broadening of scope to embrace social, organizational and systemic issues.
Download or read book The Human Contribution written by J. T. Reason and published by Ashgate Publishing, Ltd.. This book was released on 2008 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Human Contribution is vital reading for all professionals in high-consequence environments and for managers of any complex system. The book draws its illustrative material from a wide variety of hazardous domains, with the emphasis on healthcare reflecting the author's focus on patient safety over the last decade. All students of human factors - however seasoned - will also find it an invaluable and thought-provoking read.
Download or read book Human Error written by James Reason and published by Cambridge University Press. This book was released on 1990-10-26 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 1991 book is a major theoretical integration of several previously isolated literatures looking at human error in major accidents.
Download or read book Inside Hazardous Technological Systems written by Kenneth Pettersen Gould and published by CRC Press. This book was released on 2021-07-19 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the challenges, opportunities, applications, and implications of applying qualitative research to critical questions of research and practice in the field of organizational risk and safety. The book brings together a diverse perspective to explore the practice of conducting qualitative research as well as to debate the quality of research and knowledge, drawing on a range of different perspectives and traditions. It offers novel and innovative developments in data collection and data analysis methods and tools that can be applied to safety, risk, and accident analysis in complex systems. It also will present practical issues associated with data access and empirical research in challenging and high-stakes environments. This book will provide academics, researchers, students, and professionals in the fields of safety, accident analysis, and risk with a broad-range and expert guide to the key issues and debates in the field, as well as a set of exemplary cases and reflective narratives from leading researchers in the field.
Download or read book Rational Accidents written by John Downer and published by MIT Press. This book was released on 2024-01-16 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: An unflinching look at the unique challenges posed by complex technologies we cannot afford to let fail—and why the remarkable achievements of civil aviation can help us understand those challenges. Nuclear reactors, deep-sea drilling platforms, deterrence infrastructures—these are all complex and formidable technologies with the potential to fail catastrophically. In Rational Accidents, John Downer outlines a new perspective on technological failure, arguing that undetectable errors can lurk in even the most rigorous and “rational” assessments of these systems due to the inherent limits of engineering tests and models. Downer finds that it should be impossible, from an epistemological viewpoint, to achieve the near-perfect reliability that we require of our most safety-critical technologies. There is, however, one such technology that demonstrably appears to achieve these “impossible” reliabilities: jetliners. Downer looks closely at civil aviation and how it has reckoned with the problem of failure. He finds that the way we conceive of jetliner reliability hides the real practices by which it is achieved. And he shows us why those practices are much less transferrable across technological domains than we are led to believe. Fully understanding why jetliners don't crash, he concludes, should lead us to doubt the safety of other “ultra-reliable” technologies. A unique and sobering exploration of technological reliability from an STS perspective, Rational Accidents is essential reading for understanding why our most safety-critical technologies are even more dangerous than we believe.
Download or read book Handbook of Standards and Guidelines in Human Factors and Ergonomics Second Edition written by Waldemar Karwowski and published by CRC Press. This book was released on 2021-06-28 with total page 944 pages. Available in PDF, EPUB and Kindle. Book excerpt: With an updated edition including new material in additional chapters, this one-of-a-kind handbook covers not only current standardization efforts, but also anthropometry and optimal working postures, ergonomic human computer interactions, legal protection, occupational health and safety, and military human factor principles. While delineating the crucial role that standards and guidelines play in facilitating the design of advantageous working conditions to enhance individual performance, the handbook suggests ways to expand opportunities for global economic and ergonomic development. This book features: Guidance on the design of work systems including tasks, equipment, and workspaces as well as the work environment in relation to human capacities and limitations Emphasis on important human factors and ergonomic standards that can be utilized to improve product and process to ensure efficiency and safety A focus on quality control to ensure that standards are met throughout the worldwide market
Download or read book Global Advances in Engineering Education written by J.P. Mohsen and published by CRC Press. This book was released on 2019-05-03 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: The engineering profession is at a critical juncture that requires reforming engineering education. The supply of engineers is declining whereas the nature of the demand is changing. Formulating a response to these challenges demands the adoption of new and innovative tools and methods for promoting the expansion of the community while supporting these evolving requirements. Initiatives to entice and retain students are being employed to support growth objectives. Modern technologies are reshaping reform efforts. This book discusses the state of affairs in the field of engineering education and presents practical steps for addressing the challenges in order to march toward a brighter future. Features Covers the latest state of engineering education in the North America, Europe, Middle East, North Africa, and Far East Asia Discusses advances in science, technology, engineering, and mathematics and community engagement Outlines applications of digital technologies to enhance learning Provides advances in remote and online instructions for engineering education Presents discussions on innovation, leadership, and ethics
Download or read book Risk Assessment written by Marvin Rausand and published by John Wiley & Sons. This book was released on 2020-03-03 with total page 719 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduces risk assessment with key theories, proven methods, and state-of-the-art applications Risk Assessment: Theory, Methods, and Applications remains one of the few textbooks to address current risk analysis and risk assessment with an emphasis on the possibility of sudden, major accidents across various areas of practice—from machinery and manufacturing processes to nuclear power plants and transportation systems. Updated to align with ISO 31000 and other amended standards, this all-new 2nd Edition discusses the main ideas and techniques for assessing risk today. The book begins with an introduction of risk analysis, assessment, and management, and includes a new section on the history of risk analysis. It covers hazards and threats, how to measure and evaluate risk, and risk management. It also adds new sections on risk governance and risk-informed decision making; combining accident theories and criteria for evaluating data sources; and subjective probabilities. The risk assessment process is covered, as are how to establish context; planning and preparing; and identification, analysis, and evaluation of risk. Risk Assessment also offers new coverage of safe job analysis and semi-quantitative methods, and it discusses barrier management and HRA methods for offshore application. Finally, it looks at dynamic risk analysis, security and life-cycle use of risk. Serves as a practical and modern guide to the current applications of risk analysis and assessment, supports key standards, and supplements legislation related to risk analysis Updated and revised to align with ISO 31000 Risk Management and other new standards and includes new chapters on security, dynamic risk analysis, as well as life-cycle use of risk analysis Provides in-depth coverage on hazard identification, methodologically outlining the steps for use of checklists, conducting preliminary hazard analysis, and job safety analysis Presents new coverage on the history of risk analysis, criteria for evaluating data sources, risk-informed decision making, subjective probabilities, semi-quantitative methods, and barrier management Contains more applications and examples, new and revised problems throughout, and detailed appendices that outline key terms and acronyms Supplemented with a book companion website containing Solutions to problems, presentation material and an Instructor Manual Risk Assessment: Theory, Methods, and Applications, Second Edition is ideal for courses on risk analysis/risk assessment and systems engineering at the upper-undergraduate and graduate levels. It is also an excellent reference and resource for engineers, researchers, consultants, and practitioners who carry out risk assessment techniques in their everyday work.
Download or read book Culture and Computing Design Thinking and Cultural Computing written by Matthias Rauterberg and published by Springer Nature. This book was released on 2021-07-03 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume set LNCS 12794-12795 constitutes the refereed proceedings of the 9th International Conference on Culture and Computing, C&C 2021, which was held as part of HCI International 2021 and took place virtually during July 24-29, 2021. The total of 1276 papers and 241 posters included in the 39 HCII 2021 proceedings volumes was carefully reviewed and selected from 5222 submissions. The papers included in the HCII-C&C volume set were organized in topical sections as follows: Part I: ICT for cultural heritage; technology and art; visitors’ experiences in digital culture; Part II: Design thinking in cultural contexts; digital humanities, new media and culture; perspectives on cultural computing.
Download or read book Essentials of Safety written by Ian Long and published by CRC Press. This book was released on 2021-09-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is not about safety. It is about people and leadership. It explores the few things in Safety that sit beneath all of the complexity and complicatedness of the workplace and that we simply must get right. It explores what the underlying elements are that look through each of the lenses of the Individual, Leaders and leadership, the Systems we use and the workplace Cultures. It does this by exploring each of 12 underlying elements (Chapter 1), what leaders’ practices and routines might look like (Chapter 2), barriers to implementation and their remedies (Chapter 3), how to use the Essentials of Safety to learn after incidents (Chapter 4), and how to measure the effectiveness in the workplace of each of the essential elements (Chapter 5). It is designed to promote thinking, not to be a set of instructions. It is aimed at Students, Safety practitioners, Leaders in industry at all levels and anyone interested in understanding what good might look like in the safety and leadership space.
Download or read book Advances in Safety Management and Human Factors written by Pedro Miguel Ferreira Martins Arezes and published by Springer. This book was released on 2018-06-25 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses the latest findings on ensuring employees’ safety, health, and welfare at work. It combines a range of disciplines – e.g. work physiology, health informatics, safety engineering, workplace design, injury prevention, and occupational psychology – and presents new strategies for safety management, including accident prevention methods such as performance testing and participatory ergonomics. The book, which is based on the AHFE 2018 International Conference on Safety Management and Human Factors, held on July 21–25, 2018, in Orlando, Florida, USA, provides readers, including decision makers, professional ergonomists and program managers in government and public authorities, with a timely snapshot of the state of the art in the field of safety, health, and welfare management. It also addresses agencies such as the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH), as well as other professionals dealing with occupational safety and health.
Download or read book Fatal Solution written by Jan M. Davies, MSc, MD, FRCPC, FRAeS and published by CRC Press. This book was released on 2022-05-10 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: One box of chemicals mistaken for another. Ingredients intended to be life-sustaining are instead life-taking. Families in shock, healthcare providers reeling and fingers starting to point. A large healthcare system’s reputation hangs in the balance while decisions need to be made, quickly. More questions than answers. People have to be held accountable – does this mean they get fired? Should the media and therefore the public be informed? What are family members and the providers involved feeling? When the dust settles, will remaining patients be more safe or less safe? In this provocative true story of tragedy, the authors recount the journey travelled and what was learned by, at the time, Canada’s largest fully integrated health region. They weave this story together with the theory about why things fall apart and how to put them back together again. Building on the writings and wisdom of James Reason and other experts, the book explores new ways of thinking about Just Culture, and what this would mean for patients and family members, in addition to healthcare providers. With afterwords by two of the major players in this story, the authors make a compelling case that Just Culture is as much about fairness and healing as it is about supporting a safety culture.
Download or read book The Challenger Launch Decision written by Diane Vaughan and published by University of Chicago Press. This book was released on 2016-01-04 with total page 622 pages. Available in PDF, EPUB and Kindle. Book excerpt: “An in-depth account of the events and personal actions which led to a great tragedy in the history of America’s space program.” —James D. Smith, former Solid Rocket Booster Chief, NASA, Marshall Space Flight Center When the Space Shuttle Challenger exploded on January 28, 1986, millions of Americans became bound together in a single, historic moment. Many still vividly remember exactly where they were and what they were doing when they heard about the tragedy. Diane Vaughan recreates the steps leading up to that fateful decision, contradicting conventional interpretations to prove that what occurred at NASA was not skullduggery or misconduct but a disastrous mistake. Why did NASA managers, who not only had all the information prior to the launch but also were warned against it, decide to proceed? In retelling how the decision unfolded through the eyes of the managers and the engineers, Vaughan uncovers an incremental descent into poor judgment, supported by a culture of high-risk technology. She reveals how and why NASA insiders, when repeatedly faced with evidence that something was wrong, normalized the deviance so that it became acceptable to them. In a new preface, Vaughan reveals the ramifications for this book and for her when a similar decision-making process brought down NASA’s Space Shuttle Columbia in 2003. “Vaughn finds the traditional explanation of the [Challenger] accident to be profoundly unsatisfactory . . . One by one, she unravels the conclusions of the Rogers Commission.” —The New York Times “A landmark study.” —Atlantic “Vaughn gives us a rare view into the working level realities of NASA . . . The cumulative force of her argument and evidence is compelling.” —Scientific American
Download or read book Training Within Industry Job Programs for Improved Construction Safety written by Lesiba George Mollo and published by Taylor & Francis. This book was released on 2023-10-06 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to demonstrate how a Training-Within-Industry (TWI) Job-Program could reduce human factor-related harm in construction. The construction industry has a significant impact on issues relating to the health, safety, and well-being (HSW) of people in the workforce. It is important to acknowledge that workers' behaviour influences the safety management system (SMS) of construction projects either negatively or positively and that it is important for a management team to identify relevant behaviours and take appropriate action to solve problems. In most cases, accidents happen because of the results of human failure in the form of errors, violations and system failures. Human failure causes accidents and site management needs to reduce hazards that might cause such errors, violations and system failures on worksites. The chapters in the book address factors causing human failure on construction sites, how to mitigate errors and violations through SMS and ‘learning by doing’ and improving practice of using safety instructors on sites. The book closes with insights from a TWI-informed human failure reduction framework. This book provides valuable insights into safety management in a construction site context that can be applied to other areas. It is essential reading for safety managers, construction managers, researchers, and advanced students.
