Investigating Human Error: Incidents, Accidents, and Complex Systems, Second Edition / Edition 2

by Barry Strauch

Overview

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. Based on the author's extensive experience as an accident investigator and instructor of both aircraft accident investigation techniques and human factors psychology, it reviews recent human factors literature, summarizes major transportation accidents, and shows how to investigate the types of errors that typically occur in high risk industries. It presents a model of human error causation influenced largely by James Reason and Neville Moray, and relates it to error investigations with step-by-step guidelines for data collection and analysis that investigators can readily apply as needed. This second edition of Investigating Human Error has been brought up to date throughout, with pertinent recent accidents and safety literature integrated. It features new material on fatigue, distraction (eg mobile phone and texting) and medication use. It also now explores the topics of corporate culture, safety culture and safety management systems. Additionally the second edition considers the effects of the reduction in the number of major accidents on investigation quality, the consequences of social changes on transportation safety (such as drinking and driving, cell phone use, etc), the contemporary role of accident investigation, and the effects of the prosecution of those involved in accidents.

Product Details

ISBN-13:	9781472458681
Publisher:	Taylor & Francis
Publication date:	02/22/2017
Edition description:	Revised
Pages:	343
Product dimensions:	6.12(w) x 9.19(h) x (d)

About the Author

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.

Table of Contents

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

Editorial Reviews

"This is an extremely important book, one that literally can save lives. For decades, I've argued that blaming an accident was on "human error" is not helpful. It is necessary to understand the root causes (invariably plural) and fix those, otherwise the errors continue. Often the fault lies in design, either of the system or the procedures, but there are a multitude of potential underlying, causes. Barry Strauch's book discusses these issues and provides detailed, valuable guidelines for investigating incidents with the goal, not of finding blame, but of preventing future recurrence."
—Don Norman, University of California, San Diego Design Lab
Author of "Design of Everyday Things"

Comments on previous edition: ’...essential reading for the professional investigator and the serious student of the subject. Strauch is commendably thorough. Do not be discouraged from buying the book because you do not work in aviation. In fact, reading about accidents in other industries we see the causes more clearly as we are not involved.' Industrial Safety Magazine 'It is always exciting to receive new books from Ashgate in the sure expectancy of new findings and fresh interpretation...as hard to put down as a crime detection thriller, with carefully researched case histories revealing disastrous sequences of human error, maladministration and criminal neglect far stranger than fiction. This is an important and valuable book...' The RoSPA Occupational Safety and Health Journal

"This is an extremely important book, one that literally can save lives. For decades, I've argued that blaming an accident was on "human error" is not helpful. It is necessary to understand the root causes (invariably plural) and fix those, otherwise the errors continue. Often the fault lies in design, either of the system or the procedures, but there are a multitude of potential underlying, causes. Barry Strauch's book discusses these issues and provides detailed, valuable guidelines for investigating incidents with the goal, not of finding blame, but of preventing future recurrence."
—Don Norman, University of California, San Diego Design Lab
Author of "Design of Everyday Things"

From the Publisher