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This new edition of a standard in the field is the most complete treatment available on modern methods of accident investigation. The investigation process is divided into three phases: preparation and planning, analytical methods and reporting, and corrective actions designed to prevent recurrence. Techniques discussed are general and can be applied to a wide range of industrial accidents. Topics covered include investigation concepts, the pitfalls of government intervention, legal aspects, multilinear events sequencing, and management oversight and risk tree (MORT). There is new material on the electronic and computer industries and on S-T-E-P accident investigation. A new chapter, ``A Generic Approach to Mishap Investigation,'' puts the entire process in perspective.
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. Features include: - an easy to follow step by step approach to conducting error investigations that even those new to the field can readily apply. - summaries of recent transportation accidents and human factors literature and relates them to the cause of human error in accidents. - an approach to investigating human error that will be of interest to both human factors psychology and industrial engineering students and instructors, as well as investigators of accidents in aviation, mass transportation, nuclear power, or any industry that is to the adverse effects of error. Based on the author's over 18 years of 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.
Every year people are killed or injured at work. Over 40 million working days are lost annually through work-related accidents and illnesses. This workbook can help different organisations, particularly smaller businesses, to carry out their own health and safety investigations.
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.
"............ 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.
This book provides an overview of, and practical guidance on, the range of human factors (HF) methods that can be used for the purposes of accident analysis and investigation in complex sociotechnical systems. Human Factors Methods and Accident Analysis begins with an overview of different accident causation models and an introduction to the concepts of accident analysis and investigation. It then presents a discussion focussing on the importance of, and difficulties associated with, collecting appropriate data for accident analysis purposes. Following this, a range of HF-based accident analysis methods are described, as well as step-by-step guidance on how to apply them. To demonstrate how the different methods are applied, and what the outputs are, the book presents a series of case study applications across a range of safety critical domains. It concludes with a chapter focussing on the data challenges faced when collecting, coding and analysing accident data, along with future directions in the area. Human Factors Methods and Accident Analysis is the first book to offer a practical guide for investigators, practitioners and researchers wishing to apply accident analysis methods. It is also unique in presenting a series of novel applications of accident analysis methods, including HF methods not previously used for these purposes (e.g. EAST, critical path analysis), as well as applications of methods in new domains.
This book provides a comprehensive treatment of investing chemical processing incidents. It presents on-the-job information, techniques, and examples that support successful investigations. Issues related to identification and classification of incidents (including near misses), notifications and initial response, assignment of an investigation team, preservation and control of an incident scene, collecting and documenting evidence, interviewing witnesses, determining what happened, identifying root causes, developing recommendations, effectively implementing recommendation, communicating investigation findings, and improving the investigation process are addressed in the third edition. While the focus of the book is investigating process safety incidents the methodologies, tools, and techniques described can also be applied when investigating other types of events such as reliability, quality, occupational health, and safety incidents.
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.