Download PDF by Trevor Kletz: An Engineer’s View of Human Error, Third Edition

By Trevor Kletz

ISBN-10: 1560329106

ISBN-13: 9781560329107

This name seems to be at how humans, instead of know-how and pcs, are arguably the main unreliable issue inside of vegetation, resulting in risky events.

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Additional resources for An Engineer’s View of Human Error, Third Edition

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The examples that follow illustrate some of the ways we can prevent mistakes — that is, accidents that occur because people do not know the correctactionto take: • • • The obviousway is to improvethe training or instructions, butbeforedoing so we shouldtry to simplifythe job or redesign the work situationso as to reduceopportunities for error (mostof this chapter). 4, page 56). 5, page 57). 8,page 61j. 5,page65). page 66). • Checkthatinstructions areeasytoread,readilyavailableandwrittentohelp thereader ratherthan protect thewriter.

7 The first accidentcould be prevented by not indulging in such a foolish experiment, which can so easily and obviously go wrong, and the secondby usingdifferentcontainers for drinks and laboratory chemicals. Many other slips, mostly trivial in their consequences, are describedby Reasonand Mycielska1. 12 Fatigue Fatigue may make slips, and perhaps errors of other sorts, more likely. 5, page 118) a contributory factor to a slip was 'thebluntingofthe sharp edge of close attention' due to working seven days per week without a day off.

21 LossPreventionBulletin, 1989. No. 090, page29. 22. As Reference 19, page 126. 23. Hidden, A. 12 (HMSO,London, UK) 24. Evening Gazette (Middlesbrough), 24 and 25 August 1987. 25. Miller, J. USA). 26. Operating Experience Weekly Swnmaiy, 1998, No. 98—52, page 3 (Office of NuclearandFacilitySafety,US Department ofEnergy, Washington, DC, USA). 27. Operating Experience Weekly Summary, 1999, No. 99—17, page 1 (Office of Nuclearand FacilitySafety,US Department ofEnergy, Washington. DC. USA). 28. Sykes,W S.

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An Engineer’s View of Human Error, Third Edition by Trevor Kletz


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