The Field Guide to Human Error Investigations

This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.

ISBN	0754619249	DEWEY edition	DC21
ISBN13	9780754619246 (What's this?)	Pages	170
Publisher	Ashgate Publishing Group	Volumes	001
Imprint	Ashgate Publishing Limited	Weight (grammes)	272
Format	Paperback	Published in	Aldershot
Publication date	11 Jan 2002	Height (mm)	156
Non-book description	ix, 160 p. :	Width (mm)	233
Library of Congress	TA169.5.D4	Spine width (mm)	13
DEWEY	363.12414	Academic level	Tertiary education

	Preface
Pt. 1	Human error as a cause of mishaps
1	The Bad Apple Theory	3
2	Reacting to Failure	15
3	What is the Cause?	31
4	Human Error by any Other Name	41
5	Human Error in the Head or in the World?	47
6	Put Data in Context	51
Pt. 2	Human error as symptom of trouble deeper inside the system
7	Human Error - the New View	61
8	Human Factors Data	67
9	Reconstruct the Unfolding Mindset	77
10	Patterns of Failure	101
11	Writing Recommendations	133
12	Learning from Failure	143
13	Rules for in the Rubble	151
	Acknowledgements	157
	Subject Index	159

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