Health Safety

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

By Trevor Kletz

This name appears at how humans, in place of expertise and pcs, are arguably the main unreliable issue inside crops, resulting in risky occasions.

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An Engineer’s View of Human Error, Third Edition

This name appears at how humans, rather than know-how and pcs, are arguably the main unreliable issue inside vegetation, resulting in harmful events.

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

Example text

The message received may notbe thesame as theone transmitted. Sometimes no message is received. If operators are given a list of flash points or occupational exposurestandards, do theyknow what theymeanorhow they shoulduse them? 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).

Tyler. , 1864, in Public RecordOffice file MT 29 25, page 676, quotedby Jarvis, P. 1999. iniog Railway Magazine,Spring, No. 164,page 329. 31. , ibid. , 14 April 1999. 32. iy, page20. 33. Cape Timmies, 13 June 1996, quoted in JRR News, August 1997(Institutefor Risk Research. Toronto,Canada). 34. Hall,S.. 1989, Danger on the Line (Ian Allen, London,UK). 35. , 1996, British RailwayAccidents (IanAllen,London, UK). 36. ModernRailways, June 1999, page417. 37. ModernRailways, September 1999, page 659.

At Aisgill in the Pennincs in 1913, 14 people were killed and the driver, who survived, was imprisoned6. He was distracted byproblemswith his engineand 38 ACCIDENTS CAUSED BY SIMPLE SLIPS the Inquiry criticized the management for the strictness with which they punished delay and incorrecttreatment of engines. As a result of this policy driverswere more afraidofbeing late thanofhavingan accident. At Harrowin 1952, 112 people, including the driver, were killed. The driveris the personmost atrisk and many other drivershavebeenkilled in this way,so theyhaveno incentive to break the rules, but accidents still occur.

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