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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
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