Understanding accidents - From root causes to performance variability

IEEE Conference on Human Factors and Power Plants

Volumn , Issue , 2002, Pages 1-6

  Hollnagel, Erik ^a  

^a LINKÖPING UNIVERSITY   (Sweden)

Author keywords

Accident analysis; Accident prevention; Action failure; Blunt end sharp end; Epidemiological model; Sequential model; Systemic model

Indexed keywords

ACCIDENT PREVENTION; EPIDEMIOLOGY; HUMAN ENGINEERING; MATHEMATICAL MODELS; PERFORMANCE;

SEQUENTIAL MODELS;

ACCIDENTS;

EID: 0036440605     PISSN: None     EISSN: None     Source Type: Conference Proceeding    
DOI: None     Document Type: Conference Paper

References (13)

1. Amalberti, R. (1996). La conduite des systèmes à risques, Paris: PUF.
2. Barnes, V.E., Haagensen, B.C. & O'Hara, J.M. (2002). The human performance evaluation process: A resource for reviewing the identification and resolution of human performance problems (NUREG/CR-6751). Washington, DC: U.S. Nuclear Regulatory Commission Office of Nuclear Regulatory Research.
3. Dörner, D. (1980). On the difficulties people have in dealing with complexity. Simulation & Games, 11(1), 87-106.
4. Heinrich, H.W., Petersen, D. & Roos, N. (1980). Industrial Accident Prevention (Fifth Edition). New York: McGraw-Hill Book Company.
5. Kanse, L. & van der Schaaf, T.W. (2000). Recovery from failures Understanding the positive role of human operators during incidents. In: D. De Waard, C. Weikert, J. Hoonhout, & J. Ramaekers (Eds.): Proceedings Human Factors and Ergonomics Society Europe Chapter Annual Meeting 2000, Maastricht, Netherlands, November 1-3, 2000, p. 367-379.
6. Perrow, C. (1986). Complex organizations: A critical essay (3rd ed.). New York: Random House.
7. Reason, J.T. (1987). The Chernobyl errors. Bulletin of the British Psychological Society, 40, 210-216.
8. Reason, J.T. (1990). Human error. Cambridge, U.K.: Cambridge University Press.
9. Reason, J.T. (1997). Managing the risks of organizational accidents. Aldershot, UK: Ashgate.
10. Sheridan, T.B. (1992). Telerobotics, automation, and human supervisory control. Cambridge, MA: MIT Press.
11. Svenson, O. (1991). The accident evolution and barrier function (AEB) model applied to incident analysis in the processing industries. Risk Analysis, 11(3), 499-507.
12. Svenson, O. (2001). Accident and Incident Analysis Based on the Accident Evolution and Barrier Function (AEB) Model. Cognition, Technology & Work, 3(1), 42-52.
13. Woods, D.D., Johannesen, L.J., Cook, R.I. & Sarter, N.B. (1994). Behind human error: Cognitive systems, computers and hindsight. Columbus, Ohio: CSERIAC.