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

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

By Trevor Kletz

ISBN-10: 1560329106

ISBN-13: 9781560329107

This identify seems to be at how humans, in preference to expertise and desktops, are arguably the main unreliable issue inside crops, resulting in risky events.

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

Example text

Ifwe wishedto reducetheerror rate we could: Placethemachinein aplacewhere thereisless distraction; stress isharderto remove. Redesign the panel. We could put the buttonsfurtherapart. Betterstill, separate the choice of drink (tea, coffee, chocolate, soup) from the choiceofmilk (yes or no) and sugar(yes or no). • • If this did not give an acceptable error rate we might have to consider attaching a microprocessor which could be told the name of the product or customer and would then allow only certain combinations of constituents.

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. 38. ,ModernRailways, September 1999, page638. 39. Report on the Collision that Occurred on 4th Marc/i 1989 at Purley in the SouthernRegion ofBritishRailways, 1990 (FUvISO, London, UK).

The other signahnan was taking short cuts — omitting to carry out jobs which he may haveregardedas unnecessary. 2 What shouldwe do? As in the other incidentsdiscussedin this chapter, there are three ways of preventing similarincidents happemng again: (1) Changethe hardware. (2) Persuadethe operatorsto be more careful. (3) Accept the occasional accident (perhapstaking action to minimize the consequences). (1) Changing thehardwarewas,inthiscasepossible,but expensive. Thepresenceofatrain on aline can complete a 'trackcircuit' whichpreventsthe signal being cleared.

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

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