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The Field Guide to Human Error Investigations.
・ISBN 978-1-138-70429-9 hard GB£ 124.99
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| 著者・編者 | Dekker, Sidney, |
|---|---|
| シリーズ | (Routledge Revivals) |
| 出版社 | (Routledge, UK) |
| 出版年月 | 2017 |
| ページ数 | 170 pp. |
| 言語 | ENG |
| ニュース番号 | <A02-4557> |
解説
This title was first published in 2002: 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.