An Engineer's View of Human Error, Third Edition
Cover -- Half Title -- Title Page -- Copyright Page -- Foreword to the third edition -- Table of Contents -- 1: Introduction -- 1.1 Accept men as we find them -- 1.2 Meccano or dolls? -- 1.3 Types of human error -- 1.4 Two simple examples -- 1.5 Accident investigation -- 1.6 A story -- 1.7 Research on human error -- 2: Accidents caused by simple slips -- 2.1 Introduction -- 2.2 Forgetting to open or close a valve -- 2.3 Operating the wrong valve -- 2.4 Pressing the wrong button -- 2.5 Failures to notice -- 2.6 Wrong connections -- 2.7 Errors in calculations -- 2.8 Other medical errors -- 2.9 Railways -- 2.10 Other industries -- 2.11 Everyday life (and typing) -- 2.12 Fatigue -- 3: Accidents that could be prevented by better training or instructions -- 3.1 Introduction -- 3.2 Three Mile Island -- 3.3 Other accidents that could be prevented by relatively sophisticated training -- 3.4 Accidents that could be prevented by elementary training -- 3.5 Contradictory instructions -- 3.6 Knowledge of what we don't know -- 3.7 Some simple ways of improving instructions -- 3.8 Training or instructions? -- 3.9 Cases when training is not the best answer -- 4: Accidents due to a lack of physical or mental ability -- 4.1 People asked to do the physically difficult or impossible -- 4.2 People asked to do the mentally difficult or impossible -- 4.3 Individual traits and accident proneness -- 4.4 Mind-sets -- 5: Accidents due to failures to follow instructions -- 5.1 Accidents due to non-compliance by managers -- 5.2 Accidents due to non-compliance by operators -- 5.3 Actions to improve compliance -- 5.4 Alienation -- 5.5 Postscript -- 6: Accidents that could by prevented by better management -- 6.1 An accident caused by insularity -- 6.2 An accident due to amateurism -- 6.3 The fire at King's Cross railway station -- 6.4 The Herald of Free Enterprise