FOCUS
January 2006
The two books described below will help all those aiming to raise
standards of health and safety in the workplace are introduced here.
The Blame Machine describes how disasters and serious accidents
result from recurring, but potentially avoidable, human errors. It shows
how such errors are preventable because they result from defective systems
within a company. From real incidents, you will be able to identify common
causes of human error and typical system deficiencies that have led to
these errors. On a larger scale, you will be able to see where, in the
organisational or management systems, failure occurred so that you can
avoid them.
The book also describes the existence of a 'blame culture' in many
organisations, which focuses on individual human error whilst ignoring the
system failures that caused it. The book shows how this 'blame culture'
has, in the case of a number of past accidents, dominated the accident
enquiry process hampering a proper investigation of the underlying causes.
Suggestions are made about how progress can be made to develop a more
open culture in organisations, both through better understanding of human
error by managers and through increased public awareness of the issues.
The book brings together documentary evidence from recent major incidents
from all around the world and within the Rail, Water, Aviation, Shipping,
Chemical and Nuclear industries.
PART 1 - UNDERSTANDING HUMAN ERROR
- To err is human: Defining human error. Random and systemic
errors.
- Errors in practice: Genotypes and phenotypes. The skill, rule
and knowledge taxonomy. The generic error modelling system taxonomy.
- Latent errors and violations: Latent and active errors.
Violations.
- Human reliability analysis: Measuring human reliability.
Human reliability methods. Task decomposition. Error identification.
- Human error modelling: Basic probability theory. Error
recovery. Error dependency.
- Human error in event sequences: Human reliability event
trees. Scenario analysis. Overview of human error modelling.
PART 2 - ACCIDENT CASE STUDIES
- Organizational and management errors: The Flixborough
chemical plant disaster. The capsize of the Herald of Free Enterprise.
Privatisation of the railways.
- Design errors: The fire and explosion at BP Grangemouth. The
sinking of the ferry 'Estonia'. The Abbeystead explosion.
- Maintenance errors: Engine failure on the Royal Flight. The
railway accident at Hatfield. The railway accident at Potters Bar.
- Active errors in railway operations: Signals passed at
danger. The train accident at Purley. The driver's automatic warning
system. The Southall and Ladbroke Grove rail accidents. Human error
analysis of signal passed at danger. Driver protection against SPADs.
- Active errors in aviation: The loss of flight KAL007. The
Kegworth accident.
- Violations: The Chernobyl accident. The Airbus A320 crash at
Mulhouse.
- Incident response errors: Fire on Swissair flight SR111. The
Channel Tunnel fire.
- Conclusions: Human error and blame. Understanding human
error. Human error in industry.
Appendix: Train protection systems.
Readership: Students on occupational psychology, occupational
health and safety, insurance and risk management courses, especially those
on BSc and MSc Occupational Health and Safety courses. Safety
practitioners in manufacturing and transportation industries; managers;
accident investigators and safety regulators; liability surveyors.
The Blame Machine: why human error causes accidents, by R.B.
Whittingham | Elsevier Butterworth-Heinemann | ISBN: 0-7506-5510-0 |
Book/Paperback | 288 pages | www.elsevierdirect.com
Barry Whittingham has worked as a senior engineer, design engineer and
consultant for the chemical, nuclear, offshore oil and gas, railway and
aviation sectors. He developed a career as a safety consultant
specializing in the human factors aspects of accident causation. He is a
member of the Human Factors in Reliability Group, and a Fellow of the
Safety and Reliability Society.
In this comprehensive guide to occupational safety and health (OSH or
OHS), the authors have taken an international and holistic perspective,
foregoing regional prescriptive models for a self-regulatory, risk
management-based approach to health and safety at work.
Both technical and human factors are considered in all areas of health
and safety management - from hazardous substances and radiation, noise and
vibration, to ergonomics, stress, substance abuse, and violence. The book
outlines strategies for managing workers' compensation claims and
rehabilitation, and for assessing training needs and evaluating courses.
It also explains how to implement an overall occupational health and
safety management system in a company, integrating this into existing
quality management programs.
Each chapter includes a workplace application, further reading
recommendations, and end-of-chapter questions, making this an ideal text
for students on all health and safety related vocational and university
courses. The book is also suitable for students on management courses, in
which health and safety is being increasingly included in the syllabus.
Managers, both general and health & safety professionals, will find
this an invaluable international reference to the current concepts.
Contents
Current concepts: Common Terms. Key factors in the development
of workplace accident prevention. The American Scene and the Birth of
Accident Prevention. Accident Costs from workplace injuries and damage.
Issues in the work environment affecting employee well-being. Further
Reading. Appendix - Practical Risk analysis for safety management.
Common and statute law: Origins and types of law which influence
OHS. Duty of Care. OHS legislation. Legislation in accident prevention in
the US and EU. Further reading.
Hazard and risk management: Risk concepts. Role of hazards in
injury causation. Planned hazard identification, formal and informal
systems. Risk assessment. Principles behind risk assessment and importance
and limitations of scientific assessment. Understanding risk. Risk
control. Further reading.
Workplace inspections: Standard setting and formal and informal
inspection. Structured and documented inspections. Format for inspections
and reporting. Conducting a safety audit and preparing a report.
Accident prevention: Accident causation factors. Identifying the
factors. Elements of the work system influencing OHS. Basic human
behavioural aspects of accident and injury occurrence. Accident
Investigation. Principal elements in developing a workplace heath and
safety plan. Accident, injury, compensation and safety data. Collecting,
sorting accessing and validating data. Data handling and analysis. Data
reporting to management. Violence in the workplace. Appendix Accident
models. References to accident models. Further reading.
Risk engineering: Electrical safety. Fixed machinery hazards.
Safe use of pressure vessels and lifting equipment. Fire hazard
identification and extinguisher use. Fire safety managers. Building
regulations and fire safety compliance. Determining building
classifications, fire loads and fire resistance. Preparing a technical
brief of fire safety requirements for a building. The human element in
fire causation and behaviour during fire emergencies. Locking systems -
Security versus safe egress. Fire prevention and emergency training
program. Further reading.
Hazardous substance management: Chemical elements, compounds,
classes and physical state. Common chemical hazard classes and
descriptors. Chemical reactions and structures. Classifying chemicals.
Main factors in transport of hazardous chemicals. Dangerous goods vehicle
and driver checks. Storage of hazardous substances. Information sources on
chemical hazards. Procedures for receipt and dispatch of hazardous
substances. Specialist facilities for the management of hazardous
substances. Controls to minimize employee exposure. Role of emergency
personnel. Further reading.
Health at work: Development history of occupational health.
Current developments in occupational health. Workplace diseases, causes
and toxins. Links between workplace stressors, processes and diseases.
Worker health monitoring. Stressors inside and outside the workplace.
Alcohol and drugs in the workplace. Further reading.
Work environment: Major characteristics of noise. Control of
excessive noise. Ergonomic Principles and control of noise, vibration and
lighting hazards. Conducting a noise survey. Measuring light levels. Air
contaminant measurement. Thermal comfort and heat stress. Vibration.
Non-ionising radiation. Ionising radiation. Further reading.
Ergonomics: Origins and History. The person-machine model.
Anthropometry. Relative merits of methods of collecting and applying
anthropometric data. Common forms of occupational overuse syndrome and
preventative ergonomic strategies. Methods for identification, assessment
and control of manual handling hazards. Assessment of manual handling
tasks. Prevention of manual handling injuries. Assessing the energy cost
of work. Ergonomic principles associated with integration of controls and
displays. Job design structure. Ergonomic principles and design and
redesign of workstations. Ergonomics and workstation design. Human error.
Further reading.
Workers compensation and rehabilitation: Development of
employer's liability. Employer's liability for compensation under workers
compensation legislation. Process for resolving disputes in workers
compensation. Principles of rehabilitation applying to injured workers.
Role of rehabilitation in the workers compensation system. Factors in an
effective injury management system. Assistance in rehabilitation of
employees. Negotiation of premium level with the insurer. Effective claims
management. Further reading.
Health and safety training: Safety and health training programs.
Education and training needs. Assessment methods. Options for training
delivery. Choosing and performing appropriate follow-up activities to
evaluate a training session (or program). The importance of procedures.
Further reading.
Safety management: Safety and health in risk management. Formal
and informal safety meetings. Nature, occurrence and industrial relations
implications of OHS issues. Prioritising and developing strategies to
resolve OHS issues. Budget planning, control of safety expenditure and
supervision. Best practice in work safety. Contractor safety. Behaviour
based safety. Communication and meeting skills. Further reading.
Health and safety management systems: Options for management of
OHS in an organisation. Strategies to integrate OHS into organisational
quality management systems. Proposing and defending a strategy for
management of change. Reviewing an occupational health and safety
management system. Cost-benefit analyses for new acquisitions,
refurbishments or maintenance. Further reading.
A Learning System to support studies of this book is available at www.enhancingsafety.com
Readership: Academic students, especially undergraduates. Safety
professionals. Human Resources managers with responsibility for H&S
issues. Industrial hygienists; environmental managers with responsibility
for H&S issues; Health & Safety practitioners; risk managers;
occupational hygienists; environmental health officers.
Enhancing Occupational Safety and Health, by Geoff Taylor, Kellie
Easter and Roy Hegney | Elsevier Butterworth-Heinemann | ISBN:
0-7506-6197-6 | Book/Paperback | 599 pages | www.elsevierdirect.com
Geoffrey
A. Taylor M. Sc. (Occ. Hyg.), Grad. Dip. Bus. Admin, Chartered Fellow,
Safety Institute of Australia, Dip. Occ. Hyg. (UK), C.I.H. (US), MAIOH.
Director, Work Safety and Health Associates, Riverton, Australia.
Kellie
Easter Grad. Dip. OHS (Curtin), RGN, MSIA.
Lecturer, Australian Centre for Work Safety, Swan College of Technical
and Further Education, Perth, Australia.
Roy
Hegney Grad. Dip. OHM (Ballarat), Grad. Dip. Ed. Training and
Development (ECU)
Lecturer, Australian Centre for Work Safety, Swan College of Technical
and Further Education, Perth, Australia.
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