Almost all the major accident investigations--Texas City, Piper Alpha, the Phillips 66 explosion, Feyzin, Mexico City--show human error as the principal cause, either in design, operations, maintenance, or the management of safety. This book provides practical advice that can substantially reduce human error at all levels. In eight chapters--packed with case studies and examples of simple and advanced techniques for new and existing systems--the book challenges the assumption that human error is unavoidable. Instead, it suggests a systems perspective. This view sees error as a consequence of a mismatch between human capabilities and demands and inappropriate organizational culture. This makes error a manageable factor and, therefore, avoidable.List of Figures and Tables.
Preface.
Glossary and Acronyms.
1. Introduction: The Role of Human Error in Chemical Process Safety.
1.1 Introduction.
1.2 The Role of Human Error in System Accidents.
1.3 Why Is Human Error Neglected in the CPI?
1.4 Benefits of Improved Human Performance.
1.5 The Traditional and System-induced Error Approach.
1.6 A Demand-Resource Mismatch View of Error.
1.7 A Case Study Illustrating the System-Induced Error Approach.
1.8 From Theory to Practice.
1.9 Appendix Case Studies.
2. Understanding Human Performance and Error.
2.1 Purpose of the Chapter.
2.2 Concepts of Human Error.
2.3 An Overview of the Four Perspective on Human Error.
2.4 The Traditional Safety Engineering Approach to Accidents and Human Error.
2.5 The Human Factors Engineering and Ergonomics Approach (HF/E).
2.6 The Cognitive Engineering Perspective.&ll-