latent errors pose the greatest threat to safety in a complex system

Post on 16-Jan-2017

215 Views

Category:

Documents

0 Downloads

Preview:

Click to see full reader

TRANSCRIPT

18

-

19

-

20

21

P128

Understanding Safety

22 -23

24

255

-

26 -

277

-28

P129

29

-

ARE SOME TYPES OF SYSTEMS MORE PRONE TO ACCIDENTS?

30

31

32

33

-

-

-

34 -

P130

-

-

355

36

-

-

377 -

38

39

P131

Conditions That Create Errors

40 -

41

-

-42

43

-44

P132

455

-

477

48

P133

49

-

50

-

RESEARCH ON HUMAN FACTORS

51

-

-

52 -

-

53

P134

-

-

54

-

-

-

-

-

P135

-

55

SUMMARY

-

-

56

P136

REFERENCES

3.

5.

30.

P137

33.

35.

50.

53.

55.

P138

APPENDIX 2CHECKLIST FOR DEVELOPING A REPORTING SYSTEM

1. Clarify objectives

2. What types of learning are the priorities?

3. Voluntary or mandatory?

4. Confidential or public disclosure?

5. What is the process for the reporting system?

6. Is confidential information held secure?

P139

7. What is the data infrastructure?

8. What is the approach to classification?

9. What is the approach to analysis?

10. How will responses be generated and disseminated?

11. Are there sufficient resources?

P140

P141

P142

IYKDA
新規スタンプ

top related