dc.contributor.author | Stoop, J.A. | |
dc.contributor.author | Dekker, Sidney | |
dc.date.accessioned | 2011-05-19 | |
dc.date.accessioned | 2017-03-01T23:26:14Z | |
dc.date.available | 2017-03-01T23:26:14Z | |
dc.date.issued | 2009 | |
dc.date.modified | 2012-09-04T23:09:25Z | |
dc.identifier.uri | http://hdl.handle.net/10072/46654 | |
dc.description.abstract | A series of surveys on accident investigation models show a wide variety of models,
dedicated to specific industrial applications, domains and investigation aspects. In
particular the investigation of human factors is exposed to a wide diversity of
models. In reviewing such models, the majority proves to be a derivate from the
Reason’s Swiss Cheese causation model or the Rasmussen model on system
hierarchy. Most of the models origin from the process industry and the energy sector.
Application in the aviation industry has revealed their conceptual limitations. Due to
their simplifications and lay interpretations, their intervention potential in practice is
limited to linear solutions. In order to cope with socio-technological interactions in a
multi-actor perspective, a full systems engineering design approach should be
applied in a mission specific operating envelope. Such an approach is submitted to
three paradigmatic shifts in investigation methodology. First; disengagement is
required between event modelling and systems modelling. Second; a distinction in
two design classes is required. A distinction is made between linear interventions
within the existing design envelope and second order interventions focusing on
expansion of the design solution space. Third; designing safer solutions in a multiactor
systems environment requires prototyping, virtual system model simulation and
testing of limit state scenarios. Based on these constraints, a framework for safety
enhancement is described, derived from experiences in the aviation industry itself.
This framework is based on a new view on human error, a dynamic systems
engineering design approach, analytical forensic abilities and institutional conditions
for independent and qualified accident investigations. | |
dc.description.peerreviewed | No | |
dc.description.publicationstatus | Yes | |
dc.format.extent | 131072 bytes | |
dc.format.mimetype | application/pdf | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Human Factors and Ergonomics Society Europe Chapter | |
dc.publisher.place | Linköping, Sweden | |
dc.publisher.uri | http://www.hfes-europe.org/ | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofconferencename | Human Factors and Ergonomics Society Europe Chapter | |
dc.relation.ispartofconferencetitle | Human Factors and Ergonomics Society Europe Chapter | |
dc.relation.ispartofdatefrom | 2009-10-14 | |
dc.relation.ispartofdateto | 2009-10-16 | |
dc.relation.ispartoflocation | Linköping, Sweden | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Risk Engineering (excl. Earthquake Engineering) | |
dc.subject.fieldofresearchcode | 091507 | |
dc.title | Accident modeling: From symptom to system | |
dc.type | Conference output | |
dc.type.description | E2 - Conferences (Non Refereed) | |
dc.type.code | e2x | |
gro.faculty | Arts, Education and Law | |
gro.rights.copyright | © 2009 Shaker Publishing. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the conference's website for access to the definitive, published version. | |
gro.date.issued | 2009 | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Dekker, Sidney | |