An Engineer’s View of Human Error, Third Edition by Trevor Kletz PDF

By Trevor Kletz

ISBN-10: 1560329106

ISBN-13: 9781560329107

This identify seems at how humans, rather than know-how and desktops, are arguably the main unreliable issue inside vegetation, resulting in risky events.

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Followinga similar accident in 1996, another driver was prosecuted for manslaughter but acquitted40. Davis11 has analyseda numberofcasesin detail and has shownthat while a few of the drivers were clearly unsuited to the job, the majority were perfectly normal men with many years' experience who had a moment's aberration. 8, page 147) — this may be acceptable on little-used branch lines — or install a form of automatic train protection. On the UK Automatic Warmng System (AWS) a hooter sounds when a driver approaches a caution (amber or double amber) or a stop (red) signal and ifhe does not cancelthe hooter, the brakes are appliedautomatically.

The report on a chemicalplant accident(according to press reports a flare stack was filled with oil whichoverflowed, producing flames several hundred feet high) said, 'It is clear that in this case operatingteams overlooked things that should not have been overlooked, and misinterpreted instrument readings. ' A trade union leader is quoted as saying that the 45 AN ENGINEER'S VIEW OF HUMAN ERROR management team members were more tired than the operators as the managerswere working 12-hour shifts24.

Gas-cooled reactorsand fast reactors(the fast refers to the speed of the neutrons) are friendlier than water-cooled reactorsand a number ofother inherently safer designshavebeen proposed2. 1,page 101). 4 (page 62). 1 Re-starting a stirrer A numberof accidents have occurredbecausean operatorfound that a stirrer (or circulationpump) had stopped and switchedit on again. Reactants mixed suddenly with violentresults. On lookinground, he found that the stirrerhad stopped. He switchedit on again. The acid and the chalk reacted violently, blew off the manholecover on the tank and liftedthe bolted lid.

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An Engineer’s View of Human Error, Third Edition by Trevor Kletz

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