The Field Guide to Understanding Human Error, 2nd Edition

Index

accidents

analytic trace 125–33

bottom up 125, 127–8

top down 125, 129–33

causes 17

CFIT 98

models 81–92

probable causes 78–80

accountability

models 201–3

without authority 200, 228

see also responsibility

after-the-fact-worlds 29–30

Air Ontario incident 79–80, 178

analytic trace

bottom up 125, 127–8

conversation analysis 127–8

investigations 124–31

top down 125, 129–33

authority

and accountability 200, 228

constraints on 198–200

responsibility, mismatches 196–203

automation

and coordination 153–4

traces 98

automation surprises

human error 84, 114–15, 152–4

new technology 149

Bad Apple Theory 1–14

features 2

futility of 9–10, 228

investigations as 6

popularity 10–12

sidelining 216–18

behavior

and human error 71–2

and process 111–14

Bhopal ...