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dc.contributor.authorDekker, Sidneyen_US
dc.date.accessioned2011-05-19en_US
dc.date.accessioned2017-03-01T23:26:02Z
dc.date.available2017-03-01T23:26:02Z
dc.date.issued2009en_US
dc.date.modified2012-09-04T22:30:19Z
dc.identifier.urihttp://hdl.handle.net/10072/46628
dc.description.abstractA 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 multi-actor 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.en_US
dc.description.peerreviewedNoen_US
dc.description.publicationstatusYesen_US
dc.format.extent129476 bytes
dc.format.mimetypeapplication/pdf
dc.language.isoen_US
dc.publisherHuman Factors and Ergonomics Society Europe Chapter Annual Meetingen_US
dc.publisher.placeLinköping, Swedenen_US
dc.publisher.urihttp://www.hfes-europe.org/en_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofconferencenameHuman Factors and Ergonomics Society Europe Chapter Annual Meetingen_US
dc.relation.ispartofconferencetitleHuman Factors and Ergonomics Society Europe Chapter Annual Meetingen_US
dc.relation.ispartofdatefrom2009-10-14en_US
dc.relation.ispartofdateto2009-10-16en_US
dc.relation.ispartoflocationLinköping, Swedenen_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchHealth Policyen_US
dc.subject.fieldofresearchcode160508en_US
dc.titleIn the systems view of human factors, who is responsible for success and failure?en_US
dc.typeConference output
dc.type.descriptionConference Publications (Full Written Paper - Non-Refereed)en_US
dc.type.codee2xen_US
gro.facultyArts, Education and Lawen_US
gro.rights.copyrightCopyright 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.en_US
gro.date.issued2009
gro.hasfulltextFull Text


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    Contains papers delivered by Griffith authors at national and international conferences.

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