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Establishing Public Policy as a Primary Cause of Engineering Failure: Did Market Deregulation Lead to the North American 'Blackout', August 14th 2003?
On the 14th August 2003, a complex combination of latent problems and catalytic events led to a domino-effect in which 50 million people suffered some interruption to their power supplies. Losses have been estimated between $5-10 billion. It is, therefore, one of the most wide reaching and serious 'blackouts' in...
Incident and Accident Investigation Techniques to Inform Model-Based Design of Safety-Critical Interactive Systems
The quality of the design of an interactive safety-critical system can be enhanced by embedding data and knowledge from past experiences. Traditionally, this involves applying scenarios, usability analysis, or the use of metrics for risk analysis. This paper presents an approach that uses the information from incident investigations to inform...
Extending the Borders of Accident Investigation: Applying Novel Analysis Techniques to the Loss of the Brazilian Space Programme's Launch Vehicle VLS-1 V03
There has been a rapid increase in the complexity and integration of many safety-critical systems. In consequence, it is becoming increasingly difficult to identify the causes of incidents and accidents back through the complex interactions that lead up to an adverse event. At the same time, there is a growing...
The Role of Night Vision Equipment in Military Incidents and Accidents
It is important to emphasize that the additional capabilities provided by night vision devices also create new risks. Night operations continue to result in significantly more accidents and incidents than their daytime counterparts. Some of these mishaps can be directly attributed to problems in the design of night vision devices....
Road Traffic Accident Information System - First Year Report
Every year, around 3,500 people are killed on Britain's roads and 40,000 are seriously injured. The governments have launched several campaigns, such as "Think!" and Scottish Road Safety Campaign SRSC, to help people become aware of road safety issues and try to reduce road accident. The author tries to develop...
Using Software Development Standards to Analyse Accidents Involving Electrical, Electronic or Programmable, Electronic Systems: The Blade Mill PLC Case Study
This paper presents the results of a project commissioned by the Electrical and Control Systems Unit of the UK Health and Safety Executive. The results of the project will be used to give guidance to operators and suppliers of Electrical, Electronic or Programmable Electronic Systems (E/E/PES) in satisfying particular requirements...
The Interaction Between Safety Culture and Uncertainty Over Device Behaviour: The Limitations and Hazards of Telemedicine
The introduction of new technology carries with it a degree of uncertainty on the part of system operators. They must match device behaviour to the operating characteristics described during training sessions or within supporting documentation. When operators are uncertain about what their system is actually doing then they frequently resort...
Risk and Decision-Making in Military Incident and Accident Reporting Systems
Incident and accident reporting systems can be used to identify patterns of operator behavior in the causes and mitigation of adverse events. Most attention in this area has, however, focused on the civilian process, healthcare and transportation industries. In contrast, this paper focuses on human factors issues in military incident...
Behavioural Determinants of Performance in the MNC Subsidiary
This paper sets out to derive a testable model of MNC subsidiary performance, focusing on behavioural dimensions. The chosen dimensions are the strategic emphasis of the subsidiary; the levels of autonomy, procedural justice, distributive justice and interactive justice experienced by the subsidiary; the nature of leadership at both subsidiary and...
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