The ‘Wheel of Misfortune’: a taxonomic approach to human factors in accident investigation and analysis in aviation and other complex systems (original) (raw)
The analysis and reporting of the human factors aspects of accidents in aviation and other complex systems continues to present diYculties for investigators and analysts alike. Reason's`latent conditions' model has had a major impact on the way accidents are conceptualized but it has proven diYcult to apply as a practical tool. Recent attempts to overcome these diYculties are discussed and an alternative conceptualization is proposed. This conceptualization is based on a blend of several well-supported theoretical models in cognitive engineering and can be used to formulate a parsimonious analysis system for the investigation and reporting of the human factors aspects of accidents. Two well-known examples of transportation disasters are brie¯y described and related to the proposed conceptual framework. The proposed framework serves three important functions in accident investigation and analysis: a heuristic function, an investigative function, and an integrative function.
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.