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The Field Guide to Understanding 'Human Error'
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The Field Guide to Understanding 'Human Error'

4.15  ·  Rating details ·  219 ratings  ·  24 reviews
When faced with a human error problem, you may be tempted to ask 'Why didn't they watch out better? How could they not have noticed?'. You think you can solve your human error problem by telling people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure. These are all expressions of 'The Bad Apple Theory', where you believe your system is ...more
Paperback, Third Edition
Published 2014 (first published February 2002)
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4.15  · 
Rating details
 ·  219 ratings  ·  24 reviews


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Mike Pearce
Mar 15, 2017 rated it it was amazing  ·  review of another edition
Shelves: non-fiction
This book is an absolute must read for anyone "in charge of" or responsible for people. Superb view on "human error".
Matthew Horvat
Aug 29, 2009 rated it really liked it  ·  review of another edition
Have a safety incident that you are pissed about? Ever kick someone off the job for not wearing their safety glasses? I happen to be following the safety officer when he asked the drywall guy to send his plaster home for the day. This was the second confirmed occurrence of the violation. Later I happen to be in a planning meeting when the plaster foremen informed the group that they were late delivering what was needed because of the safety officer.

Nobody ever asked the guy why he removed his g
...more
Mark McGranaghan
This book examines "human error" as the natural outcome of systems where "people were doing reasonable things given the complexities, dilemmas, trade-offs and uncertainty that surrounded them."

It argues that that systems "are not basically safe" but that "safety needs to be created through practice, by people", especially when there is a lot of technology and automation involved.

It argues for confronting the tradeoff between production and safety, and examining how organizational and management
...more
Brad
Apr 25, 2013 rated it liked it  ·  review of another edition
Definitive book on an important subject, but it felt repetitive, like the entire book could have been one quarter the length. Still, a must read for anyone who deals with complex systems and, well, humans.
Nathan Powell
Nov 04, 2012 rated it it was amazing  ·  review of another edition
Excellent book in my opinion. If you want to think about error and mistakes and how to prevent them systemically this is the book for you. It is written from the perspective of accidents and safety, however all professionals that want to prevent errors will get something from this book.
Tõnu Vahtra
Sep 25, 2018 rated it really liked it  ·  review of another edition
“Underneath every simple, obvious story about ‘human error,’ there is a deeper, more complex story about the organization.” I expected more substance from this book but since it was relatively short then you cannot really go too much into details, also the first version of the book (first written in 2002) thus the examples were from aerospace and mining industries, it's about time to cover this topic in more detail in the context of IT organization. I would not consider the "old approach to safe ...more
Jan D
Apr 19, 2018 rated it really liked it  ·  review of another edition
A systemic view on human errors. The title is actually a bit misleading, since the book states that “human error” is caused by an interplay of incentives, culture, authority/responsibility and co-existing pressures, and rarely by single people who behave wrong.

Summary:

Dekkers argument is that "should not have done" makes sense only in hindsight, with the information an outsider has after the error has happened. Most people want to do their job right, and thus they usually do what makes sense in
...more
Nick Armstrong
Sep 26, 2018 rated it really liked it  ·  review of another edition
Shelves: business
Good; can be summarized as: nobody tries to do a bad/dangerous job, mistakes are made as folks do their best with limited information in the situation as they perceive it. So the best bet to figuring out errors is to put yourself in the mind of the person making the error and asking yourself what did they know at the time things started going south - and what would have to be true (to them) for them to make the same decisions?
Kyla Squires
Easy and informative if repetitive read on disaster post-mortems and how human error is probably a direct result of a poorly designed system rather than poor performing humans.

You will never feel safe again.
Benjamin
Nov 11, 2017 rated it really liked it  ·  review of another edition
This is a great book about understanding and dealing with human error. It feels repetitive especially in the beginning, but overall it is a good and insightful read.
Matthew Horvat
Sep 07, 2009 rated it really liked it  ·  review of another edition
Recommends it for: Safety professionals and all construction field foremen, project managers and supers
More important than the bulleted rules of engagement for a human error investigation, and more important than the pitfalls to avoid, are Sidney Dekker's signs of not learning from failure. The safety department of today, as with our standards, don't include a possibility of real safety transformation.

This is an early book in Dekker's literature about human error. He provides a self-generating solution to human failure - learning.

I find this work to be incredibly relevant to increasing performan
...more
Carlos Mueses
I found this book an easy read. Dekker starts by explaining 2 different views on human error, one that sees machines as perfect functioning entities that without the intervention of humans would never fail. The followers of this train of thought can't wait to have everything automated and without humans so we can have perfect flows.

The second view is the most interesting one to me. The author explains how this school of thought sees human error not as the final product but as another element in
...more
Nathanael Coyne
After reading The Field Guide to Understanding Human Error you'll be yelling at the TV the next time you watch an episode of Air Disasters or read in the news about someone being fired because they failed to follow procedure resulting in an incident. There is no such thing as a root cause. There is no finite timeline preceding an incident. People who have the highest work ethic will still screw up if their environment is less than optimal, work procedures confusing or organisational culture host ...more
Gallottino
Dec 27, 2015 rated it really liked it  ·  review of another edition
Shelves: lingua-inglese
A great book about human error and a different vision about this problem. Error is not the cause but the consequence of different pressures and trade-off that people have to deal with in every productive tasks. A strong critic to the "bad apple theory" and also to analytical methods like root cause analysis. What we should do is to put ourselves in the shoes of people who behave differently and examine the events not in hindsight.
The only defect of this book is the excessive lenght. Many concept
...more
Janp
Jan 08, 2017 rated it really liked it  ·  review of another edition
Elaborate piece of work on safety systems and the view on what causes accidents. Although I really appreciate the key message of the book, things tend to be repetitious without being coherent, mainly due to the horrible lay-out and editing of the book. It was really distracting at times and didn't help in enjoying the book as it could have been. All in all worthwhile information on a broader and fairer view of accidents and preventing them.
Christopher
Dec 31, 2014 rated it really liked it  ·  review of another edition
This is a classic. Everyone in tech ops should read it. Everyone designing a physical product or technical service should read it and use its lessons to develop empathy toward the users, operators, and sometimes victims of their work. Remember, it's about designing systems that are safe to operate not about assigning blame when fallable users fail to operate (sometimes poorly designed) systems.
Dag Erik Lutnæs
First book on safety

This was an easy read. Excellent intro to old and new view on safety. I read it as part of a masters program on human factors and systems safety. It touches upon many central topics and the it is easy to follow the language (English is not my first language) . I would recommend this to anyone interested in safety.
Russell
Jun 26, 2015 rated it really liked it  ·  review of another edition
A little dense in places, a little repetitive in others, but ultimately I think a very interesting look at the two dominant views in post-facto analysis of things going wrong. Definitely gave me pause about how I think (thought?) about the stuff that I do at work.
Sean
Dec 14, 2015 rated it really liked it  ·  review of another edition
If you deal with process, read this book.
Dan Slimmon
Great stuff! I now understand a lot more about incident investigation, and I'm going to change my company's policies accordingly.

Docked a star for hilariously awful illustrations.
Mary
Sep 02, 2013 rated it it was amazing  ·  review of another edition
Fascinating and very interesting!
TJ-Steph Harman
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Jul 11, 2018
David Snook
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Sep 19, 2015
Sean
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Nov 14, 2014
Adrian Bednarek
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Jul 26, 2015
Melissa
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Jun 18, 2014
Gert Ottenburgs
rated it it was amazing
Oct 16, 2017
michael haight
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May 10, 2014
Chris
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Kurt Gardiner
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Apr 09, 2016
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“Accountability can mean letting people tell their account, their story.” 0 likes
“There is almost no human action or decision that cannot be made to look flawed and less sensible in the misleading light of hindsight.” 0 likes
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