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' No matter if the reader is an upper level executive in an aerospace company, a member of an accident investigation team, a safety engineer, or a university student, Sid's Field Guide is equally as useful. This book presents important ideas for those who regulate human factors investigation and research, making it an essential read for the academician, the research analyst, and the government regulator' International Journal of Applied Aviation Studies, Vol 7, No 2
Product Description
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 basically safe if it were not for those few unreliable people in it. This old view of human error is increasingly outdated and will lead you nowhere. The new view, in contrast, understands that a human error problem is actually an organizational problem. Finding a 'human error' by any other name, or by any other human, is only the beginning of your journey, not a convenient conclusion. The new view recognizes that systems are inherent trade-offs between safety and other pressures (for example: production). People need to create safety through practice, at all levels of an organization. Breaking new ground beyond its successful predecessor, "The Field Guide to Understanding Human Error" guides you through the traps and misconceptions of the old view. It explains how to avoid the hindsight bias, to zoom out from the people closest in time and place to the mishap, and resist the temptation of counterfactual reasoning and judgmental language. But it also helps you look forward. It suggests how to apply the new view in building your safety department, handling questions about accountability, and constructing meaningful countermeasures. It even helps you in getting your organization to adopt the new view and improve its learning from failure. So if you are faced by a human error problem, abandon the fallacy of a quick fix. Read this book.
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Customer Reviews
Most Helpful Customer Reviews
8 of 9 people found the following review helpful
Format:Paperback
Essential reading for any safety investigator. An eye-opening way to transform your investigations by moving from the old-view to the new-view. I've used this book as a 'course book' for a seminar of 25 safety professionals to great effect. Plus there is a good guide to the role of a safety department too.
4 of 5 people found the following review helpful
Format:Paperback
This book is an interesting read. Dekker certainly knows his stuff and writes in a relatively approachable way.
The chapters are relatively short..so digestible..that's a key benefit when topics are heavy like 'human error'. They are also punctuated with quotes from accident reports, which help illustrate his arguments well, and puts some flesh onto the bones behind the principles he is discussing. The final chapter also summarises key points from previous chapters as a handy recap of what you need to take away after reading the book.
It's very much focused on the aircraft sector..though he does sometimes, and welcomely bring in some examples from other sectors (though not enough really to give users a comprehensive flavour).
Conceptually, what he preaches makes sense...and is something that really challenges how companies might have traditionally tackled human error. However, I am left with a little unease in trying to accept his viewpoint entirely. His New View as he calls it, places human error as a consequence (not a cause of accidents) of organisational inadequacy, rather than fixating the responsibility of error at the operators feet. That makes sense to some degree, but whether one can have one without the other is my key challenge to this paradigm he proposes.
Nonetheless, it is worth reading if only to see how he approaches human error and his viewpoint is worthy to keep in mind when considering what human error is.
The chapters are relatively short..so digestible..that's a key benefit when topics are heavy like 'human error'. They are also punctuated with quotes from accident reports, which help illustrate his arguments well, and puts some flesh onto the bones behind the principles he is discussing. The final chapter also summarises key points from previous chapters as a handy recap of what you need to take away after reading the book.
It's very much focused on the aircraft sector..though he does sometimes, and welcomely bring in some examples from other sectors (though not enough really to give users a comprehensive flavour).
Conceptually, what he preaches makes sense...and is something that really challenges how companies might have traditionally tackled human error. However, I am left with a little unease in trying to accept his viewpoint entirely. His New View as he calls it, places human error as a consequence (not a cause of accidents) of organisational inadequacy, rather than fixating the responsibility of error at the operators feet. That makes sense to some degree, but whether one can have one without the other is my key challenge to this paradigm he proposes.
Nonetheless, it is worth reading if only to see how he approaches human error and his viewpoint is worthy to keep in mind when considering what human error is.
Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com:
7 reviews
5 of 5 people found the following review helpful
The best guide to how to investigate error
31 May 2008
Format:Paperback
Essential reading for any safety investigator. An eye-opening way to transform your investigations by moving from the old-view to the new-view. I've used this book as a 'course book' for a seminar of 25 safety professionals to great effect. Plus there is a good guide to the role of a safety department too.
5 of 6 people found the following review helpful
Top 5 Human Factors Recommended Reading
12 Feb 2009
Format:Paperback
Mr Dekker's books should be required reading for all accountable executives in high reliability organizations. Over 30 years as a continuous system improvement advocate, I have recently developed a "Recommended Reading" list for those who are new to the field of human factors and system safety. Dekker now as 3 books on that list, with the recent release of "Just Culture."
We live in the information age now; the only way to improve our lot is to share information for the purpose of continual learning. Dekker's approach points the way.
We live in the information age now; the only way to improve our lot is to share information for the purpose of continual learning. Dekker's approach points the way.
6 of 8 people found the following review helpful
Back to the basics
23 Nov 2007
Format:Paperback|Amazon Verified Purchase
We all are extremely good to forecast the past. When this simple principle is applied to human error, it is very easy blaming the human operator.
Dekker tries to put himself in the shoes of that human operator showing why an analysis that does not try to understand an event from that position is useless.
There is a very hard criticism to different kind of positions taken by people that do not make that effort.
If we try to make something as a "winzip on a summary" of the book, I think we could reach these conclusions:
When we have to analyze an event, it should be useful starting with this hipothesis: "People are not usually dumb, people are not usually crazy and people have not usually chosen the day of a big accident to make self-killing." This starting point could be enough to avoid many of the practices fairly critiziced by Dekker.
Dekker tries to put himself in the shoes of that human operator showing why an analysis that does not try to understand an event from that position is useless.
There is a very hard criticism to different kind of positions taken by people that do not make that effort.
If we try to make something as a "winzip on a summary" of the book, I think we could reach these conclusions:
When we have to analyze an event, it should be useful starting with this hipothesis: "People are not usually dumb, people are not usually crazy and people have not usually chosen the day of a big accident to make self-killing." This starting point could be enough to avoid many of the practices fairly critiziced by Dekker.
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