Abstract
Accident reports are intended to explain the causes of human error and system failure. They are based upon the evidence of many different teams of experts and are, typically, the result of a lengthy investigation process. They are important documents from an engineering perspective because they guide the intervention of regulatory authorities who must reduce the impact and frequency of system ‘failures’ and human ‘error’. There are, however, a number of problems with current practice. In particular, there are no established techniques for using previous findings about human ‘error’ and systems ‘failure’ to inform subsequent design. This paper, therefore, shows how extensions to design rationale and contextual task analysis techniques can be used to avoid the weaknesses of existing accident reports.
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References
L. Love and C. W. Johnson, AFTs: Accident Fault Trees. In H. Thimbleby, B. O’Conaill and P. Thomas (eds), People and Computers XII: Proceedings of HCI’97, 245–262, Springer Verlag, Berlin, 1997.
D. Norman, The’ Problem’ With Automation: Inappropriate Feedback And Interaction Not Over-automation. In D. E. Broadbent and J. Reason and A. Baddeley (eds.), Human Factors In Hazardous Situations, 137–145, Clarendon Press, Oxford, United Kingdom, 1990.
J. Reason, Human Error, Cambridge University Press, Cambridge, United Kingdom, 1990.
T. P. Moran and J. M. Carroll (eds.), Design Rationale Concepts, Techniques And Use, Lawrence Erlbaum, Hillsdale, New Jersey, United States of America, 1995.
Maritime Incident Investigation Unit, Investigation into the Collision Between the Australian Bulk Ship River Embley and the Royal Australian Navy Patrol Boat HMAS Fremantle off Heath Reef at About 22:09 on 13 March 1997, Report 112, Australian Department of Transport and Regional Development, Canberra, Australia, 1997.
C. W. Johnson, Proof, Politics and Bias in Accident Reports. In C. M. Holloway (ed.), Proceedings of the Fourth NASA Langley Formal Methods Workshop. NASA Technical Report Lfm-97, 1997.
P. Ladkin, T. Gerdsmeier and K. Loer, Analysing the Cali Accident With Why?...Because Graphs. In C. W. Johnson and N. Leveson (eds), Proceedings of Human Error and Systems Development, Glasgow Accident Analysis Group, Technical Report GAAG-TR-97-2, Glasgow, 1997.
G. Cockton, S. Clark, P. Gray and C. W. Johnson, Literate Design. In D. J. Benyon and P. Palanque (eds.), Critical Issues in User System Engineering (CRUISE), 227–248. Springer Verlag, London, 1996.
S. Buckingham Shum, Analysing The Usability Of A Design Rationale Notation. In T. P. Moran and J. M. Carroll (eds.), Design Rationale Concepts, Techniques And Use, Lawrence Erlbaum, Hillsdale, New Jersey, United States of America, 1995.
C. W. Johnson, Literate Specification, The Software Engineering Journal (11)4:225–237, 1996.
C. W. Johnson, The Epistemics of Accidents, Journal of Human-Computer Systems, (47)659–688, 1997a.
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Johnson, C. (1999). A First Step Towards the Integration of Accident Reports and Constructive Design Documents. In: Felici, M., Kanoun, K. (eds) Computer Safety, Reliability and Security. SAFECOMP 1999. Lecture Notes in Computer Science, vol 1698. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-48249-0_25
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DOI: https://doi.org/10.1007/3-540-48249-0_25
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