Managing Human Error

James Reason's Swiss Cheese Model

From the creator of the 'Swiss Cheese' model of system failure.

Professor James Reason, world renowned expert in human performance in hazardous systems, is featured in the Managing Human Error training course.

Managing Human Error - Professor James Reason

DVD Price: $2900.00*

Formats Available: DVD, Internet Licence, Corporate Licence

Duration: 3 DVD set with support material

Everyone can make errors no matter how well trained and motivated they are. However in the workplace, the consequences of such human error can be severe. Analysis of accidents and incidents shows that human error contributes to almost all accidents and exposures to substances hazardous to health. Many major accidents e.g. Texas City, Piper Alpha, were initiated by human error.

In order to avoid accidents and ill-health, companies need to manage human error as robustly as the technical and engineering measures they use for that purpose.

The challenge is to develop error tolerant systems and to prevent errors from initiating; to manage human error proactively it should be addressed as part of the risk assessment process, where:

  • Significant potential human errors are identified
  • Those factors that make errors more or less likely are identified (such as poor design, distraction, time pressure, workload, competence, morale, noise levels and communication systems) - Performance Influencing Factors (PIFs)
  • Control measures are devised and implemented, preferably by redesign of the task or equipment

This key topic is also very relevant when trying to learn lessons following an incident or near miss. This also involves identifying the human errors that led to the accident and those factors that made such errors more likely PIFs.
 
It is important to be aware that human failure is not random; understanding why errors occur and the different factors which make them worse will help you develop more effective controls.
 
The DVD training program Managing Human Error aims to provide a comprehensive error management resource at a small fraction of the cost of achieving these ends by any other means. The package is designed for ready implementation by the non-specialist facilitator. Course Summary:

Program 1: Why Things Go Wrong
Program 2: Building a Safe Culture
Program 3: HERO (Human Error Reduction Operation)

The choice is very simple. Either you manage human error or human error manages you.

This safety training package includes a number of case studies, including the Glenbrook Rail Disaster in New South Wales.

This Package Includes:

  • A User's Guide, which allows easy application from toolbox to boardroom
  • 3 * DVDs
  • 3 Sets of Materials that support the DVD programs, in PowerPoint format on CD-ROM, provide resources for: Management Briefings, Training Courses, Workshops and Awareness Groups
  • Further Sets of Materials, also in PowerPoint format on CD-ROM for management information and courses based on studies of international case histories. Resource manual to address human performance improvement issues.

Professor Andrew Hopkins' Working Paper 51 "The Problem of Defining High Reliability Organisations" FREE download.

Professor Andrew Hopkins' book Learning from High Reliability Organisations will broaden your understanding of how organisations operating with hazardous technology manage to avoid disaster.

Companies using this program include:

Federal Aviation Information Bureau - Australia, Civil Aviation Safety Authority - Australia, Air Transportation Safety Board - Australia, BOC, Exxon Mobil, BP, Chevron Texaco, Shell Expro, Woodside Energy Australia, Minerals Industry Safety & Health Centre - University of Queensland, QNI Pty Ltd, Rio Tinto Australia, Air New Zealand, British Airways, Singapore Airlines.

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