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Oliver Strater - Cognition and Safety: An Integrated Approach to Systems Design and Assessment

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Oliver Strater Cognition and Safety: An Integrated Approach to Systems Design and Assessment
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COGNITION AND SAFETY
Cognition and Safety
An Integrated Approach to
Systems Design and Assessment
OLIVER STRTER
Safety and Security Management, EUROCONTROL, Belgium
and
Institute of Ergonomics, Institute of Technology Munich, Germany
First published 2005 by Ashgate Publishing Published 2016 by Routledge 2 Park - photo 1
First published 2005 by Ashgate Publishing
Published 2016 by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
711 Third Avenue, New York, NY 10017, USA
Routledge is an imprint of the Taylor & Francis Group, an informa business
Copyright 2005 Oliver Strter
Oliver Strter has asserted his right under the Copyright, Designs and Patents Act, 1988, to be identified as author of this work.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Notice:
Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
British Library Cataloguing in Publication Data
Strter, Oliver
Cognition and safety : an integrated approach to systems
design and assessment
1.Industrial safety - Psychological aspects 2.Cognitive
psychology
I.Title
363.1172
Library of Congress Control Number: 2005921529
ISBN 9780754643258 (hbk)
ISBN 9781138266711 (pbk)
Transfered to Digital Printing in 2009
Contents
ACT: Adaptive Control of Thought
AEOD: Analysis and Evaluation of Operation Data
AM: Accident Management
ARAS: Ascending Reticular Activation System
ATHEANA: A Technique for Human Error Analysis
ATM: Air Traffic Management
CAHR: Connectionism Assessment of Human Reliability
CCT: Cognitive Complexity Theory
CES: Cognitive Environmental Simulation
CM: Confusion Matrix approach
COCOM: Contextual Control Model
COSI: Cognitive Simulation
COSIMO: Cognitive Simulation Model
CPU: Central Processing Unit
CREAM: Cognitive Reliability and Error Analysis Method
EEG: Electroencephalogram
EFC: error-forcing context
EOC: Error of Commission
ESAT: Expertensystem zur Aufgaben-Taxonomie (Expert-System for Task Taxonomy)
FRAM: Functional Resonance Accident Models
GEMS: Generic Error Modelling System
GPWS: Ground Proximity Warning System
GRS: Gesellschaft fr Anlagen- und Reaktorsicherheit
HCR: Human Cognitive Reliability Model
HEART: Human Error Assessment and Reduction Technique
HEP: Human Error Probability
HERA: Human Error in Air traffic management
IDAC: Information, Decision, Action in Crew context
INTENT: Method for estimating human error probabilities for errors of Intention
LTM: Long-Term Memory
MERMOS: Mthode dEvaluation de la Ralisations des Missions Oprateur pour la Sret
MIDAS: Man Machine Integration Design and Analysis System
MMS: Man Machine System
MRT: Multiple Resource Theory
NARA: Nuclear Action Reliability Assessment
OPPS/SAINT: System Analysis Integrated Networks of Tasks
SLIM: Success Likelihood Index Method
SOAR: Unified models of cognition
STM: Short-Term Memory
TEMM: Threat-Error-Management Model
THERP: Technique for Human Error Rate Prediction
VR: Virtual Reality
Severe accidents, incidents and daily safety practice in any industry show the importance of human behaviour for safety. Throughout many industries, quite similar observations can be made regarding the problems of integrating human performance characteristics into design, investigating incidents and assessing human performance.
Design and operation of systems use different methods and models to deal with this important aspect of system safety. For instance, operation is concerned with human error, while design aligns the system to workload or situational awareness. Owing to this methodological gap, a homogeneous treatment of human performance in system design and operation becomes difficult.
The main idea of this book is to focus on an integrated view of cognitive human issues, which means that concepts such as human error, workload, or situational awareness are described in a homogeneous approach. It exploits and integrates findings from physiological and psychological research and applied studies. This provides the reader with a generic perspective of cognitive issues, which s/he then can easily adjust to their own problems. It also provides the reader with a homogeneous view on the variety of cognitive approaches, which usually do not fit well together or have unclear interfaces to each other. Such variety makes it difficult for the practitioner to consider the broad spectrum of cognitive aspects and to improve safety herewith. Another aspect tackled in this book is that cognitive aspects will only be considered if experienced in daily work on future system design. The book will therefore suggest an integrated perspective of cognition in technical systems, which is needed to implement this important field into the design of systems and organizations.
An integrated model provides the opportunity to combine data collection efforts of different industries regarding human performance and to enhance the cross-boundary learning and improvement of systems regarding human characteristics. Examples from process industry, nuclear, aviation, air traffic management, automobile, manufacturing, and medicine are provided.
Good data means no worry (Carnegie, 1999)
The book covers back to several years of work in various safety-related industries and projects, in aviation and air traffic management, nuclear, automobile and occupational safety. The author would like to pass special thanks to those who helped generate the thoughts reflected in this book. Special thanks are given to:
the System Ergonomics Group of the Institute of Ergonomics of the University of Technology Munich;
the Siemens occupational safety department with the Ergonomics Competence Network (E-C-N);
the project on Group Interaction in High Risk Environments (GIHRE);
the OECD Working Group Risk;
the OECD Halden Reactor Project;
the members of the German Working Group on Human Reliability of the VDI (Verein Deutscher Ingenieure; Association of German Engineers);
the members of Eurocontrols project on Solutions for Human Automation Partnership in European Air Traffic Management (SHAPE);
the joint working group on errors of commission of Electricit de France, Paul Scherrer Institute/Switzerland, KEMA/Netherlands, and GRS/Germany;
the Gesellschaft fr Anlagen- und Reaktorsicherheit (GRS);
the German Reactor Safety Commission (RSK);
the Eurocontrol Safety and Security Management Unit;
the Eurocontrol Human Factors and Manpower Unit;
the Eurocontrol Experimental Centre.
Part I
Concerns
Chapter 1
The Need to Model Cognition in Safety
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