After reviewing the types of error and violation and the conditions that provoke them, the author sets out the broader picture, illustrated by examples of three system failures. Central to the book is a comprehensive review of error management, followed by chapters on: managing person, the task and the team; the workplace and the organization; and creating a safe culture. It is then rounded off and brought together, in such a way as to be readily applicable for those who can make it work, to achieve a greater and more consistent level of safety in maintenance activities.
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Most Helpful Customer Reviews
4 of 4 people found the following review helpful:
5.0 out of 5 stars
Effectively Managing Maintenance Errors,
By
This review is from: Managing Maintenance Error: A Practical Guide (Hardcover)
The book "Managing Maintenance Error: A Practical Guide" is an excellent and enlightening book on avoiding and managing maintenance errors. James Reason is a well known authority on human factor issues and his seminal work entitled "Human Error" (1990) is widely used by practitioners that work in various hazardous industries. Maintenance Error management seeks to prevent errors from occurring and eliminate or mitigate the bad effects of errors. The maintenance engineering industry should always strive towards ensuring that errors do not arise in the first place. However, it will never be possible to eliminate errors entirely. Therefore maintenance organisations should aim to manage errors. Reason refers to the two components of error management namely error containment and error reduction. To prevent errors from occurring, it is necessary to predict where they are most likely to occur and then to put in place preventative measures. Within a maintenance organisation, data on errors, incidents and accidents should be captured with a Safety Management System, which should provide mechanisms for identifying potential weak spots and error-prone activities or situations. Output from this should guide local training, company procedures, the introduction of new defences, or the modification of existing defences. Ultimately, maintenance organisations have to compromise between implementing measures to prevent, reduce or detect errors, and making a profit. One of the things likely to be most effective in preventing error is to make sure that maintenance personnel follow procedures. This can be effected by ensuring that the procedures are correct and usable, that the means of presentation of the information is user friendly and appropriate to the task and context, that engineers are encouraged to follow procedures and not to cut corners. This is a well written book in simple plain English that should make it easy to follow and understand. The book is very useful for people who work in the maintenance industry.
4 of 4 people found the following review helpful:
5.0 out of 5 stars
Well written and practical guide,
By J Vanier (Victoria BC Canada) - See all my reviews
This review is from: Managing Maintenance Error: A Practical Guide (Paperback)
This book is well written with lots of documented examples to support the authors views. Its a ralatively easy read and is laid out in a logical format. I recommend this book to anyone in the maintenance field, and not just avaiation maintenance, who wishes to understand why errors are committed and who like to develop a plan to identify and reduce their occurance.
2 of 2 people found the following review helpful:
5.0 out of 5 stars
Great Introduction to Error Management - Applicable to Squadron Maintenance,
By
Amazon Verified Purchase(What's this?)
This review is from: Managing Maintenance Error: A Practical Guide (Paperback)
This book is lucid, straightforward and right to the point. Offers a philosophical, fundamental framework of how to appropriately manage and minimize (not eliminate, which is important) errors in maintenance activities.
The book builds on a foundation of the psychology and human factors associated with human performance to build strategies for how to best handle the situation when error inevitably occurs, and then create effective cultures and organizations that address the root sources of the worst and most dangerous errors. This is good reading for line managers and quality assurance and is intended for a broad audience of industries. It can be applied specifically to aviation including military squadrons as it is not a policy or procedure manual but addresses culture and philosophy more. Recommended for anyone with any level of managerial or QA responsibility in a maintenance activity.
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Inside This Book
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First Sentence:
If some evil genius were given the job of creating an activity guaranteed to produce an abundance of errors, he or she would probably come up with something that involved the frequent removal and replacement of large numbers of varied components, often carried out in cramped and poorly lit spaces with less-than-adequate tools, and usually under severe time pressure. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
effective error management, reactive outcome measures, maintenance lead hand, error management techniques, conscious workspace, cracked rivet, situational violations, safe culture, human performance problems, causal ingredients, reporting culture, maintenance incidents, organizational accidents, three performance levels, human factors problems, reporting programmes, maintenance errors, safety management systems, operational hazards, routine violations, unsafe acts, fuse end, error traps, latent conditions, functional checks Key Phrases - Capitalized Phrases (CAPs): (learn more)
New York, Piper Alpha, Clapham Junction, Air Accident Investigation Branch, Australian Transport Safety Bureau, International Civil Aviation Organization, Maintenance Resource Management, Aviation Psychology, Crew Resource Management, Department of Transport, Federal Aviation Administration, International Symposium, Maintenance Error Decision Aid, Model of Organizational Accidents, National Transportation Safety Board, Academic Press, Boeing Commercial Airplane Group, British Airways Engineering, Bureau of Air Safety Investigation, Institute of Nuclear Power Operations, Lord Cullen, Managing the Risks of Organizational Accidents, Reliability-centered Maintenance, Significant Event Reports New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
If some evil genius were given the job of creating an activity guaranteed to produce an abundance of errors, he or she would probably come up with something that involved the frequent removal and replacement of large numbers of varied components, often carried out in cramped and poorly lit spaces with less-than-adequate tools, and usually under severe time pressure. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
effective error management, reactive outcome measures, maintenance lead hand, error management techniques, conscious workspace, cracked rivet, situational violations, safe culture, human performance problems, causal ingredients, reporting culture, maintenance incidents, organizational accidents, three performance levels, human factors problems, reporting programmes, maintenance errors, safety management systems, operational hazards, routine violations, unsafe acts, fuse end, error traps, latent conditions, functional checks Key Phrases - Capitalized Phrases (CAPs): (learn more)
New York, Piper Alpha, Clapham Junction, Air Accident Investigation Branch, Australian Transport Safety Bureau, International Civil Aviation Organization, Maintenance Resource Management, Aviation Psychology, Crew Resource Management, Department of Transport, Federal Aviation Administration, International Symposium, Maintenance Error Decision Aid, Model of Organizational Accidents, National Transportation Safety Board, Academic Press, Boeing Commercial Airplane Group, British Airways Engineering, Bureau of Air Safety Investigation, Institute of Nuclear Power Operations, Lord Cullen, Managing the Risks of Organizational Accidents, Reliability-centered Maintenance, Significant Event Reports New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Citations (learn more)
This book cites 20
books:
See all 20 books this book cites
2
books
cite this book:
- Aviation Psychology in Practice by Neil Johnston on page 8, page 101, and page 117
- Managing the Risks of Organizational Accidents by James T. Reason on page 144, page 157, and page 176
- Social Cognition by Susan T Fiske on page 17, and page 101
- Investigation into the Clapham Junction Railway Accident (Cm.: 820) by Antony Hidden on page 60, and page 94
- The Psychology Of Everyday Things by Donald A. Norman on page 123, and page 132
See all 20 books this book cites
- Human Factors Methods for Improving Performance in the Process Industries (CCPS Concept Books) by Center for Chemical Process Safety (CCPS) on page 114, and page 157
- Medication Errors (Cohen, Medication Errors) by Michael R. Cohen on page 603
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