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why accident happened till now? (Unsafe supervision (Inadequate…
why accident happened till now?
Unsafe Acts
Errors
Skill-based errors
Decision making errors
Errors of misperception
Violations
Prerequisites for unsafe actions
Environmental Factors
Physical environment
Technological environment
Condition of individuals
Cognitive factors
Psycho behavioral factors
Unfavorable physiological conditions
Mental limitations
Perceptual factors
Human factors
Communication
Coordination
Planning
Unsafe supervision
Inadequate supervision
Planned inappropriate operations
Failed to correct problem
Supervisory violations
Organisational influences
Resource management
Organisational culture
Organisational operations
Education
Training
Teaching techniques
Qualified teacher
Different level of education
System reviewing
Independence review
Model of reviewing
System Design
The existence of functional management tools
Does it working?
The level of hierarchy in control
does it working?
Identification of error sources and their origin
what is the origin?
The system’s relevance (i.e. is it redundant or need to be updated?)
Yes
No
Update