18
-
19
-
20
21
P128
Understanding Safety
22 -23
24
255
-
26 -
277
-28
•
P129
29
-
ARE SOME TYPES OF SYSTEMS MORE PRONE TO ACCIDENTS?
30
31
32
33
-
-
-
34 -
•
•
P130
-
-
355
36
-
-
377 -
38
39
P131
Conditions That Create Errors
40 -
41
-
-42
43
-44
P132
455
-
477
48
P133
49
-
50
-
RESEARCH ON HUMAN FACTORS
51
-
-
52 -
-
53
P134
-
-
54
-
-
-
-
-
P135
-
55
SUMMARY
-
-
56
P136
REFERENCES
3.
5.
30.
P137
33.
35.
50.
53.
55.
P138
APPENDIX 2CHECKLIST FOR DEVELOPING A REPORTING SYSTEM
1. Clarify objectives
2. What types of learning are the priorities?
3. Voluntary or mandatory?
4. Confidential or public disclosure?
5. What is the process for the reporting system?
6. Is confidential information held secure?
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
P139
7. What is the data infrastructure?
8. What is the approach to classification?
9. What is the approach to analysis?
10. How will responses be generated and disseminated?
11. Are there sufficient resources?
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
P140
P141
P142
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