Publication Date |
1988 |
Personal Author |
Sanders, M. S.; Shaw, B. E. |
Page Count |
168 |
Abstract |
A systems approach to accident investigation was applied to 338 underground mining accidents. A taxonomic model of contributing factors in accident causation was developed, and expert raters assessed the degree to which each factor played a role in each accident case. The model contained 10 factors. The report contains a literature review on the analysis and classification of human error, including the role of human error in accidents. Results indicated that 88% of the cases involved more than one causal factor. Injured employee perceptual-cognitive-motor error was involved, to some degree, in 93% of the cases and when involved, averaged about 33 (of 100) points of causality. The factor was considered a primary causal factor in almost 50% of the cases and a secondary causal factor in another 24%. Management was the second most important causal factor. It was considered a primary factor in 22% of the cases and a secondary factor in another 12%. Recommendations are presented and discussed. |
Keywords |
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Source Agency |
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NTIS Subject Category |
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Corporate Authors |
Essex Corp., Westlake Village, CA.; Bureau of Mines, Pittsburgh, PA. |
Supplemental Notes |
Sponsored by Bureau of Mines, Pittsburgh, PA. |
Document Type |
Technical Report |
Title Note |
Draft rept. (Final) 1984-88. |
NTIS Issue Number |
198922 |
Contract Number |
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