Human error

James Reason's "Human Error" is a seminal work in human factors and ergonomics.

It explores the cognitive processes that lead to errors, distinguishing between active failures and latent conditions.

Reason introduces the Swiss cheese model, illustrating how multiple layers of defense can fail, leading to accidents.

The book emphasizes the importance of understanding the system's role in human error, rather than solely blaming individuals.

It has significantly influenced safety management systems and accident investigation methodologies across various industries.

Reason's work promotes a more systemic approach to safety, moving beyond individual blame.