The field guide to human error investigations.

"The old view of human error," the book starts off saying, is that "human error is a cause of accidents. ... The new view of human error," it continues, "is that "human error is a symptom of trouble deeper inside a system." Hurrah! Hurrah! Sidney Dekker has provided us with a delightful book, well written, filled with engaging tales of accidents and the ensuing investigations, but concluding with a most helpful guide to the understanding of accidents and the appropriate way to investigate the. Although the primary focus is on aviation, there are examples from many disciplines, and the lessons will be of great value to everyone.
Pointer to the book at Amazon.com