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Investigation of Causative Factors Associated with Summertime Workplace Fatalities

Definitions

Human Factors/Ergonomics Human factors is the discipline concerned with ensuring that systems and technologies are effectively designed to take account of the needs and expectations; and the capabilities and limitations of the people that use them. This incorporates all aspects of human integration with systems and technologies including cognitive, behavioural, physiological and anatomical factors. These sciences are applied towards two main objectives: the most productive use of human capabilities, and the maintenance of human health and well-being.
Human Error In this study 'Human error' has been used to classify a variety of incidents where memory lapses, slips in behaviour, or mistakes (e.g. misjudgements, misinterpretations, distraction errors, silly decisions, inadequate knowledge) have led to a fatality.
Procedural Violation Contravention of procedures typically occurs because procedures are inappropriate or unnecessarily onerous; workers have been inadequately trained or inducted; the work force has little understanding of basis for the procedure(s); and/or because workplace cultures prioritise other issues above safety.
Primary cause The 'agent' recorded as being directly related to the death of the victim(s) at the time when the incident occurred. See Appendix D for breakdown and explanations
Contributing factor(s) The main reason(s) the fatality occurred; looking at the workplace, the environment, the society and the people.