[ESW] = Leveson, Nancy G. Engineering a Safer World: Systems Thinking Applied to Safety. MIT Press, 2012. ISBN: 9780262016629. [Preview with Google Books]
[Safeware] = ———. Safeware: System Safety and Computers. Addison-Wesley Professional, 1995. ISBN: 9780201119725. This book is available for purchase or as a free download from the MIT Press website. [Preview with Google Books]
SES # | CLASS TOPICS | READINGS |
---|---|---|
1 | Introduction, Causality, Bhopal, Hindsight Bias |
[ESW] Chapters 1 and 2. [Safeware] Chapter 1. |
2 |
Part 1—Chapters 1–2 Questions Part 2—Ethics Discussion |
[Safeware] pp. 129–35, 185–93, 197, 202–4, and 145–55. [ESW] Chapters 3 and 4. Tank Overflow Accident Report |
3 | CAST and Accident Analysis |
[Safeware] pp. 39–48 and 53–88. [ESW] Chapters 5 and 11. |
4 | Traditional HA, Lecture on Quantification | [Safeware] pp. 305–11, 313–26, 327–32, 341–44, 350–58 |
5 | Systems Theoretic Process Analysis (STPA) Introduction, Basic Components (hazard, constraints, HCS) | [ESW] Chapters 6 and 7 (only pp. 211–30). |
6 | STPA, How to Do It | [ESW] Chapter 8. |
7 | Design for Safety |
[Safeware] Chapter 16, Follensbee. [ESW] pp. 263–73. |
8 | Human Factors |
Automation Complacency Paper [Safeware] pp. 204–24 (Human error models). [ESW] pp. 273–306. |
9 | Cyber Security | Young and Leveson paper |
10 | Operations, Regulation |
[ESW] Chapters 12. Other readings (assigned in class) |
11 | Guest Lecture | |
12 | Management, SUBSAFE | [ESW] Chapters 13 and 14. |
13 | Presentations of Class Projects |
Optional Readings and Materials
Bogdanich, Walt, and Kristina Rebelo. "New York Times on Radiation Accidents Article," The NewYork Times, December 28, 2010.
AF 447 Accident Report (PDF - 26.7MB), Final Repot (2012).
Leveson, Nancy G. "Technical and Managerial Factors in the NASA Challenger and Columbia Losses: Looking Forward to the Future." In Controveries in Science and Technology Vol. 2: From Climate to Chromosomes. Edited by Kleinman, Cloud-Hansen, Matta, and Handelsman. Mary Ann Liebert Incorportaion, 2008. ISBN: 9780913113424.
Dekker. "Just Culture: Who Gets to Draw the Line?." Cognition, Technology & Work 11, no. 3 (2009): 177–85.
Deep Water Oil Drilling Accidents (PDF)
Lowy, Joan. "AP IMPACT: Automation in the Air Dulls Pilot Skill," The Washington Times, August 30, 2011. (Impact of Computers on Pilot Error)
Colonial Pipeline Safety Philosophy (PDF)
CAST Analysis of ComAir Accident (PDF)
Leveson, Nancy G. "Applying System Thinking to Analyze and Learn from Events." Safety Science 49, no. 1 (2011): 55–64.
———. "The Role of Software in Spacecraft Accidents." Journal of Spacecraft and Rockets 41, no. 4 (2004): 564–75.
CAST Tank Overflow Accident (PDF)
Black Hawk STPA Analysis (PDF - 1.2MB)