ABSTRACT

Human factors is not just about humans, just like human error is not just about humans. It is about how features of people’s tools and tasks and working environment systematically influence human performance. Gary Klein has spent many years refining methods of debriefing people after incidents: firefighters, pilots, nurses, and so forth. Insights from these methods are valuable to share with investigators of human error mishaps. Debriefings of mishap participants are intended primarily to help reconstruct the situation that surrounded people at the time and to get their point of view on that situation. It is not uncommon that operators change their story, even if slightly, when they are debriefed on multiple occasions. One thing that human error investigations are almost never short of is wishes for more recorded data, and novel ideas and proposals for capturing more performance data.