[ESW] =
Leveson, Nancy G. Engineering a Safer World: Systems Thinking Applied to Safety. MIT Press, 2012. ISBN: 9780262016629. This book is available for purchase or as a free download from the MIT Press website. [Preview with Google Books]
[Safeware] = ———. Safeware: System Safety and Computers. Addison-Wesley Professional, 1995. ISBN: 9780201119725. [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.
Lowy, Joan. “AP IMPACT: Automation in the Air Dulls Pilot Skill,” The Washington Times, August 30, 2011. (Impact of Computers on Pilot Error)
AF 447 Accident Report (PDF - 26.7MB)Colonial Pipeline Safety Philosophy (PDF)
AF 447 Accident Report (PDF - 26.7MB)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)
AF 447 Accident Report (PDF - 26.7MB)Black Hawk STPA Analysis (PDF - 1.2MB)
AF 447 Accident Report (PDF - 26.7MB)Navy System STPA Analysis (PDF - 2.4MB)
AF 447 Accident Report (PDF - 26.7MB)HTV Hazard Analysis Paper (PDF - 1.1MB)