Accident Investigation and Analysis

One of the most obvious means of collecting and analyzing error data in complex, safety-critical systems is through the retrospective investigation and analysis of accidents and incidents. Accident investigation is used to reconstruct accidents and 

FIGURE 15.6 Composite safety culture model. (Adapted from Wright, M.S. et al.. Development of a Business Excellence Model of Safety Culture, Health and Safety Executive, London, 1999. Reproduced under the terms of the Click-Use Licence.) 

Recognizing and responding to changes in expectations or poor internal performance 

Formulation of corporate safety values and norms Use of risk assessment to understand hazards and set of norms Recognition of moral, social, and ethical duties as well as business risks associated with health and safety Teamworking on safety problems 

Clear statement of management and staff responsibility for their 

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Ferry, T. S. (1988). Modem Accident Investigation and Analysis (2nd edition). New York Wiley. 

Eerry, T.S. Modem Accident Investigation, and Analysis 2nd ed. New York Wiley, 1988. 

Ferry, T.S. Modern Accident Investigation and Analysis. 2nd Edition. New York John Wiley Sons, 1988. 

The book is divided into three sections.The first part explains why a new approach is needed, including the limitations of traditional accident models, the goals for a new model, and the fundamental ideas in system theory upon which the new model is based. The second part presents the new, extended causality model. Ihe final part shows how the new model can be used to create new techniques for system safety engineering, including accident investigation and analysis, hazard analysis, design for safety, operations, and management. 

Certainly, operator errors may be causal factors in accident occurrences. But, consider Ted Ferry s comments on this subject as expressed in Modern Accident Investigation and Analysis An Executive Guide. 

As the actuality of incident investigation practices is considered, one can t help but feel sorry for the supervisor. It is commonly said in the literature, as Ted Ferry did in Modem Accident Investigation and Analysis An Executive Guide, that the supervisor is closest to the action, that the mishap takes place in the supervisor s domain, and that initial responsibility for investigation is very often assigned to the supervisor (p. 9). 

Modem Accident Investigation and Analysis An Executive Guide by Ted S. Ferry... 

Modern Accident Investigation and Analysis An Executive Guide by Ted S. Ferry (1981) This text helps in thinking about how incidents occur and how they should be investigated. Excerpts follow. 

Despite its obvious utility, a number of problems are associated with accident investigation and analysis ... 

Ferrell, O.C., J. Fraedrich, and L. Ferrell. Business Ethics. Boston, MA Houghton Mifflin Company, 2002. Ferry, T. Modern Accident Investigation and Analysis, 2nd ed. New York John Wiley Sons, 1988. 

Accident investigation and analysis Emergency preparedness Audits and reviews. 

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