Multiple causal factors hazards-related incident

Hazards-related incidents, even the ordinary and frequent, are complex and have multiple and interacting causal factors. 

For most all hazards-related incidents, even those that seem to present the least complexity, there are multiple causal factors that derive from less than adequate workplace and work methods design engineering, management and operations, and personnel task performance practices. 

In the hazards-related incident process, deriving from those multiple causal factors ... 

Because Multiple Causal Factors Develop—A Hazards-Related Incident May Occur... 

It is the exceptional hazards-related incident that does not have multiple causal factors. This is the process as causal factors develop and an incident occurs. 

Usually, there are multiple causal factors for hazard-related incidents. Yet, there seems to be a desire to retain an age-old theme of simplicity. If people who make incident investigations are directed to select one pertinent fact. .. in each of the specific categories, more than likely that is what they will do. And the value of the investigation is diminished. Where incident investigation is done best, multiple causal factors are sought, and it is the exception when only a single causal factor is recorded. 

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See also in sourсe #XX -- [ ]

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