Most accidents that happen in enterprises are simple and seldom have serious invalidating consequences. Very often these kinds of accident are not investigated and if they are, then the investigation is very brief, with comments such as that it was the victim’s own fault or just an unlucky situation no one could do anything about. In 1999 a new practical tool for use by safety officers was developed and used by training systems. The tool involves three steps: one for observing facts, one for analysing the event, and one for preventive solutions. The tool has been used by various companies for some years with interesting results. Both the difficulties and the benefits will be presented, together with examples of the use of the tool. The main purpose of the tool is to demonstrate how management and workers can get a much better understanding of why accidents happen, even those accidents that seem to be unavoidable, and that simple accidents never are simple, but always have root causes on which preventive action can be focused.
|Publication status||Published - 2008|
|Event||26th NetWork Workshop: Event analysis and Learning from events - Germany|
Duration: 1 Jan 2008 → …
|Workshop||26th NetWork Workshop|
|Period||01/01/2008 → …|