Are your investigations improving control systems or reducing risk, or mostly procedural rituals ‘because we have to do them’? I’m finalising my penultimate PhD study draft (resubmitting based on peer review), and was reminded of this phenomena that I referenced: the tombstone effect. They suggest that too often, incident investigations can fall into the trap… Continue reading Tombstone effect: investigations acting as ‘procedural rituals’ of paper trails
Tag: rca
Safe As podcast ep15: Root Cause Analyses (RCA) and incident prevention – do they ‘work’?
Many organisations rely on their root cause analyses (RCA) to help learn about incidents, and, ideally, prevent incident reoccurrences. So the logic goes. But does the published evidence support RCA approaches as effective means for preventing incident reoccurrences? Today’s paper is Martin-Delgado, J., Martínez-García, A., Aranaz, J. M., Valencia-Martín, J. L., & Mira, J. J.… Continue reading Safe As podcast ep15: Root Cause Analyses (RCA) and incident prevention – do they ‘work’?
The issues of ‘root causes’ and infinite regression (the endless search for the causes of causes)
A really interesting, but challenging, read about the ontological status of ‘root causes’ and more pointedly, the problem of infinite regression. The author also proposes some stop rules to help navigate infinite regression. I’ve previously posted articles critical of the status of ‘root causes’, who argue it is more a process of implicit or explicit… Continue reading The issues of ‘root causes’ and infinite regression (the endless search for the causes of causes)
Unveiling Untapped Potential: Leveraging Accident Narratives for Enhanced Construction Safety Management
This study explored the value and insights derived from investigation reports, comparing tabulated data vs extracted narratives. It was interested in what sorts of trends and insights about risk factors could be derived from either data stream. Their method to extract the info was tested against 400 OSHA reports. For context: · Tabular data is… Continue reading Unveiling Untapped Potential: Leveraging Accident Narratives for Enhanced Construction Safety Management
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