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A Pragmatic Approach to Uncover Blind Spots in Accident Investigation in Ultra-safe Organizations - A Case Study from Air Traffic Management
Linköping University, Department of Science and Technology, Media and Information Technology. Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0001-8862-7331
LFV Air Nav Serv Sweden, Sweden.
2019 (English)In: ADVANCES IN HUMAN ERROR, RELIABILITY, RESILIENCE, AND PERFORMANCE, SPRINGER , 2019, Vol. 778, p. 199-210Conference paper, Published paper (Refereed)
Abstract [en]

For a long time, the aim of safety science has been to further improve safety through more extensive analysis methods (address more factors, with increasingly complex causality models). However, recent research has uncovered how the application of even very advanced methods are subjects to the same pressures of reality of work, as other work tasks, and may therefore also have incidents, where all issues are not examined with equal thoroughness, and not implemented with the same enthusiasm. Some of these performance shaping factors may be systemic, affecting many investigations, resulting in investigation "blind spots". This can facilitate the build-up of latent risk conditions in otherwise ultra-safe organizations, resulting in what is in the literature called a man-made disaster (or, less dramatically, a man-made incident). In this paper, we present an approach to uncovering "blind spots" in investigation processes, describing how it was applied at an Air Navigation Service provider.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 778, p. 199-210
Series
Advances in Intelligent Systems and Computing, ISSN 2194-5357
Keywords [en]
Incident investigation; Safety assessment; Contributing factors; Incident; Systematic safety; Blind-spots
National Category
Computer Systems
Identifiers
URN: urn:nbn:se:liu:diva-158388DOI: 10.1007/978-3-319-94391-6_19ISI: 000465510800019ISBN: 978-3-319-94391-6 (electronic)ISBN: 978-3-319-94390-9 (print)OAI: oai:DiVA.org:liu-158388DiVA, id: diva2:1333611
Conference
9th International Conference on Applied Human Factors and Ergonomics and the Affiliated Conferences (AHFE) / 2nd International Conference on Human Error, Reliability, Resilience, and Performance (HERRP)
Note

Funding Agencies|Swedish Transport Administration; LFV Safety Department

Available from: 2019-07-01 Created: 2019-07-01 Last updated: 2019-07-01

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Total: 37 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf