Title
Barriers to learning from incidents and accidents
Author
Dechy, N.
Dien, Y.
Drupsteen, L.
Felicio, A.
Cunha, C.
Roed-Larsen, S.
Marsden, E.
Tulonen, T.
Stoop, J.
Strucic, M.
Vetere Arellano, A.L.
van der Vorm, J.K.J.
Benner, L.
Publication year
2015
Abstract
This document provides an overview of knowledge concerning barriers to learning from incidents and accidents. It focuses on learning from accident investigations, public inquiries and operational experience feedback, in industrial sectors that are exposed to major accident hazards. The document discusses learning at organizational, cross-organizational and societal levels (impact on regulations and standards). From an operational standpoint, the document aims to help practitioners to identify opportunities for improving their event learning process. It should be useful in the context of a process review of your organization’s learning system. Finally, it suggests a number of practices and organizational features that facilitate learning.
Subject
Urban Mobility & Environment
UES - Urban Environment & Safety
ELSS - Earth, Life and Social Sciences
Work and Employment
Workplace
Healthy Living
Learning
Accidents
Incidents
Organization
Hazards
To reference this document use:
http://resolver.tudelft.nl/uuid:8aa15026-1f7c-4d77-8e91-3b60ff777ca9
TNO identifier
527960
Publisher
European Safety Reliability and Data Association (ESReDa), Baden
Document type
report