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Chapter 3: Incident investigation
https://doi.org/10.1142/9789811290022_0003Cited by:0 (Source: Crossref)
Abstract:
The following sections are included:
Introduction
ISO 45001:2018 requirements for investigation
Incident investigation and risk assessment
Hindsight bias
Investigation team
Investigation process
Types of evidence
Incident analysis methods and techniques
Event Causation Technique
Work context
Incident sequence
Direct causes
Control failures
Underlying factors
Implementing the Event Causation Technique
Concrete hopper accident
Systems archetypes
Summary
Review questions
References
