| Document ID (ISN) | 77753 |
| CIS number |
01-1659 |
| ISBN(s) |
0-7176-1966-4 |
| Year |
2001 |
| Convention or series no. |
HSE Contract Research Report CRR 325/2001
|
| Author(s) |
Livingston A.D., Jackson G., Priestley K.
Health and Safety Executive |
| Title |
Root causes analysis: Literature review |
| Bibliographic information |
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 2WA, United Kingdom, 2001. vi, 53p. Illus. 47 ref. Price: GBP 10.00. |
| Abstract |
To learn from past failures, organizations need to adopt investigation techniques that explicitly identify root causes of incidents. Root causes analysis is a method designed to help investigators determine what, how and why an incident occurred. There are three key components that need to be present to ensure effective incident investigation: describing the incident sequence and its contributing conditions; identifying the critical events or active failures in the incident sequence; systematically investigating the organizational factors that allowed the active failures to occur. The method selected should specifically facilitate the identification of safety management and organizational inadequacies and the factors that exert control over the design, development, maintenance and review of risk control systems and procedures. |
| Descriptors (primary) |
analysis of accident causes; accident investigation; plant safety organization |
| Descriptors (secondary) |
literature survey; United Kingdom; causes of accidents; human factors; management failure; report |
| Document type |
E - Books, reports, proceedings |
| Country / State or Province | United Kingdom |
| Subject(s) |
|
| Broad subject area(s) |
General safety, health and conditions of work
|
| Browse category(ies) |
Accident investigation
Accident research
|
