What fatal occupational accident investigators can learn from fatal aircraft accident investigations

Vuorio, Alpo; Rantonen, Jarmo; Johnson, Christopher W.; Ollila, Tapani; Salminen, Simo; Braithwaite, Graham

doi:10.1016/j.ssci.2013.09.009

Cited by 10 publications

(5 citation statements)

References 11 publications

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“…According to Alpo Vuorio et. al., preventive actions should focus on the interactions between system components [9]. In any complex system, workers' behaviours could cause an accident but the accident might also be due to the complexity of working environment that leads to unplanned interactions at the system level, which is especially crucial in the aircraft maintenance centres [10] and airports [11], in general.…”

Section: Dirty Dozen Modelmentioning

confidence: 99%

Preventing human error at an approved training organization using Dirty Dozen

Samad¹,

Johari²,

Sabri³

2018

IJET

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Following a recently-submitted review on a few human factor identification models (interpretations of Professor Edwards’ SHELL Model, Boeing’s Maintenance Error Decision Aid (MEDA), Professor Reason’s Swiss Cheese Model, and Dupont’s Dirty Dozen), researchers have unanimously agreed on choosing the Dirty Dozen model for this quantitative study before its official implementation in hangars and workshops at Universiti Kuala Lumpur – Malaysian Institute of Aviation Technology (UniKL MIAT). This study measures the levels of awareness and effectiveness of UniKL MIAT’s current human factor safety practices. A specifically-tailored, comprehensive, Dirty Dozen checklist is produced and distributed as survey questionnaire to 120 UniKL MIAT’s students. Data from all 48 questions related to all 12 domains of Dirty Dozen are analyzed. The results shows that out of all 12 domains, six (Lack of communication, Lack of teamwork, Norm, Pressure, Lack of attention, Stress) are marked with “Agreed” and the other half (Complacency, Lack of knowledge, Lack of resources, Distraction, Lack of authority, Exhaustion) are marked as “Not Sure” in terms of awareness and effectiveness of their current human factor’s safety practices. These results will be reviewed by the top management of the university to take preventive actions and improvements for future human factor safety implementations. As Dirty Dozen is known to be the simplest technique to measure human error, it is significantly appropriate to be applied as this experiment’s variable, especially for students who are still studying and have no industrial working experiences.

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Section: Dirty Dozen Modelmentioning

confidence: 99%

Preventing human error at an approved training organization using Dirty Dozen

Samad¹,

Johari²,

Sabri³

2018

IJET

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show abstract

“…In major aviation accident investigations, the classic 'pilot error' has been balanced with an increasing focus on the organisational factors that create the context in which an error is more likely to occur. The 'sharp end level' is more common in occupational accident investigations (Vuorio et al, 2014) and arguably also in the offshore and process industries. 'Blame free', or more correctly 'proportionate blame', investigations have achieved recognition in aviation and are formally arranged in Annex 13.…”

Section: The State Level Of Investigationmentioning

confidence: 99%

The need to establish consistent international safety investigation guidelines for the chemical industries

Vuorio¹,

Stoop

Johnson

2017

Safety Science

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“…Changes in working practices and health and safety standards in recent years have led to a reduction in the number of occupational accidents and fatal accidents [ 18 , 21 ], but the number of lives lost is sufficiently high to justify further research in this area [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Descriptive analysis and a proposal for a predictive model of fatal occupational accidents in Spain

Fuentes-Bargues,

Sánchez-Lite,

González-Gaya

et al. 2023

Heliyon

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What fatal occupational accident investigators can learn from fatal aircraft accident investigations

Cited by 10 publications

References 11 publications

Preventing human error at an approved training organization using Dirty Dozen

Preventing human error at an approved training organization using Dirty Dozen

The need to establish consistent international safety investigation guidelines for the chemical industries

Descriptive analysis and a proposal for a predictive model of fatal occupational accidents in Spain

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