Citation

Czabán C, Jackovics P, Kis G. Int. J. Occup. Safety Ergonomics 2019; ePub(ePub): 1-8.

Affiliation

Managing Director, ANIMA Polygraph Ltd. , Hungary , Budapest.

Copyright

(Copyright © 2019, Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/10803548.2019.1578550

PMID

30724667

Abstract

Experiences show that during the investigation of accidents, focusing on the direct causes of the event and thus ignoring other facts that also contributed to the event from the background is a recurring problem. In this paper we set out to present the lessons learnt from applying a novel approach by using the SOL (event analysis) methodology for the analysis of an occupational accident. We used this method to analyse a fatal accident during a search and rescue operation, where the victim was one of the members of the Search And Rescue (SAR) team. Our analysis also reviewed some contributing factors, which had not been identified by the previously conducted official investigation. As part of our method, we reflected on these factors by specifying concrete management measures, thus laying the foundations of organisational learning.

Language: en

Keywords

RCA; SOL; accident; event analysis; organisational learning; safety; search and rescue