Methodologies and Other Reference Materials

JRC Accident Analysis Benchmarking Exercise

General information

• A Review of Accident Modelling Approaches for Complex Critical Sociotechnical Systems (Qureshi)

• Accident investigation (RSSB)

• Accident investigation: From searching direct causes to finding in-depth causes – Problem of analysis or/and of analyst? (Dien et al.)

• Accident investigation techniques (Oshwiki)
• Barriers to learning from incidents and accidents (ESReDA)

• Can we examine safety culture in accident investigations, or should we? (Strauch)

• Comparison of some selected methods for accident investigation (Sklet)
• Engineering a Safer World (Leveson)
• FAA Workbench Tools Menu - This site allows instant comparison of models
• Guidance for safety investigation of accidents (ESReDA)
• Guidance on investigating and analysing human and organisational factors aspects of incidents and accidents (The Energy Institute)

• Guidelines for investigation of logistics incidents and identifying root causes (CEFIC, ECTA, FECC)

• Investigation of barriers and safety functions related to accidents (Ringdahl)

• Investigation tools in context (Frei et al.)
• Learning from Accidents (HSE Resources)
• Results and lessons learned from the ESReDA’s Accident Investigation Working Group: Introducing article to ‘‘Safety Science” special issue on ‘‘Industrial Events Investigation” (Dechy et al.)
• Risk analysis active learning through the investigation of real cases (Darbra et al.)
• Selection of Accident Investigation Methods (Pranger)
• Standardization of Barrier Definitions (International Organisation of Oil and Gas Producers)
• Storybuilder at https://www.rivm.nl/en/storybuilder 

• Study on Developments in Accident Investigation Methods: A Survey of the "State-of-the-Art (Hollnagel and Speziali)

• Systemic view on safety culture (Oedewals)
• Towards an evaluation of accident investigation methods in terms of their alignment with accident causation models (Katsakioros et al.)
• Understanding Human Behaviour and Error (Embrey)
• Investigating accidents and incidents: A workbook for employers, unions, safety representatives and safety professionals (UK Health and Safety Executive)

Models

• AcciMap
  • Risk management in a dynamic society: A modelling problem (Rasmussen)
  • Accimap approach (Wikipedia)
  • A case study to compare the advantages and limits of two accident analysis methods (Vacher et al.)

  • Integration of organisational aspects into learning from experience : illustration with a case study (LeCoze and Lim)
    

• AEB (Accident Evolution and Barrier Function)
• Barrier analysis
• Bow Tie
• Causal tree analysis
• Change analysis
• Deviation investigation
• Disc Framework Model

  • System modeling with the DISC framework: Evidence from safety-critical domains (Reiman et al.)

• DREAM (CREAM) - Driving Reliability and Error Analysis Method (Cognitive Reliability and Error Analysis Method)

  • A methodological study of the Driving Reliability and Error Analysis Method (DREAM) (Norwegian Centre for Transport Research)

  • CREAM Analysis of the Glenbrook Train Accident and Comparison with WBA (Parikh and Campbell)

• ESREDA Cube

  • Evaluation of the ESReDA Cube Method for the Aviation Sector First analysis of the method’s applicability by applying it on 3 aviation cases (Martens)

• Event and conditional factor analysis (ECFA+)
• Event and causal factor charting/analysis (ECFA)
• Event tree analysis
• Fault tree analysis
• FRAM (Functional Analysis Resonance Model)
  • FRAM Module I

  • Comparing a multi-linear (STEP) and systemic (FRAM) method for accident analysis (Herrera and Woltjer)

  • Analysis of Comair 5191 with the FRAM Model (Hollnagel et al.)
    FRAM Guidance
• GEMS (Generic Error Modelling System)
• MORT (Management Oversight and Risk Tree)
  • MORT User's Manual
  • Integration of organisational aspects into learning from experience : illustration with a case study (LeCoze and Lim)
• MTO (Man, Technology and Organisation)

  • Investigation methodology: Man – technology – organization (Excerpt from the SINTEF report)

• Root cause analysis
  • Root cause analysis (Wikipedia)
• Safety function alaysis
• SCAT (Systematic Cause Analysis Technique)
• SHELL (Software, Hardware, Environment and Liveware)
• • SHELL Model (Aviation Knowledge)

  • A human factors approach for the analysis and the encoding of aviation accidents and incidents: a validation study (Poliquen et al.)

• STAMP (Systems Theoretic Accident Modeling and Processes)
  • Applying STAMP in Accident Analysis
    
  • STAMP/CAST Case Study - Sewol-Ho Ferry Accident in South Korea
  • Other case studies using STAMP/CAST can be found under Fukushima and Macondo Case Studies on the Case Study References page
• STEP (Sequential Timed Events Plotting)

  • Comparing a multi-linear (STEP) and systemic (FRAM) method for accident analysis (Herrera and Woltjer)

• Swiss cheese model
  • Swiss cheese model (Wikipedia)
  • Revisiting the Swiss Cheese Model of Accidents (EUROCONTROL)
• TapRoot
  • About TapRoot
  • Example application of TapRoot (Skompski)
• TRIPOD (Based on Tripod Theory of Hazard, Target and Event)

  • The home of the tripod beta accident investigation and analysis methodology

  • Optimizing fact-finding in incident investigation and analysis using Tripod TRACK (Verhoeve et al.
    
    Tripod Beta User Guide