Learning from incidents - A method for assessing the effectiveness of the learning cycle

Jacobsson, AndersLund University,Lunds universitet,Institutioner vid LTH,Lunds Tekniska Högskola,Departments at LTH,Faculty of Engineering, LTH (author)

Abstract in UndeterminedThis paper describes a method for assessing the effectiveness in the steps of the learning cycle: the 1st loop with reporting - analysis - decision - implementation - follow-up, and the 2nd loop on an aggregated basis. For each step, the dimensions considered the most relevant for the learning process (scope, quality, timing and information distribution) and for each dimension the most relevant aspects (e.g. completeness and detail) were defined. A method for a semi-quantitative assessment of the effectiveness of the learning cycle was developed using these dimensions and aspects and scales for rating. The method will give clear indications of areas for improvement when applied. The results of the method can also be used for correlation with other safety parameters, e.g. results from safety audits and safety climate inquiries. The method is intended to be used on a sample of the broad range of incidents normally seen in process industry companies. The method was tested on a two-year incident reporting material from six companies from various types of process industries. It was found that the method and the tools worked very well in practice. The results gave interesting insights into the effectiveness of learning from the incidents.

Ek, ÅsaLund University,Lunds universitet,Ergonomi och aerosolteknologi,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Ergonomics and Aerosol Technology,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH(Swepub:lu)ie-aek (author)
Akselsson, RolandLund University,Lunds universitet,Ergonomi och aerosolteknologi,Institutionen för designvetenskaper,Institutioner vid LTH,Lunds Tekniska Högskola,Ergonomics and Aerosol Technology,Department of Design Sciences,Departments at LTH,Faculty of Engineering, LTH(Swepub:lu)amt-rak (author)
Institutioner vid LTHLunds Tekniska Högskola (creator_code:org_t)

In:Journal of Loss Prevention in the Process Industries: Elsevier BV25:3, s. 561-5700950-4230

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