Abstract
This article discusses the difficulties in utilising accident analysis
as the basis for the development of complex socio-technical systems, and
how to improve accident analysis to better meet such aims. It focuses
on two themes: accident models and experts’ involvement in accident
investigation. The article describes the development of a new core task
analysis-based method for accident analysis. It also elaborates on the
method by presenting summarising results of an investigation in which
several maritime accidents were first analysed case-by-case, followed by
a comparative analysis and a synthesis. The latter phases aimed at
providing evident-based generic explanations for the accidents. The
accidents occurred in Finnish coastal waters during sea or canal
piloting between 1997 and 2000. The authors participated in both phases
of the investigation for which the Finnish Accident Investigation Board
was responsible. The presented method is argued to promote solutions to
two current problems in accident investigation: generalisation from the
results, and integration of the experts’ work.
| Original language | English |
|---|---|
| Pages (from-to) | 129-150 |
| Number of pages | 22 |
| Journal | Cognition, Technology and Work |
| Volume | 11 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2009 |
| MoE publication type | A1 Journal article-refereed |
Keywords
- Accident investigation
- Accident models
- Expert cooperation
- Practices
- Pilotage
- Maritime