chapter 12 incident investigations
swiss cheese model
Updated version of domino model presented by J. Reason Series of dominoes with holes in them Focuses on series of events that must occur for an incident to occur
rac program
a hazard recognition, assessment, and control program; a key element in most health and safety programs
re-anactment
a simulation designed to recreate the circumstances leading up to the incident
Normal Incidents
incidents are expected outcomes of interactive complexities
walkthrough
inspection of the incident scene to get a picture of the total environment
Cognitive Failure
mistake or failure in the performance of an action that an individual is normally capable of performing often a sign of individuals under stress related to occurrence of both motor vehicle and work-related incidents
High-Reliability Organizations
organizations in hazardous industries that maintain a high safety record over time
domino theory
the theory that every incident results from a series of events