Examples of Unpublished Works and Data
Section A
This section contains a current list of works in process that I am developing for potential future publication, and data tables and figures that I developed during my research. These works and data might be of interest for their potential contributions or use by others. Collaborators and Comments would be welcomed.
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Proposed editorial for a safety journal rejected; rewrote, expanded and submitted to another journal
Trifurcation of Accident Investigation Functions) (working file v3)
This research describes competency and other problems due to conflation of functions found in today's accident investigation processes, the need for change, and how mishap investigations could be conducted, reported and used to overcome those problems.
Accident Data: User's Hidden Challenges (published Oct 2019 in Safety Science)
Accident Data: Pitfalls for Users(With journal editor.)
Accident Investigation: Eliminate causal statements from accident descriptions.(With journal editor.)
Describes and analyzes cause attribution problems in accident investigations, claimed benefits and harmful effects and proposes response actions
Vulnerabilities of System Safety analysis methods. (being published as letter to Editor)
If safety analyses didn't identify an accident that happened, was it a flawed method or flawed execution? Discusses vulnerabilities found in safety assessment methods, and the need to identify them.
Accident Investigation: The Vital Linking Function (working file draft v7)
Describes the input data linking function role and implementation during investigations and why it is so important
Thinking your way through investigations (working file v1)
Lays out the thought processes as investigators work their way through their investigations, from preparations to final actions (first draft)
STEP-MES Investigation Guides For Investigating What Happened(Revising 2017 version to update text, illustrations
Series of 11 guides providing tasks and tools for a developing graphic data array providing an explanatory description of any phenomenon that happened, to the extent permitted by surviving data sources.
Accident Investigation: Maximising Lessons Learned working draft v 9
Paper describes crucial investigation input data structuring and linking functions, their role in investigations, and the results of their proper execution.
SectionB .
This section contains data from surveys, arrays and tables I have created during my investigation process research activities.
- Investigation Issues. This database contains observations of and insights gained about safety investigation issues identified and reported from 1972 to today by Ludwig Benner during investigations, investigations of investigation processes, analyses of investigation reports and literature searches, shown with the work in which it was introduced. View 5 page database at AI_Investigation_insights_db- LB.pdf.
Also, please refer to Research Wish List pages for investigation issues at http://www.iprr.org/research/issue.html in a list of research issues that was started around1997 from observations during investigations, and grew with experience.
- Student survey. Results of survey responses of students attending a 1982 USC Accident Investigation course. Almost all students had some investigation and a few had safety position experiences.The survey solicited their definitions of CAUSE and FACTORS they would use in accident investigations. View the results here.
- Extracted Statements About Cause Taken From 1996 Isasi Seminar Proceedings, posted at Investigation Research Roundtable http://www.iprr.org/ April 1998, with samples of how investigators view cause in their presentations. View data
- Data Base of Sampled Foundational Views Underlying Accident Investigation Processes. Contains disparate samples of definitions of accidents, investigations, investigation purposes, cause, cause requirements, human error from various sources. 2016 to date. View data.
- Accident Investigation and Analysis Methods Database, with acronyms and Internet URLS where they are described.View data
References Lists containing the references cited in many manuscripts submitted for publication, assembled in one location for convenient perusal by anyone interested in investigation process research.
Section C.
This section contains a list of unpublished works I initiated and sometimes developed with coauthors or in collaboration with others. These works might be of interest for their potential exploitation by others. Comments are invited.
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Historical Risk Analysis Document:
I have posted an early internal staff working draft of a technical
document I prepared at the NTSB in 1971-1972 at the request of and in consultation with the Bureau Director, Henry Wakeland. It contains the risk
oriented basis for focusing the Board's HazMat safety efforts on
emergency responder safety and tank car head shield retrofits. It also generated , the insights for
GEBMO, DECIDE, TRACEM and other models that were developed for Frank
Brannigan's Fire Science curriculum at Montgomery College in subsequent
years. The study was overtaken by external events before it was
completed, and was not further developed for consideration by the Safety
Board. View the last draft of
A RISK BASED
ANALYSIS METHOD FOR HAZARDOUS MATERIALS RAIL TRANSPORTATION
SAFETY.
Draft Aircraft Fire research report
This project was undertaken to determine if aircraft fire losses might be addressed using an analysis method I developed to assess the effectiveness of emergency responses to hazmat accidents. The method is called Time/Loss Analysis. (T/LA) It uses best estimates of the loss accumulation over time as the emergency progresses to its conclusion. T/LA was used as a tool in the MORT program shortly after it was developed and publicly shared as STEP-MES Guide 8, first published in 1979. I used it experimentally at the NTSB to try to isolate response problems. This was the first attempt to apply it to aviation fire responses.To view a 2003 draft, see LOSS HISTORIES: A UNDERUSED SAFETY RESOURCE
My special thanks to Mike Murphy for his many many contributions.
Section D.
Examples of unpublished works prepared for private use
- Benner, L., REFLECTIONS ON SCIENTIFIC METHOD,
course handout, USC Accident Investigation Course, ISSM 514, 1978.
- Internal document for NTSB: Background Paper: Hazardous Materials Emergency Response Network, TE40 (L Benner) Hazmat Div to provide talking points in support of an NTSB recommendation.
- L Benner, 3 DAY ADVANCED ACCIDENT INVESTIGATION COURSE, example of 1980s investigation courses, based on the then current state of the art. 18 blocks plus handouts, for USC ISSM for a railroad company.
- Numerous other accident investigation courses presented to various corporate, union and government audiences are not reproduced here.
These sections will be supplemented as time permits.
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