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Safety Programs' Hidden Defect:
Accident Investigation

Slides used during presenation paper "Accident investigations: A Case for New Perceptions and Methodologies", in Accident Causation Papers, SP-461, February 1980, Society of Automotive Engineers

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Table of Contents

Title page

Cover page

SAFETY PROGRAM'S HIDDEN DEFECT: ACCIDENT INVESTIGATION

Presentation promises

List of investigation problem areas

Why bother?

Why investigate?

Objectives for investigations

Scope?

Beginning and end

What is the best method?

Selection criteria for best method

What should I deliver

Work product specifications

Work product specifications

Work product usage

Work product usage

A Lot of questions: Any answers?

Personalized investigations

Adverse effects for investigators

Adverse effects for investigators (continued)

Adverse effects on others

Safetyís hidden defect Iceberg

Investigationís Hidden Defects

Investigation methods research

Findings

When does accident begin and end?

Perceptions of accident phenomenon

What's better

Research led to more findings

Research led to

Conceptual glue

Start musical score

Musical Score

Tape transcript I

Tape transcript 2

Tape transcript 3

Tape transcript 4

Tape transcript 5

Tape transcript 6

Tape transcript 7

Tape transcript 8

Tape transcript 9

4 Key principles

4 Key principles (continued)

4 Key principles (continued)

4 Key principles (continued)

Synthesized investigative methodology

Synthesized investigative methodology

Synthesized investigative methodology

Synthesized investigative methodology

Configuration of event blocks

Event Block Matrix

Teaching simulations

Does it work?

Teaching model

What should investigators do about this?

Look for best investigation technology

IDEAL = One report to serve all users:?A DESCRIPTION AND EXPLANATION OF WHAT HAPPENED

Epilogue:

Author: Ludwig Benner, Jr.

Email: luben at iprr.org

Other information:

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Inquiries about full featured custom investigation training materials are invited. Slides, videos, CDs, manuals, guides, lecture notes, quizzes, simulations, classroom exercises with school solutions, tutorials, and more can be provided. Mention Hidden Defect.