Accident Investigation Techniques, Second Edition by Oakley Jeffrey S
Author:Oakley, Jeffrey S.
Language: eng
Format: epub
Publisher: American Society of Safety Engineers
Published: 2016-08-10T16:00:00+00:00
Exhibit 7.6
Summary
Events and causal factors analysis is a comprehensive accident investigation tool that develops the accident sequence as well as determining causal factors. The accident sequence is separated into events and conditions. The events illustrate a timeline of the accident. After a complete chart is developed from the facts of the accident, the events and conditions are analyzed and causal factors are determined. Many hours of work are needed to produce an effective events and causal factors analysis; however, the result is that accident investigators understand the accident sequence and are confident that the causal factors of the accident have been found. This technique ensures that an adequate investigation is performed and a documented accident sequence is developed. This technique answers the ultimate question for accident investigators: “Why did this accident occur?”
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