ABSTRACT

Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning challenges safety and reliability professionals to get better answers by asking better questions. A provocative examination of human performance and safety management, the book delivers a thought-provoking discourse about how we work, and defines a new approach to operational learning.

This is not a book about traditional safety. This is a book about creating "real" safety in your organization. In order to predict incidents before they happen, an organization should first understand how their processes can result in failure. Instead of managing the outcomes, they must learn to manage and understand the processes used to create them.

Ideal for use in safety, human performance, psychology, cognitive and decision making, systems engineering, and risk assessment areas, this book equips the safety professional with the tools, steps, and models of success needed to create long-term value and change from safety programs.

 

chapter 1|6 pages

Better questions

chapter 5|10 pages

Not knowing is powerful

chapter 6|3 pages

There is good news

chapter 8|7 pages

A learning team case study

chapter 9|14 pages

Why we don’t learn?

chapter 10|5 pages

Learning teams

chapter 11|4 pages

A phased approach to learning teams

chapter 12|18 pages

When to learn?

chapter 14|15 pages

Change happens!

chapter 15|3 pages

Shout from the rooftop

chapter 16|6 pages

A learning team case study

chapter 17|6 pages

Conclusion

This book ends and your work begins