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- Publisher
- American Psychological Association
- Copyright
- Copyright © 2011 Hogrefe Publishing
- ISSN
- 2192-0923
- eISSN
- 2192-0931
- DOI
- 10.1027/2192-0923/a00005
- Publisher site
- See Article on Publisher Site
Abstract
The analysis of major accidents in safety-critical systems requires a“big-picture” approach, with the capacity to accommodatecontributing factors from within the organisations involved and fromdysfunctional interactions between different parts of the broader system.Rasmussen’s AcciMap approach is useful in this regard, as itillustrates how multiple factors throughout the system combined to produce anaccident. This article describes the application of this technique to theÜberlingen mid-air collision and draws on this application to discussthe benefits of the AcciMap Approach. These include its capacity to incorporatecontributing factors from all system levels and illustrate theirinterrelationships succinctly; to depict the activities of front-line workerswithin the context in which they occurred; and to aid safety recommendationdevelopment.
Journal
Aviation Psychology and Applied Human Factors – American Psychological Association
Published: Jan 1, 2011