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Experience feedback from in-depth event investigations: How to find and implement efficient remedial actions
2017 (English)In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 99, p. 71-79Article in journal (Refereed) Published
Abstract [en]

The present research focuses on the processes of identifying remedial actions subsequent to incidents at two Swedish nuclear power plants. Data from 106 in-depth analyses were analysed together with interviews with event investigators. The results and previous research in the domain indicated a need to further develop the process for identifying remedial actions. A method was developed that focuses on process descriptions and identifications of strengths and weaknesses inherent in the process(es) in which an incident occurred. The method uses a participatory approach with actors from the relevant process (es). A case study was conducted which showed promising results. The method is discussed in terms of generalising to a more process-oriented experience feedback than usually is applied.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE BV , 2017. Vol. 99, p. 71-79
Keyword [en]
Accident investigation, Event analysis, Root-cause analysis, Proactive analysis, Learning from accidents
National Category
Computer and Information Sciences
Identifiers
URN: urn:nbn:se:kth:diva-214862DOI: 10.1016/j.ssci.2016.12.003ISI: 000410011700008Scopus ID: 2-s2.0-85008354406OAI: oai:DiVA.org:kth-214862DiVA: diva2:1152354
Note

QC 20171024

Available from: 2017-10-24 Created: 2017-10-24 Last updated: 2018-01-13Bibliographically approved

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