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Learning from experience in municipal environment inspection
KTH, School of Architecture and the Built Environment (ABE), Philosophy and History of Technology, Philosophy.
2008 (English)Article in journal (Other academic) Submitted
Place, publisher, year, edition, pages
2008.
Keyword [en]
Inspection, environmental inspection, experience feedback, municipal agencies, inter-agency cooperation
National Category
Philosophy
Identifiers
URN: urn:nbn:se:kth:diva-8717OAI: oai:DiVA.org:kth-8717DiVA: diva2:14114
Note
QS 20120314Available from: 2008-06-09 Created: 2008-06-09 Last updated: 2012-03-14Bibliographically approved
In thesis
1. Experience feedback in practice
Open this publication in new window or tab >>Experience feedback in practice
2008 (English)Licentiate thesis, comprehensive summary (Other scientific)
Abstract [en]

The subject of this licentiate thesis is experience feedback from accidents and incidents. The thesis aims to contribute to an understanding of how the learning processes within organizations, companies and authorities could be improved.

Essay I (written together with Sven Ove Hansson) reports on an evaluation carried out in 2004 by the Swedish Work Environment Authority’s Accident Investigation Board, called HAKO (Haverikommissionen). An important outcome of this evaluation shows that HAKO have not been able to manage the dissemination of their written reports, which is unfortunate, since the reports are thoroughly written.

Essay II (written with Sven Ove Hansson and Carl Rollenhagen) is an overview of the literature on learning from accidents and incidents. The focus in this essay is on literature that evaluates the effectiveness and usefulness of different methods in accident investigations. The conclusions drawn from this literature review are that the dissemination of results and knowledge from accident investigations must be improved, and experience feedback systems should be integrated into overall systems of risk management.

The starting point for Essay III was an empirical study conducted in 2005/2006. Twenty-eight supervision cases from eleven local Environment and Health Administrations in Sweden were examined. The overall goal of the study was to find out how, and to what extent, experience feedback occurs between different municipal authorities. Two major problems affecting experience feedback have been found; namely, that the inspectors do not have enough guidance on how to interpret the law, and that they would like more information on what happens to legal cases they have reported to public prosecutors and police.

Place, publisher, year, edition, pages
Stockholm: KTH, 2008. viii, 10 p.
Series
Theses in risk and safety from the Division of Philosophy at the Royal Institute of Technology, ISSN 1654-627X ; 2
Keyword
Experience feedback, accidents, incidents, accident investigations, CHAIN model, learning process.
National Category
Philosophy
Identifiers
urn:nbn:se:kth:diva-4817 (URN)978-91-7178-988-4 (ISBN)
Presentation
2008-06-13, Rum 231, KTH, Teknikringen 78 B, Stockholm, 13:00
Opponent
Supervisors
Note
QC 20101118Available from: 2008-06-09 Created: 2008-06-09 Last updated: 2010-11-18Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf