Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6781567 | Transportation Research Part A: Policy and Practice | 2014 | 13 Pages |
Abstract
Our findings indicate that learning from these events was not expressed as an explicit goal in the aftermath. Learning in these cases seems to be linked for a large part to a change in measures, technical, operational and organizational, but we have not observed any managed confirmation or comprehension processes. The Tretten accident report suggests that the possibility of human error should be mitigated through the implementation of technological barriers, while it omits all other elaborations and risk reducing measures. The Ã
sta accident report recommended that the work to introduce modern safety management principles that had already been initiated before the accident should be continued. Neither of the accidents yielded any new insights and the knowledge brought forward was merely perceived as confirmation of already-agreed changes.
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Authors
Geir Sverre Braut, Ãivind Solberg, Ove NjÃ¥,