Transcription of CONTRACT RESEARCH REPORT 325/2001
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CONTRACT RESEARCH REPORT 325/2001
HSEH ealth & SafetyExecutiveRoot causes analysis:Literature reviewPrepared byWS Atkins Consultants Ltdfor the Health and Safety ExecutiveCONTRACT RESEARCH REPORT325/2001 HSEH ealth & SafetyExecutiveRoot causes analysis:Literature reviewA D Livingston, G Jackson& K PriestleyWS Atkins Consultants LtdScience & TechnologyWS Atkins HouseBirchwood BoulevardBirchwoodWarringtonWA3 7 WATypically an incident REPORT will place emphasis on developing a description of the consequences ratherthan causes of the incident, explaining what happened, but not why it happened. It is only by adoptinginvestigation techniques that explicitly identify root causes, ie the reasons why an incident occurred,that organisations may learn from past failures and avoid similar incidents in the future. Root causesanalysis is simply a tool designed to help incident investigators determine what, how and mostimportantly, why an incident occurred.
HSE Health & Safety Executive Root causes analysis: Literature review A D Livingston, G Jackson & K Priestley WS Atkins Consultants Ltd Science & Technology
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