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 Prepared by WS Atkins Consultants Ltd for the Health and Safety …
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