Technical WP: The DEKRA Event Learning Process
Incident investigation has been a topic of discussion and an essential safety component in organizations for many years. Unfortunately, many companies find that their investigations do not help them gain insight into the drivers of incidents or help them prevent future incidents. A long list of factors contributes to this, including focusing on a single root cause, being under pressure to produce results quickly, possessing a limited understanding of exposure and human/organizational factors, placing emphasis on finding fault vs. learning, investigators who have limited training and experience, reporting software requirements and implementing corrective actions that provide limited protection against exposure.
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