| Título | Systems thinking applied to real-world accident investigation: A case study comparing findings from AcciMap and Fault Tree Analysis |
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| Tipo | Artigo em Conferência |
| Abstract | This paper aims to compare the AcciMap and Fault Tree Analysis methods, highlighting the contributions of both approaches from findings of a real-world accident investigation in the oil and gas industry. The AcciMap method was chosen as a contrast to traditional methods in accident investigation because it analyses events at different organizational and social levels. The methodology was divided in three phases: (a) data collection, comprising documentary analysis and fieldwork towards both methods; (b) data modelling, the construction of FTA and AcciMap diagrams, as well as identification of findings; and (c) data analysis, comprising a comparison and discussion regarding findings from both methods. Findings show that the Tault Tree Analysis focuses on human failures or errors isolated or factors proximal in space or/and time. On the other hand, the AcciMap represented the event’s direct and indirect causes through a structured diagram that connected the factors from the external to the operational level. This approach provided insights into how comprehension of local rationality and interaction/combination of factors shape the accident’s context. Consequently, it helped us recognize the elements influencing human performance and its variability. |
| Ano | 2025 |
| Evento | Joint 11th Biennial Symposium of the Resilience Engineering Association and 14th Annual Resilient Health Care Society Meeting |
| DOI | 10.5281/zenodo.18343959 |