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- W2912227085 abstract "Experiences show that during the investigation of accidents, focusing on the direct causes of the event and thus ignoring other facts that also contributed to the event from the background is a recurring problem. In this article we set out to present the lessons learnt from applying a novel approach using the safety through organizational learning (event analysis) methodology for the analysis of an occupational accident. We used this method to analyse a fatal accident during a search and rescue operation, where the victim was one of the members of the search and rescue team. Our analysis also reviewed some contributing factors, which had not been identified by the previously conducted official investigation. As part of our method, we reflected on these factors by specifying concrete management measures, thus laying the foundations of organizational learning." @default.
- W2912227085 created "2019-02-21" @default.
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- W2912227085 date "2019-04-05" @default.
- W2912227085 modified "2023-09-25" @default.
- W2912227085 title "Application of the safety through organizational learning methodology for the post analysis of an adverse event during a search and rescue operation" @default.
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- W2912227085 doi "https://doi.org/10.1080/10803548.2019.1578550" @default.
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