Systems-based accident analysis in the led outdoor activity domain: application and evaluation of a risk management framework

Abstract

Safety-compromising accidents occur regularly in the led outdoor activity domain. Formal accident analysis is an accepted means of understanding such events and improving safety. Despite this, there remains no universally accepted framework for collecting and analysing accident data in the led outdoor activity domain. This article presents an application of Rasmussen's risk management framework to the analysis of the Lyme Bay sea canoeing incident. This involved the development of an Accimap, the outputs of which were used to evaluate seven predictions made by the framework. The Accimap output was also compared to an analysis using an existing model from the led outdoor activity domain. In conclusion, the Accimap output was found to be more comprehensive and supported all seven of the risk management framework's predictions, suggesting that it shows promise as a theoretically underpinned approach for analysing, and learning from, accidents in the led outdoor activity domain. STATEMENT OF RELEVANCE: Accidents represent a significant problem within the led outdoor activity domain. This article presents an evaluation of a risk management framework that can be used to understand such accidents and to inform the development of accident countermeasures and mitigation strategies for the led outdoor activity domain.

A systemic analysis of South Korea Sewol ferry accident – Striking a balance between learning and accountability

“…As demonstrated in other studies (Branford, 2011;Jenkins et al, 2010;Johnson and Muniz de Almeida, 2008;Salmon et al, 2010;Vincente and Christoffersen, 2006;Waterson, 2009b;Woo and Vincente, 2003), this study provided additional evidence of the value of the AcciMap in analysing a large-scale accident investigation.…”

‘Remixing Rasmussen’: The evolution of Accimaps within systemic accident analysis

“…In subsequent sections (4.2.1 to 4.2.5) of the paper, we refer to individual studies with reference to their numbering in table 2 (e.g., study 2 is Woo and Vicente, 2005). Table 3 Transport 17,18,; Outdoor Recreation (8,9); and Policing and Security (10,11). The most frequent use of Accimaps occurs in Aviation and Aerospace (5 studies), Transport (Rail -4 studies), and Public Health (3 studies).…”

“…Two studies added 'fault trees' or 'logic gates' to the Accimap (2 and 5), whilst other minor changes were made to the original format in order to accommodate testing of Rasmussen's predictions (6,8) and formulating a set of cross-level hypotheses (e.g., the interaction between organisational and group levels of analysis -Karsh et al, 2014, study 7).…”

“…In this section we focus on two aspects of this evolution or 'remixing' process which relate to the theoretical and practical aspects of systemic accident analysis. where application of the system approach has little precedence (e.g., studies 2,4,6,7,8,10,11,21). In recent and as yet unpublished work, for example, we have used Accimaps as a means to demonstrate the complexity of accident causation in public safety (food safety) and maritime accidents (shipping collisions -Nayak and Waterson, in preparation; Murray et al, submitted).…”

“…6 Cassano-Piche et al (2009) A test of Rasmussen's risk management framework in the food safety domain: BSE in the UK 7 Waterson (2009) A systems ergonomics analysis of the Maidstone and Tunbridge Wells infection outbreaks 8 Salmon et al (2010) Systems-based accident analysis in the led outdoor activity domain: application and evaluation of a risk management framework 18 Scott-Parker et al (2014) The driver, the road, the rules … and the rest? A systems-based approach to young driver road safety 19 Lei et al (2014) An integrated graphic-taxonomic-associative approach to analyze human factors in aviation accidents 20 Trotter et al (2014) Impromaps: Applying Rasmussen's Risk Management Framework to improvisation incidents 21 Salmon et al (2014) A systems approach to examining disaster response: Using Accimap to describe the factors influencing bushfire response 22 Harvey and Stanton (2014) Safety in System-of-Systems: Ten key challenges 23 Tabinzadeh and Meshkati (2015) Applying the AcciMap methodology to investigate a major accident in offshore drilling: a systematic risk management framework for oil and gas industry 24 Fan et al (2015) Analysis for Yangmingtan bridge collapse.…”