Integration of organisational aspects into learning from experience : illustration with a case study

Jean-Christophe Le Coze (1) , Samantha Lim (1)

1 INERIS - Institut National de l'Environnement Industriel et des Risques

In a recent study on learning from experience, INERIS acknowledged the organisational dimensions of major hazard accidents. The aim of this paper is to introduce the approach advocated in order to take into account the organisational aspects of accidents. This approach is based on a review of the literature on the organisational side of major accidents as well as on accident investigation methods. Among the methods, the Accimap (J. Rasmussen, I. Svedung, 2000) was chosen to illustrate the global dimension of accident, and a method (MORT for management oversight and risk tree, Johnson, 1980) has been chosen as a tool to be developed at INERIS, with the collaboration of the Noordwijk Risk Initiative Foundation. This method integrates a normative organisational model and an approach to the accident investigation process, based on the principle of barriers. These two methods, though not completely compatible, have shown to be relevant for serving different objectives of INERIS.

Domaines: Sciences de l'ingénieur [physics]

Jean-Christophe Le Coze, Samantha Lim. Integration of organisational aspects into learning from experience : illustration with a case study. 11. International Symposium on Loss Prevention and Safety Promotion in the Process Industry, May 2004, Praha, Czech Republic. pp.2409-2416. ⟨ineris-00972454⟩