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New Perspectives on Accident/Incident Investigation

机译:关于事故/事故调查的新观点

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Most accident/incident investigations tend to look at the injury or incident from an external perspective. In other words, somebody else (typically) investigates the incident or injury instead of the person who was hurt doing the investigation themselves. Obviously, in the case of a very serious injury or fatality, this makes perfect sense because it would be impossible to do the investigation from a hospital bed or the morgue. But in other cases where the person wasn't seriously injured, it is still much more common for someone else to investigate it. Why? Well, again, some obvious explanations come to mind: "We want it to be impartial, we want it to be fair, only highly trained and skilled individuals are competent" and so on…However, if the purpose of doing the investigation is not to lay blame (at least that's what everybody says) but only to prevent the same thing from happening again, why is it that the highly trained, skilled and competent people who investigate accidents—in some cases hundreds of accidents—don't do it for themselves when they get hurt? For example, years ago I went to a seminar on accident/incident investigation put on by one of the safest companies in the world. One of the instructors doing the seminar had a fresh gash about the size of a nickel on the top of his head. Since he didn't have much hair, it was very noticeable. He had investigated many (many) injuries and incidents in his career before he became a seminar leader.
机译:大多数事故/事故调查往往会从外部角度来看受伤或事件。换句话说,其他人(通常)调查事件或伤害而不是受伤自己伤害的人。显然,在非常严重的伤害或致命的情况下,这是完美的感觉,因为从医院病床或地下进行调查是不可能的。但在其他人没有严重受伤的情况下,别人调查它仍然更为常见。为什么?好吧,再次,一些明显的解释来到了:“我们希望它是公正的,我们希望它是公平的,只有高度训练有素和熟练的个人都是能力的”,所以,如果做调查的目的不是责怪(至少这是每个人所说的),而只是为了防止同样的事情再次发生,为什么这是调查事故的高度训练,熟练和有能力的人 - 在某些情况下百分之一的事故 - 不要这样做 - 不这样做他们受伤时为自己?例如,多年前,我去了一个关于世界上最安全的公司之一的事故/事故调查研讨会。做研讨会的一位教练有一个关于他头顶上镍的大小的新鲜伤口。由于他没有太多的头发,这是非常明显的。在他成为研讨会领导者之前,他在职业生涯中调查了许多(许多)伤害和事件。

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