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The New View of analyzing incidents

avoid flawed incident analyses by training workers or review teams to “see better;” to use a broad lens to see the potentially dangerous gaps between how work gets done versus how it is intended via pre-planning.

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This white paper reviews the evolution in the past decade of the “New View” of incident analysis. Critiques and objections to traditional safety “accident investigation” models and practices, new perspectives and theories on the causes of incidents, new pathways to find causes, new objectives of analyses, new skills and tools, and a new terminology are part of this evolution.

 We also look at three case studies, taken from NIOSH’s Fatality Assessment & Control Evaluation (FACE) Program, and apply Visual Literacy, critical thinking, and the effect of potential biases to illustrate how how incident analyses can be leveraged as organizational learning opportunities.