SOL – Safety through organizational learning: A method for event analysis

Abstract Under the guidance of Bernhard Wilpert † a research group at the Berlin University of Technology developed an event analysis methodology called safety through organizational learning (SOL). The method has been adopted by the Swiss and German nuclear industries as standard procedure for their in-depth event analyses. SOL aims at facilitating organizational learning from events by supporting the process of analyzing events, ensuring its standardized conduct and mobilizing expert knowledge and creativity in the analysis. In this paper we provide a short description of SOL and its theoretical background. We summarize the empirical evidence and practical experience regarding SOL, which proves it to be a valid methodology that gives sufficient support to analysts. Finally, practical experiences and challenges for future research are discussed.

[1]  R. Hogarth,et al.  Judging probable cause. , 1986 .

[2]  Baruch Fischhoff,et al.  Strategies of information search in causal analysis , 1982 .

[3]  F A Manuele Accident investigation and analysis: an evaluative review. , 1982, Professional safety.

[4]  Jasper E. Shealy,et al.  Impact of Theory of Accident Causation on Intervention Strategies , 1979 .

[5]  Andrew Hale,et al.  Safety Management: The Challenge of Change , 2000 .

[6]  Andrew Hale,et al.  After the Event: From Accident to Organisational Learning , 1998 .

[7]  A. Tversky,et al.  The framing of decisions and the psychology of choice. , 1981, Science.

[8]  C. Cooper,et al.  International review of industrial and organizational psychology , 1986 .

[9]  Babette Fahlbruch,et al.  Safety Related Interventions in Inter-Organisational Fields , 1998 .

[10]  E. Trist,et al.  Some Social and Psychological Consequences of the Longwall Method of Coal-Getting , 1951 .

[11]  L. Ross The Intuitive Psychologist And His Shortcomings: Distortions in the Attribution Process1 , 1977 .

[12]  B. Fischhoff,et al.  Fault trees: Sensitivity of estimated failure probabilities to problem representation. , 1978 .

[13]  Babette Fahlbruch Event Analysis as a Tool to Enhance Safety Culture in Nuclear Power Plants , 2001 .

[14]  Babette Fahlbruch,et al.  Event Analysis as Problem Solving Process , 1997 .

[15]  J. Bishop,et al.  Managing human performance-INPO's human performance evaluation system , 1988, Conference Record for 1988 IEEE Fourth Conference on Human Factors and Power Plants,.

[16]  Kingsley Hendrick,et al.  Investigating Accidents with Step , 1986 .