Course Materials
Online learning advice and software familiarisation
Presentation Session A | Introduction to investigating, human performance and risk management
Presentation Session B | Gathering evidence, analysis
Presentation Session C | Mitigation and control measures, the disciplinary investigation
EXERCISE Case Study - Jack Adcock (2019 case study update)
EXERCISE Case Study - Rail Incident
CASE STUDY - Margam fatality - leadership challenges
Further Reading
HSG245 Investigating Accident and Incidents; Health and Safety Executive. (2004 - available online here)
Investigating Human Error Incidents and Accidents in Complex Systems; Barry Strauch. (2016 Routledge - ISBN 978-0-754-64122-3)
Managing Maintenance Error; James Reason and Alan Hobbs. (2003 CRC Press - ISBN 978-0-754-61591-0)
Organisational Accidents Revisited; James Reason. (2016 CRC Press/ Taylor Francis - ISBN 978-1-472-44765-4)
Rail Industry Standard RIS-3119-TOM Accident and Incident Investigation; RSSB. (March 2019 - available to members online here)