Forensic investigations and the establishment of technical causes and effects are usually well understood and consequently handled adequately in incident investigations. By contrast, integrating human and organizational factors into causal analysis is a struggle for most organizations. The tendency is to focus on nearby factors, factors that were close in time and space for where the actual event occurred. In many cases, the investigation ends when a human error has been identified although it is clear that several factors played an important role in the system failure. Factors that were all necessary but only jointly sufficient to push the system over the edge of its safe envelope.
Incident investigations provide a critical opportunity for organizations to establish learning from incidents and help organizations improve personal safety issues and reduce the risk of major system failures.
Tapora has experience from completing incident investigations across different industries. Tapora has been leading incident investigations in the nuclear industry, oil & gas, energy, wind power, railway and aviation. Tapora also offers expertise in aircraft accident investigation.
Tapora offers incident investigation training based on well-established human factors and system safety methods. In addition, Tapora offers organisations support in completing incident investigations either as a team member or as investigation lead.