Incident Investigation
Forensic investigations and the identification of technical causes and effects are usually well understood and managed effectively during incident investigations. However, integrating human and organizational factors into causal analysis remains a challenge for most organizations. The common tendency is to focus on nearby factors that are close in time and space to the event. Often, investigations conclude once a cause is identified, even though it is clear that multiple factors played critical roles in the system failure. These factors were all necessary but, taken individually, were only collectively sufficient to push the system beyond its safe limits. Therefore, human error is the starting point of an investigation – not the end point.
Incident investigations provide a critical opportunity for organizations to establish learning from incidents and help organizations improve safety issues and reduce the risk of major system failures.
Tapora has experience in 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. Besides, Tapora provides organizations with support in completing incident investigations either as a team member or investigation lead.
