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Investigation of incidents and accidents

Type of study Follow-up Master
Language of instruction English
Code 040-0358/01
Abbreviation IIA
Course title Investigation of incidents and accidents
Credits 5
Coordinating department Department of Occupational and Process Safety
Course coordinator prof. RNDr. Pavel Danihelka, CSc.

Subject syllabus

1. What is it accident/incident investigation and to what it serves?
2. Accidents typology
3. Process of accident investigation
4. Information collection with regard to accident/incident including planned and non-planned operations.
5. Information analysis
6. Evidences and hypothesis, hypothesis evaluation
7. Hypothesis confirmation or excluding
8. Identification of mechanisms of risk control plan and their failing.
9. Metods of analysis: DOE, FTA, ETA,
10. Metods of analysis:: MORT, analýza bezpečnostních bariér
11. Primary and root causes, their relations and importancePrimární a kořenové příčiny, jejich vztah a význam
12. Lessons learned,
13. Action plan and its implementation. Importance of accident/incident investigation for enterprise, industrial segment and society.

Literature

Investigating accidents and incidents, A workbook for employers, unions, safety representatives and safety professionals, HSE, UK, HSG245, published 2004

Advised literature

Snorre Sklet, Methods for accident investigation, NTU Trondheim 2002, ISBN 82-7706-181-1 
Trevor Kletz, WHAT WENT WRONG? Case Histories of Process Plant Disasters, Elsevier 1999