The usual suspects? A novel extension to AcciMap using accident causation model tenets

摘要

Previous examination of the most widely used systems based accidentcausation models identified a series of core accident causation tenets.It is believed that these core tenets, referred to as ‘systems thinkingtenets’, are the first step to a proactive approach to system safety. Thearticle examines the Kimberly Ultramarathon fire and the extent thatthe systems thinking tenets can be applied using Rasmussen’s AcciMaptechnique. The findings suggest that indeed the tenets can be identifiedand further expose the specific system vulnerabilities that led to theKimberly Ultramarathon accident. The tenets are a beneficial additionto the AcciMap technique providing the analyst a means to classifysystem properties leading to accidents. Implications for practice andfuture research steps are discussed.