Revolution of Report Writing in Safety Investigations

|Publish Date: Jun 4, 2024|Keywords: Contemporary EHF 2024, Investigation, Publications, Systems, Tools & techniques|

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 Author
Jenny O’Donnell, Nic Steevenson & Paul Bowie
Abstract
This paper highlights the presence of reductionism and consequent blame within safety investigation reports across multiple high-reliability industries. It discusses the use of an innovative Learning Response Review and Improvement Tool, (LRRIT, referred to as the ‘Tool’ in this paper) initially developed for healthcare safety improvement (HSSIB, 2023). This Tool helps to shift the focus from the person, at the sharp end, to drive impartiality and systemic learning in safety investigation reports.