EUROCONTROL—Systemic Occurrence Analysis Methodology (SOAM)—A “Reason†-based organisational methodology for analysing incidents and accidents

Tony Licu, Florin Cioran, Brent Hayward and Andrew Lowe

Reliability Engineering and System Safety, 2007, vol. 92, issue 9, 1162-1169

Abstract: The Safety Occurrence Analysis Methodology (SOAM) developed for EUROCONTROL is an accident investigation methodology based on the Reason Model of organisational accidents. The purpose of a SOAM is to broaden the focus of an investigation from human involvement issues, also known as “active failures of operational personnel†under Reason's original model, to include analysis of the latent conditions deeper within the organisation that set the context for the event. Such an approach is consistent with the tenets of Just Culture in which people are encouraged to provide full and open information about how incidents occurred, and are not penalised for errors.

Keywords: Just Culture; Safety occurrences; Safety analysis; SHEL model (BH); Barriers; Defences; Strategic Safety Action Plan (SSAP); EUROCONTROL; Safety recommendations; Corrective actions; EUROCONTROL safety regulatory requirements (ESARRs) (search for similar items in EconPapers)
Date: 2007
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Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:reensy:v:92:y:2007:i:9:p:1162-1169

DOI: 10.1016/j.ress.2006.08.010

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