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Method for evaluating learning from incidents using the idea of "level of learning"

Jacobsson, Anders LU ; Ek, Åsa LU and Akselsson, Roland LU (2011) In Journal of Loss Prevention in the Process Industries 24(4). p.333-343
Abstract
Learning from incidents is considered a very important source for learning and improving safety in the process industries. However, the effectiveness of learning from reported incidents can often be ques-tioned. Therefore, there is a need to be able to evaluate the effectiveness of learning from incidents, and for that purpose we need methods and tools. In this paper, a method is described for evaluating the effectiveness of learning, based on the idea of “level of learning” of the lessons learned. The level of learning is expressed in terms of how broadly the lesson learned is applied geographically, how much organizational learning is involved and how long-lasting the effect of learning is. In the 6-step method, the incidents reported in... (More)
Learning from incidents is considered a very important source for learning and improving safety in the process industries. However, the effectiveness of learning from reported incidents can often be ques-tioned. Therefore, there is a need to be able to evaluate the effectiveness of learning from incidents, and for that purpose we need methods and tools. In this paper, a method is described for evaluating the effectiveness of learning, based on the idea of “level of learning” of the lessons learned. The level of learning is expressed in terms of how broadly the lesson learned is applied geographically, how much organizational learning is involved and how long-lasting the effect of learning is. In the 6-step method, the incidents reported in a typical incident learning system are evaluated both for the actual and the potential level of learning in a semi-quantitative way with different tools. The method was applied in six process industries on a large number of incidents. The method was found to be very useful and to give insights of aspects that influence the learning from incidents. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Process industry, Lesson learned, Learning, Incident, Underlying causes, Learning level
in
Journal of Loss Prevention in the Process Industries
volume
24
issue
4
pages
333 - 343
publisher
Elsevier
external identifiers
  • wos:000292177000005
  • scopus:79956349061
ISSN
0950-4230
DOI
10.1016/j.jlp.2011.01.011
language
English
LU publication?
yes
id
f4e0b0e5-33b6-4253-8e99-961ad89bd3b4 (old id 1940561)
date added to LUP
2011-05-12 15:19:34
date last changed
2017-11-05 04:17:42
@article{f4e0b0e5-33b6-4253-8e99-961ad89bd3b4,
  abstract     = {Learning from incidents is considered a very important source for learning and improving safety in the process industries. However, the effectiveness of learning from reported incidents can often be ques-tioned. Therefore, there is a need to be able to evaluate the effectiveness of learning from incidents, and for that purpose we need methods and tools. In this paper, a method is described for evaluating the effectiveness of learning, based on the idea of “level of learning” of the lessons learned. The level of learning is expressed in terms of how broadly the lesson learned is applied geographically, how much organizational learning is involved and how long-lasting the effect of learning is. In the 6-step method, the incidents reported in a typical incident learning system are evaluated both for the actual and the potential level of learning in a semi-quantitative way with different tools. The method was applied in six process industries on a large number of incidents. The method was found to be very useful and to give insights of aspects that influence the learning from incidents.},
  author       = {Jacobsson, Anders and Ek, Åsa and Akselsson, Roland},
  issn         = {0950-4230},
  keyword      = {Process industry,Lesson learned,Learning,Incident,Underlying causes,Learning level},
  language     = {eng},
  number       = {4},
  pages        = {333--343},
  publisher    = {Elsevier},
  series       = {Journal of Loss Prevention in the Process Industries},
  title        = {Method for evaluating learning from incidents using the idea of "level of learning"},
  url          = {http://dx.doi.org/10.1016/j.jlp.2011.01.011},
  volume       = {24},
  year         = {2011},
}