Accident

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accident causation theory

SWISS CHEESE

LATENT CONDITIONS
*ORGANISATIONAL FACTORS (policies, budget concerns, culture…)
*UNSAFE SUPERVISION (inadequate supervision, supervisory violations..)
*PRECONDITIONS FOR UNSAFE ACTS (invalid standarts, habituating the deviations)
ACTIVE FAILURE
*VIOLATIONS
*ERRORS

Flexibility: Capability to adapt new requirements
ANY QUESTIONS ?

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Accident

1. SWISS CHEESE

2.

3.

4. LATENT CONDITIONS *ORGANISATIONAL FACTORS (policies, budget concerns, culture…) *UNSAFE SUPERVISION (inadequate supervision, supervisory violations..) *PRECONDITIONS FOR UNSAFE ACTS (invalid standarts, habituating the deviations) ACTIVE FAILURE *VIOLATIONS *ERRORS

5. Flexibility: Capability to adapt new requirements ANY QUESTIONS ?