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Tripod Beta is an incident and accident analysis methodology made available by the Stichting Tripod Foundation [1] via the Energy Institute.The methodology is designed to help an accident investigator analyse the causes of an incident or accident in conjunction with conducting the investigation.
The Swiss cheese model of accident causation is a model used in risk analysis and risk management. It likens human systems to multiple slices of Swiss cheese , which has randomly placed and sized holes in each slice, stacked side by side, in which the risk of a threat becoming a reality is mitigated by the differing layers and types of defenses ...
The presentation of a decision-forcing case necessarily takes the form of a story in which the protagonist is faced with a difficult problem. This can lead to "the narrative fallacy", a mistake that leads both case teachers and the developers of case materials to ignore information that, while important to the decision that students will be ...
Tufte's analysis of a NASA PowerPoint slide is included in the Columbia Accident Investigation Board’s report -- including an engineering detail buried in small type on a crowded slide with six bullet points, that if presented in a regular engineering white paper, might have been noticed and the disaster prevented. [19] [20]
A slide is a single page of a presentation. A group of slides is called a slide deck. A slide show is an exposition of a series of slides or images in an electronic device or on a projection screen. Before personal computers, they were 35 mm slides viewed with a slide projector [1] or transparencies viewed with an overhead projector.
Failure analysis is the process of collecting and analyzing data to determine the cause of a failure, often with the goal of determining corrective actions or liability.. According to Bloch and Geitner, ”machinery failures reveal a reaction chain of cause and effect… usually a deficiency commonly referred to as the symptom…”
Usually, it is a series of misfortunes—a job loss, then a car accident, then an eviction—that interact and compound. I heard the most acute description of how this happens from Anirudh Krishna, a Duke University professor who has, over the last 15 years, interviewed more than 1,000 people who fell into poverty and escaped it.
Critical incident debriefing is a widespread approach to counseling those in a state of crisis. This technique is done in a group setting 24–72 hours after the event occurred, and is typically a one-time meeting that lasts 3–4 hours, but can be done over numerous sessions if needed.