When an accident occurs, we respond in a number of ways: we look for someone to blame, we try to understand why it happened, we seek to learn and take precautions for the future and we may breathe a sigh of relief and try to forget the accident as quickly as possible. This book is about how to manage these various responses to an accident. It addresses the question of how to manage the stages of learning from disasters and other accidents and of: – how data could be collected and analysed to derive the lessons – how and how far the different and conflicting objectives of judicial procedures and organisational learning could be reconciled.
In the past decade, the issue of organisational shortcomings has emerged as a central focus, but there have been few, if any,
