Focus Sessions – incident investigation

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Effective safety management systems largely depend on the quality of the investigation of reported incidents and safety issues. Identifying the lessons to be learned from a safety occurrence requires an understanding of not just what happened, but why it happened. We’ll be looking at ICAO Annex 13 which deals with investigation, interview techniques, report writing and investigation management.

Books tips from this episode:
Chamsou’s tip: The Hidden Life of Trees: What They Feel, How They Communicate-Discoveries from a Secret World by Peter Wohlleben (for the French version – La Vie secrète des arbres) – ISBN: 9780008218430
Jan’s tip: The Miracle At Speedy Motors: No.1 Ladies’ Detective Agency 09 by Alexander McCall Smith – ISBN: 9780349119953
Tom’s tip: Personal Effects: What Recovering the Dead Teaches Me About Caring for the Living by Robert A. Jensen – ISBN 9781250267993
Robert was our guest in the Focus Sessions season 1 episode 1 – click here to view this episode

Aviation safety resources from this episode:

  1. ISASI Guidelines for training of investigators
  2. Thesis about Flight Data Monitoring – by Rui Fernandes – learning from normal operations
  3. Case study by L3Harris/FDS about FDM on Cessna Caravans

The below copy of the ICAO Annex 13 is sourced from the website of the Swiss Federal Office of Civil Aviation