The Field Guide › Paper

How Not to Investigate an Accident

Kletz · Safety & Error, Measurement & Method · Loss Prevention Bulletin · 2011 · Open access

Lists eight errors accident investigators commonly make, with the worst being confirmation bias — forming a hypothesis and seeking only supporting evidence. Argues that blaming human error and individuals obscures systemic causes, and that reports lacking concrete actions are worthless. A practical, pointed guide to what passes for investigation but isn't.

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