HF in Incident Investigations
This topic is about making sure that human factors are properly considered in understanding and learning from incidents. This should be done by looking at the incident from the perspective of those involved and building an understanding of why their actions and decisions made sense to them at the time. It is also necessary to take account of the context, situation and organisational factors which influenced behaviours, such as design, supervision, procedures and communication
s. This approach helps to avoid hindsight bias which focuses more on what was not done and can lead to blaming individuals which blocks learning. Assessment of how organisational factors drive behaviour will reveal underlying causes which offer the best opportunity for improvement.