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Introduction to Systematic Investigation

Overview of the Occurrence Investigation Process

Understanding a Systemic Approach to Investigation

The Generic Process of Occurrence Investigation

Phases of Investigation from Detection to Final Reporting

When Does an Occurrence Begin?

Key Roles in Occurrence Investigation

Roles of Notifiers, Supervisors, Safety Management Groups, and Investigators

Involvement of Human Factors Specialists

Detection and Notification

Assessing Severity and Risk of Occurrences

Factual Information Gathering

What Data Should Be Gathered?

What Needs to Be Done for Event Reconstruction?

Analysis and Reporting

Steps in the Analysis Phase

Producing Preliminary Reports

Ensuring the Report Meets Regulatory Requirements

Recommendations and Final Report

Formulating Safety Recommendations

Structuring the Final Report

Integration and Monitoring

Integration of Safety Management Systems

Quizzes

Quiz on Overview of the Occurrence Investigation Process

Quiz on Systemic Approach to Investigation

Quiz on Phases of Investigation

Quiz on Roles in Occurrence Investigation

Quiz on Detection and Notification

Quiz on Factual Information Gathering

Quiz on Event Reconstruction

Quiz on Analysis and Reporting

Quiz on Recommendations and Final Report

Quiz on Integration and Monitoring

Surveys

Survey on Systemic Approach Effectiveness

Survey on Investigation Process Clarity

Survey on Role Understanding

Survey on Data Gathering Techniques

Survey on Reporting Standards

Survey on Safety Recommendations Impact

Badge Card

Systematic Approach to Occurrence Investigation