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INVESTIGATING INVESTIGATIONS
to advance the
State-of-the-Art of investigations, through
investigation process research.
Research Resources:
Search site for::
Launched Aug 26 1996.
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- Newly updated software INVESTIGATION CATALYST v1.2 for investigation and hazard analysis support, among other uses, has been released - a Trial version with complete MES procedures, examples and tutorials and Technical Notes with investigation and user tips are now available at www.investigationcatalyst.com(11/04)
- Several papers of interest reporting research involving investigation models at the first four Bieleschweig Workshops in Germany are available at http://www.rvs.uni-bielefeld.de/cms/bieleschweigInformation about the February Workshop is also available there.(2004)
- Proceedings of the 2003 Investigation and Reporting of Incidents and Accidents conference are available at http://shemesh.larc.nasa.gov/iria03//(2004)
- New posting: Investigating Investigation Methodologies paper presents a comparison of effects of RCA and MES methodologies on investigation process tasks and outputs. A handout showing examples of comments about the investigation tasks. and a second handout showing how the comments can be used for managing the investigation are also available. (2003)
- Recent posting: Rimson's paper challenges determining cause as a goal for investigations, and offers alternatives.(2004)
Other new postings include "Comparison of RCA Methods", "Using the Universal Model in Accident Investigation" and "Evidence Issues" (by an AIPRE subscriber.) (2004)
- New posting: see abstract of recent AI process research which involved actual OBSERVATIONS during accident investigation process--just learned about it. (2004)
- Proceedings of the 2002 Investigation and Reporting of Incidents and Accidents conference are available at http://www.dcs.gla.ac.uk/~johnson/iria2002/ (2003)
- I have discerned a number of misrepresentation of the MES investigation system in the documents referencing MES. In an effort to overcome misunderstanding of what MES is, a brochure describing MES, its origins and operation as posted here. View brochure. Additionally, the TechNotes section of the Investigation Catalyst web site provides recent updates about technical issues precipitated by very recent papers. Help menus and tutorials in the Investigation Catalyst software package provide further details about the MES system.
(2003)
- Added recent research reports to Project list.
- See reports of 1994 C 130 firefighting tanker in-flight breakup in California. (2003)
- Posted new section with historical treatise about how investigations led to new paradigm for hazmat accident emergency response processes. (2003)
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Posted 1985 research paper showing criteria development and rankings of
17 Accident Models and Investigation Models used by government agencies
(posted May 31, 2000)
- Posted research paper with evaluation of Models For Accident Investigation by M. Harvey, PhD.
- Posted updated link to final Master Volume of RAND's report on NTSB investigation with all and references appendices.
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Posted NTSB response to Petition for
Reconsideration of 1991 Block Island B 1900 accident report. Why were
investigation outcomes different?.
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The Society of Fire Protection Engineers has published a paper "The Need
for Scientific Fire Investigation" in the Fall 2000 issue of Fire Protection
Engineering..
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Recent thesis "Assessment of Accident Investigation
Methods" by S Munson posted for comment
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Recent list of Petitions for Reconsideration
of NTSB reports acted on since 1994. including 16 pending Petitions as
of 5/24/00.
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Posted NTSB response to Petitions for
Reconsideration of published high altitude 1979 yaw -- roll over --
vertical dive aircraft accident report to compare with the original Petition.
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See two posted commentaries on
Rand study of NTSB problems. and a link to third insightful commentary
. You can also download the report.
What exactly are the problems?
- Posted new set of very conflicting investigation reports about same accident, with commentary.(4/17/00)
- Still no response from NTSB to a July 24 1999 request for information about Petitions for Reconsideration received by NTSB, and its process for handling such petitions. (May 24, 2000)
- Investigation Roles in Safety Regulation Assessment are described in a research paper presented at a conference on assessing rail-highway grade crossing regulation. Raises questions about ethics of current use of investigation reports.
- SeePress Release about the long awaited Rand research report of its investigation of NTSB investigation process.
- View a report critiques.
- View another report critique
Posted paper describing accident perception and methodology research.
Posted 1927 article describing An Inquiry into the Causes of Fatal Accidents of possible historical interest to investigation researchers..
Posted paper describing Accident Theories and their Implications for Research discusses problems with accident causation research resulting from differing concepts that affect investigations.
Posted replica of old wood cut of railroad accident scene, showing reaction to wreck. (plus ça change, plus c'est la même chose)
Posted list of Publications and presentations by C O Miller of potential interest to investigation researchers.
Posted paper describing Alternative Methods for Assessing Regulations using episodic accident event descriptions rather than accident attributes.
Started posting Investigators' Top 10 List. Monthly feature , reproduced from the MES INVESTIGATION GUIDES
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