Workshop on the

Investigation and Reporting of Incidents and Accidents

17th - 20th July 2002, The Senate Room, University of Glasgow.

IRIA 2003 CfP Proceedings | Registration details | Social programme | Original call? | Instructions for Authors? |

This is provisional and subject to revision. We had a large number of high quality submissions - many more than expected. The final line-up of posters has still to be confirmed. I will add the titles of the accepted submissions when I have heard from all of the presenters.

Tuesday 16th July
Programme for the 21st European Conference on Human Decision Making and Control

Wednesday 17th July
Welcome and Introduction, Chris Johnson, University of Glasgow.

Keynote: Normal Accidents-Yesterday and Today
Barry Strauch, National Transportation Safety Board, USA.


Paper Session 1: Rail Reporting
Chair: Chair, Affiliation.

A Human Factors Analysis of Highway-Rail Grade Crossing Accidents in Canada
J. Caird, J.I.Creaser,C.J.Edwards,and R.E.Dewar,
University of Calgary, Canada.

Validating the Visualisation of Incident Statistics: A Case Study Involving Signals Passed at Danger (SPADs)
F. Spiers and C. Johnson, University of Glasgow, UK.

The Application of Why-Because Graphs to Railway Near Misses
J. Braband and B. Brehmke,
Siemens AG Transportation Systems, Germany.


Paper Session 2: Forensic Engineering (1)
Chair: J. Knight, Univeristy of Virginia, USA.

Using Accident Data to Forecast Societal Cost within the Framework of an Axiomatic Safety-Critical Assessment Process (ASCAP) Simulation
D. E. Brown and J. Stile,
University of Virginia, USA.

Learning from Incidents Involving Electrical/Electronic/Programmable Electronic Safety-Related Systems
M. Bowell, Technology Division, Health and Safety Executive, UK.
G. Cleland and L. Emmet, Adelard, UK.


Paper Session 3: Forensic Engineering (2)
Chair: G. Clelland, Adelard (tbc).

The Role of Natural Language in Accident Investigation and Reporting Guidelines
K. S. Hanks, J.C. Knight, University of Virginia, USA.
C.M. Holloway, NASA Langley Research Center, USA.

Error Classification for Safety Management - Finding the Right Approach
S. Shorrock, Det Norske Veritas (DNV), UK.

Thursday 18th July
Poster presentation session
Chair: Chair, Affiliation.

Invited talk 2: Re-cycling the past for the future - issues in the use of incident data
Barry Kirwan, EUROCONTROL.

Paper Session 4: Air Traffic Manegement and Safety Levels
Chair: Henning Anderson, Ntional Research Labs, Risoe, Denmark.

Safety Reporting and Aviation Target Levels of Safety
G. M. Graham and S. Kinnersly, AEA Technology Aviation, UK.
A. Joyce, EUROCONTROL Centre Expérimental, France.

`Automatic Safety Monitoring' in Air Traffic Control - Achievements and Perspectives
A. Joyce EUROCONTROL Centre Experimental, France.
Christine Fassert, CETCOPRA (Paris-1 Sorbonne), France.


Paper Session 5: Theory and Practice in Air Traffic Management
Chair: Mike O'Leary, British Airways (tbc).

Human Error in European Air Traffic Management: From Theory to Practice
A. Isaac, EUROCONTROL, Belgium.
P. Engelen and M. Polman, ATC, The Netherlands.

EPOQUES: Proposing Tools and Methods to Treat ATM Safety Occurrences
Hélène Gaspard-Boulinc, Centre dEtudes de la navigation Aérienne, France.


Paper Session 6: Aviation Operations
Chair: C.M. Holloway, NASA Langley, USA.

Safety Data Collection in British Airways Flight Operations
M. O'Leary, British Airways Safety Services, UK.

Assessing the Risks of Flight Safety Incident Reports
C. Macrae, N. Pidgeon, University of East Anglia, UK.
M. O'Leary, British Airways Safety Services, UK.


Paper Session 7: Transportation reporting
Chair: P.C. Cacciabue, EC JRC, Ispra, Italy.

Incident investigation method for cooperative safety management
Y. Murayama, Maritime Labour Research Institute, Japan.
Y. Yamazaki, Toyama National College of Maritime Technology, Japan.

Integrated Safety Investigation Methodology (ISIM) - Investigation for Risk Mitigation
M. Ayeko, Transportation Safety Board (TSB) of Canada.

Friday 19th July
Poster presentation session
Chair: Chair, Affiliation.

Paper Session 8: Medical Systems
Chair: Tjerk van der Schaaf, Eindhoven University of Technology.

Reporting Adverse Events in Hospitals: A Survey of the Views of 2000 Doctors and Nurses on Reporting Practices and Models of Reporting
H.B. Andersen, M. Dyrløv Madsen, Risø National Laboratory, Denmark.
N. Hermann, T. Schiøler, DSI Danish Institute for Health Services Research, Denmark.
D. Østergaard, Herlev University Hospital, Dept Anaesthesiology, Herlev, Denmark

Development of a Region Wide Process for the Investigation of In-Hospital Deaths
J. M. Davies, University of Calgary, Canada.
B. Young, Calgary Health Region, Canada.

A Survey of Safety Culture in Hospitals Including Staff Attitudes on Incident Reporting
K. Itoh, Tokyo Institute of Technology, Japan.
T. Abe, Tokyo Medical and Dental University, Japan.
H. B. Andersen, Risø National Laboratory, Denmark.


Paper Session 9: Reporting Cultures and Organisational Issues
Chair: Shelley Jeffcott, University of Glasgow.

Learning by Reporting System of Organizational Accidents in Japan
K. Tanaka, University of Electro-Communications Chofu, Japan.

A Study of Incident reporting in Air Traffic Control - Moral Dilemmas and the Prospects of a Reporting Culture Based on Professional Ethics
M. Dyrløv Madsen, Risø National Laboratory, Denmark.

Forensic Software Engineering and Stories of Failure
Darren Dalcher, Middlesex University, UK.


Paper Session 10: Analytical Tools
Chair: Chris Johnson, University of Glasgow.

Not Reporting Successful Recoveries from Self-Made Errors? An Empirical Study in the Chemical Process Industry
Tjerk van der Schaaf and Lisette Kanse, Eindhoven University of Technology.

A Framework for Re-examining Accident Reports to Support Interaction Design Processes
A. Bruseberg, I. Solodilova, R. Hourizi and P. Johnson,
University of Bath, UK.

Interactive Evidence: New Ways To Present Accident Investigation Information
D. Schofield, J. Noond, L. Goodwin and J. March, University of Nottingham, UK.


Plenary: Reporting incidents: An end unto itself or a call for action? Next steps.
Sue Bogner, Institute for the Study of Medical Error, USA.

Close and hand-over.

Saturday, 20th July This will provide the opportunity for informal discussions about the issues raised during the workshop. The day will be spent on the Isle of Arran, off the west Coast of Scotland.

Further Information:
Registration | Social programme | Visiting the University of Glasgow?

For any further details contact: Chris Johnson, Department of Computer Science, University of Glasgow, Glasgow, G12 8QJ, Scotland. email: tel.: +44 141 330 6053 fax.: +44 141 330 4913

This workshop is organised by the Glasgow Accident Analysis Group, Department of Computing Science, at University of Glasgow.