The hours and days following an incident represent a very critical time to gather important information about the event. Post‐incident investigations are usually accompanied by root cause analyses to determine what led to the incident and to develop corrective actions to reduce the likelihood that the incident will occur again. Often, little thought may be given to the human factors aspect of the incident in terms of correcting the human behavior associated with the incident. As process safety professionals, we work to provide sound engineering solutions that usually involve replacing the human element with an automated system. In many situations, it may not be possible to completely eliminate the human factor component of the front‐line workers that resulted in the incident, but it may be possible to reduce the frequency of human error on future incidents by engaging the front‐line workers in post‐incident discussions that are rooted in behavior‐based safety. This paper describes the tools and techniques that we have developed to effectively facilitate post‐incident behavior‐based discussions. The target of these discussions is identifying how human error plays a key role in the incident and how behavior influences decision‐making during an incident.

中文翻译：

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使用事件后行为分析技术来补充事件调查

事件发生后的几小时和几天是收集有关事件的重要信息的非常关键的时间。事故后调查通常伴随着根本原因分析，以确定导致事故的原因并制定纠正措施以减少事故再次发生的可能性。通常，在纠正与事故相关的人类行为方面，可能很少考虑事故的人为因素方面。作为过程安全专家，我们致力于提供完善的工程解决方案，通常涉及用自动化系统取代人为因素。在许多情况下，可能无法完全消除导致事故的一线工人的人为因素，但是，通过让一线工作人员参与基于行为安全的事故后讨论，可能会减少未来事故中人为错误的频率。本文描述了我们开发的工具和技术，以有效促进基于事件后行为的讨论。这些讨论的目标是确定人为错误如何在事件中发挥关键作用，以及行为如何影响事件期间的决策。