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Reintroducing the sharp-end operator to organizational learning: How accident reports are used by maritime officers
Safety Science ( IF 6.1 ) Pub Date : 2021-12-16 , DOI: 10.1016/j.ssci.2021.105632
Steven C. Mallam 1 , Aud Marit Wahl 2 , Jonas Aas 1
Affiliation  

When accidents occur in the maritime domain substantial efforts are devoted to their investigations in order to improve safety at sea. Investigations often result in detailed and elaborate descriptions of the sequence of events and root cause factors in the form of accident reports. Investigations carried out by governmental investigative bodies are made available in public reports, and typically contain safety recommendations intended to facilitate learning at individual, organizational and institutional levels. Several studies explore how accident reports are used for organizational learning, however, less discuss how sharp-end operators utilize this information as a tool for learning. This exploratory study interviews 18 Norwegian deck officers to better understand how seafarers acquire, use and value maritime accident investigation information as a means for developing their own professional practice. Results indicate a relatively low rate of utilization of original accident reports. The deck officers detailed barriers in format and scope of accident reports that limited their interest in them as a learning tool, favouring alternative sources, formats and transformed information which focuses on storytelling and a narrative-driven style more relatable to their specific work practices and backgrounds.



中文翻译:

将尖端操作员重新引入组织学习:海事官员如何使用事故报告

当海域发生事故时,会投入大量精力进行调查,以提高海上安全。调查通常会以事故报告的形式对事件的顺序和根本原因因素进行详细而详尽的描述。政府调查机构进行的调查在公开报告中提供,通常包含旨在促进个人、组织和机构层面学习的安全建议。一些研究探讨了如何将事故报告用于组织学习,但是很少讨论尖端操作员如何利用这些信息作为学习工具。这项探索性研究采访了 18 名挪威甲板官员,以更好地了解海员如何获得、使用和重视海上事故调查信息作为发展自己专业实践的手段。结果表明原始事故报告的利用率相对较低。甲板人员详细说明了事故报告的格式和范围方面的障碍,这些障碍限制了他们将其作为学习工具的兴趣,偏爱替代来源、格式和转换的信息,这些信息侧重于讲故事和与他们的具体工作实践和背景更相关的叙事驱动风格.

更新日期:2021-12-16
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