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ON THE INVESTIGATION OF INCIDENTS: HOW AND WHY TO FIND EFFECTIVE SOLUTIONS FIRST AND THEN THE ROOT CAUSE.

Abstract

Organizations work permanently on preventing safety-related incidents. However, there is no way to ensure the prevention of events, which may later develop into other incidents of different magnitude. As long as the efforts are focused on preventing incidents, the probability that they happen decreases; however, in many cases, these occur due to different out-of-control situations, including those produced by random events or those out of the organization's control scope.

However, its occurrence likelihood will depend largely on the implementation of prevention activities. This will depend directly upon each organization's decision, type of activity, structure, quantity, and operation's scope, etc., but there is a fundamenta issue that does not depend on the others, but it is relevant: research process effectiveness and solution management arising from this.

There are also certain paradigms that arise during research, not allowing to reach the best conclusions and to comply with the desired objectives in order to solve the problem. The objective is to apply research methods in order to prevent these paradigms from arising. 

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