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incidents.
APPLICATION: Every organization should complete an operation incident analysis annually. The
objective is to update the understanding of current trends and causal factors. The analysis should be
completed for each organizational component that is likely to have unique factors.
FAA System Safety Handbook, Appendix F
December 30, 2000
F-26
METHOD: The analysis can be approached in many ways. The process generally builds a database of
the factors listed below and which serves as the basis to identify the risk drivers
Typical factors to examine include the following:
Activity at the time of the accident
Distribution of incidents among personnel
Accident locations
Distribution of incidents by sub-unit
Patterns of unsafe acts or conditions
RESOURCES: The analysis relies upon a relatively complete and accurate database. The FAA's system
safety office (ASY) may have the needed data. That office can also provide assistance in the analysis
process. System Safety personnel may have already completed analyses of similar activities or may be
able to suggest the most productive areas for initial analysis.
COMMENTS: The data in databases has been acquired the hard way - through the painful and costly
mistakes of hundreds of individuals. By taking full advantage of this information the analysis process can
be more realistic, efficient, and thorough and thereby preventing the same accidents (incidents?) from
occurring over and over again.
1.2.5 THE INTERVIEW TOOL
FORMAL NAME: The Interview Tool
ALTERNATIVE NAMES: None
PURPOSE: Often the most knowledgeable personnel in the area of risk are those who operate the
system. They see the problems and often think about potential solutions. The purpose of the Interview
Tool is to capture the experience of these personnel in ways that are efficient and positive for them.
Properly implemented, the Interview Tool can be among the most valuable hazard identification tools.
APPLICATION: Every organization can use the Interview Tool in one form or another.
METHOD: The Interview Tool’s great strength is versatility. Figure 1.2.5A illustrates the many options
available to collect interview data. Key to all of these is to create a situation in which interviewees feel
free to honestly report what they know, without fear of any adverse consequences. This means absolute
confidentiality must be assured, by not using names in connection with data.
Figure 1.2.5A Interview Tool Alternatives
Direct interviews with operational personnel
Supervisors interview their subordinates and report results
Questionnaire interviews are completed and returns
Group interview sessions (several personnel at one time)
Hazards reported formally
Coworkers interview each other
FAA System Safety Handbook, Appendix F
December 30, 2000
F-27
RESOURCES: It is possible to operate the interview process facility-wide with the data being supplied
to individual units. Hazard interviews can also be integrated into other interview activities. For example,
counseling sessions could include a hazard interview segment. In these ways, the expertise and resource
demands of the Interview Tool can be minimized.
COMMENTS: The key source of risk is human error. Of all the hazard identification tools, the Interview Tool is potentially
the most effective at capturing human error data.
EXAMPLES: Figure 1.2.5B illustrates several variations of the Interview Tool.
Figure 1.2.5B Example Exit Interview Format
Name (optional)_____________________________ Organization _____________________
1. Describe below incidents, near misses or close calls that you have experienced or seen since
you have been in this organization. State the location and nature (i.e. what happened and why)
of the incident. If you can’t think of an incident, then describe two hazards you have observed.
INCIDENT 1: Location: _____________________________________________________
What happened and why?______________________________________________________
__________________________________________________________________________
INCIDENT 2: Location: _____________________________________________________
What happened and why?______________________________________________________
__________________________________________________________________________
2. What do you think other personnel can do to eliminate these problems?
Personnel: _________________________________________________________________
Incident 1__________________________________________________________________
Incident 2__________________________________________________________________
Supervisors: _______________________________________________________________
　
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