Exploring the structure and content of pro formas for Signal Passed at Danger Incidents in Australia and New Zealand

Anjum Naweed, Lorelle Bowditch, Janine Chapman, Jillian Dorrian, Nora Balfe

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

1 Citation (Scopus)

Abstract

In rail transportation, managing and mitigating the risk of Signal Passed at Danger (SPAD) incidents is a perennial challenge, with causation reflective of a systems issue. However, very little research has evaluated the role of SPAD Pro Formas—the documents used to collect and analyse information during investigation. A total of 208 internal investigation reports were obtained for SPADs occurring over four years (2014–2018) from 10 organisations across Australia and New Zealand. Results revealed large variation across SPAD Pro Formas, and a notable paucity of multifactorial explanations for SPAD causation, creating key questions around organisational learning.
Original languageEnglish
Title of host publicationProceedings of the 21st Congress of the International Ergonomics Association (IEA 2021)
Subtitle of host publicationVolume IV: Healthcare and Healthy Work
EditorsNancy L. Black, W. Patrick Neumann, Ian Noy
Place of PublicationSwitzerland
PublisherSpringer, Springer Nature
Pages143-153
Number of pages11
ISBN (Electronic)9783030746117
ISBN (Print)9783030746100
DOIs
Publication statusPublished - 2021
Externally publishedYes
Event 21st Congress of the International Ergonomics Association, IEA 2021 - Virtual, Online
Duration: 13 Jun 202118 Jun 2021

Publication series

NameLecture Notes in Networks and Systems
PublisherSpringer
Volume222
ISSN (Print)2367-3370
ISSN (Electronic)2367-3389

Conference

Conference 21st Congress of the International Ergonomics Association, IEA 2021
CityVirtual, Online
Period13/06/2118/06/21

Keywords

  • SPAD prevention
  • Risk management
  • Tools
  • Systems thinking
  • Organisational behaviour
  • Investigation

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