A systemic approach to accident analysis: A case study of the Stockwell shooting

D P Jenkins; Paul M Salmon; Neville A Stanton; Guy H Walker

doi:10.1080/00140130903311625

Back

A systemic approach to accident analysis: A case study of the Stockwell shooting

Journal article

Peer reviewed

A systemic approach to accident analysis: A case study of the Stockwell shooting

D P Jenkins, Paul M Salmon, Neville A Stanton and Guy H Walker

Ergonomics, Vol.53(1), pp.1-17

2010

DOI: https://doi.org/10.1080/00140130903311625

Files and links (1)

url

https://doi.org/10.1080/00140130903311625View

Published Version

Abstract

AcciMaps

accidents

error

police

command and control

This paper uses a systemic approach to accident investigation, based upon AcciMaps, to model the events leading up to the shooting of Jean Charles de Menezes at Stockwell Underground station in July 2005. The model captures many of the findings of the Independent Police Complaints Commission's report in a single representation, modelling their interdependencies and the causal flow. Furthermore, by taking a systemic approach, the analysis identifies further considerations related to the suitability of the Metropolitan Police Service's organisational structure to support rapid-paced operations, where reliable identification of a suspect is not possible. Based upon the analysis, the paper questions the division of functions between teams and the suitability of an organisational structure that relies upon the complex flow of information between separate teams for surveillance and for controlling the suspect. A dynamic organisational structure is proposed that changes in response to operation type and unfolding events. Statement of Relevance: This paper provides much needed and called for validation for a systemic approach to accident analysis. A widely reported case study is used to illustrate the process. The paper shows how such an approach can consolidate the key findings of much larger reports as well as draw out additional recommendations.

Details

Title: A systemic approach to accident analysis: A case study of the Stockwell shooting
Authors: D P Jenkins (Author) - Sociotechnic Solutions, United Kingdom
Paul M Salmon (Author) - Monash University
Neville A Stanton (Author) - University of Southampton, United Kingdom
Guy H Walker (Author) - Heriot Watt University, United Kingdom
Publication details: Ergonomics, Vol.53(1), pp.1-17
Publisher: Taylor & Francis Ltd.
Date published: 2010
DOI: 10.1080/00140130903311625
ISSN: 0014-0139
Organisation Unit: Centre for Human Factors and Systems Science; University of the Sunshine Coast, Queensland; School of Law and Society
Language: English
Record Identifier: 99450158802621
Output Type: Journal article

Metrics

2 File views/ downloads

632 Record Views

53 Times Cited - Web of Science

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Engineering, Industrial; Ergonomics; Psychology; Psychology, Applied

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites