Hur kan erfarenheter från olycksundersökningar nyttiggöras på lokal nivå samhället? - utifrån ett MTO-R (Människa, teknik, organisation och riskhantering) perspektiv
Lärande organisationLag om skydd mot olyckor SäkerhetskulturRisk managementLearning organisationRisk Management and Safety engineeringOlycksundersökningErfarenhetsåterföringRiskhanteringSafety cultureTechnology and Engineering
The theme in this report has been how to benefit experience from accident investigations. The demand on the municipality to perform accidet investigations is relatively new, and maybe they aren?t clear what the demands means. This causes that there might be a problem to benefit experience from accident investigations, for improving the overall safety in the municipality. The main purpose of this report has been to clarify how experience from accident investigations, can be of benefit to society on a local level. This is done on the basis of a study of the municipality. A further purpose has been to illustrate for the reader, witch basic conditions that are needed to create a learning organisation and further on a safety culture. The last purpose has been to explain how to improve the work with benefiting the experience, when the basic conditions exist. The conclusions of the report have been, that today, very few of the respondents have legible routines how to benefit experience from accident investigations, and very few of them have knowledge about the MTOR-concept.