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Aviation Academy

Master Class Incident Investigation

The art and craft of incident investigation

The Amsterdam University of Applied Sciences is proud to present a master class on Incident Investigations with prof. dr. John Stoop. In this highly interactive, demanding and challenging master class you will be introduced to the art and craft of incident investigation in all transport domains, with emphasis on railways and aviation. The master class is unique due to a synthesis between all phases of the investigation process: fact finding, analysis and recommendations.

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The master class will include discussions about the theory, application to well-known and lesser-known cases, and ample room for reflection on your own practice. We ask you to spend some preparatory time on introductory papers and case studies beforehand so that discussions are based on a solid understanding of the theory and familiarity with practical applications. The number of attendees to this master class has been limited to ensure a lively discussion and excellent group sessions.

The master class will include discussions about the theory, application to well-known and lesser-known cases, and ample room for reflection on your own practice.

We ask you to spend some preparatory time on introductory papers and case studies beforehand so that discussions are based on a solid understanding of the theory and familiarity with practical applications. The number of attendees to this master class has been limited to ensure a lively discussion and excellent group sessions. The following subjects will be discussed: 

  • The week commences with a day on the background of incident investigations: history, common terms, legal framework, investigation objectives and an introduction to system theory and accident models. 
  • On the second day we are going to discuss the investigation methodology: scope, focus and phases of the investigation process, including technical, organisational and governance solutions. 
  • On the third day we cover the incident analysis, conclusions and recommendations, including probable and root causes, analysis tools, generating findings and recommendations and presenting the results. 
  • The fourth day is aimed at applying and evaluating the incident investigation in practice, where we elaborate on several case studies. 
  • During the last day we will discuss the systemic aspects of incident investigation, including design errors and the complexities of human-machine interfaces and automation induced errors. We discuss resilience and the New View of ‘Human Error’, and look ahead to what the participants will undertake during their next incident investigation. 

The master class is intended for experienced and newly appointed incident investigators from any transport domain. Incident investigators from other industries (nuclear, process, mining, off-shore) may also find the master class useful.

Experienced incident investigators will benefit from this master class by updating their knowledge base and learn from other transportation sectors. It is expected that newly appointed incident investigators have a solid technical and/or operational background through several years of experience so that they get the most value out of this master class. 

Prof. dr. John Stoop is an aerospace engineer and air safety investigator and affiliated with the Aviation Academy of the Amsterdam University of Applied Sciences. He is a guest professor at both Lund University in Sweden and the Delft University of Technology in the Netherlands. He is an accredited air safety investigator and has practical experience with investigating cold cases studies in various transport modes. Together with Lloyds Register Rail he developed a training course for railway investigators in Europe for the European Railway Agency. His scientific interest is on the methodology of safety investigations in all modes of transport and he is finalizing a textbook on air safety investigations.

Dr. Robert J. de Boer is Professor of Aviation Engineering at the Amsterdam University of Applied Sciences since September 2009. He holds a PhD in Cognitive Engineering (Delft University of Technology, NL) and has initiated and developed team collaboration in technical environments in a variety of line management and consultancy roles. These experiences inspired his current scientific interest in organizational safety and process improvement. Robert J. has authored numerous peer-reviewed conference proceedings and journal articles.

Location

Hotel Casa 400
Eerste Ringdijkstraat 4
1097 BC
Amsterdam, The Netherlands

Date

20 - 24 March 2017

Pre-register now and benefit of the special earlybird fee. 

Participation fee: €1.590 excluding VAT
Early-bird fee: €1.490 (until 30th of November 2016)

All lunches, welcome drinks on Monday and a team dinner on Thursday are included in the price.

GENERAL CANCELLATION POLICY FOR EVENTS – AVIATION ACADEMY (Valid from 19-4-2017)

Substitution: If, after booking an event you are unable to attend, you are welcome to nominate someone else to attend in your place at no additional cost. Please advise substitutions via email so a correct name tag will be available at the registration desk. Cancellation by a participant: We require 60 days cancellation notice prior to the scheduled event, otherwise we will charge you a cancellation fee as below. 10% of your total cost will be charged in case of cancellation by 60 to 30 days before the event. 25% of your total cost will be charged in case of cancellation by 30 to 14 days before the event. 100% of your total cost will be charged in case of cancellation within 14 days before the event or no show. Cancellation must be made in writing by the person who completed/signed the registration form and sent by email or letter. A cancellation is effective as soon as AUAS receives the e-mail of letter. Cancellation by the Aviation Academy: The Aviation Academy (AUAS) reserves the right to alter or cancel an event for any circumstances beyond AUAS reasonable control. In this case, AUAS liability is limited to the refund of the full participation fee. Unfortunately, AUAS can only run a specific course if a sufficient number of participants sign up. AUAS reserves the right to cancel a course if there are not enough registrations. Cancellations will be announced to the participants as quickly as possible after the deadline for enrolment and no later than 4 weeks before the scheduled course start. You will receive the final confirmation no later than 4 weeks before the course starts.

Published by  Centre for Applied Research Technology 15 May 2017