Hogeschool van Amsterdam

Aviation Academy

In-Company training on 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.

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.

This master class is available as in-company training (tailored to your company's needs). In case of interest please get in touch with Ms. Viktória Balla-Kamper (v.balla-kamper@hva.nl).

In case we receive sufficient registrations we will also schedule this master class as an open training. To express your interest for an open course please register through the link on the right side of this webpage.

Participation fee (in case of an open course): €1.890 excluding VAT. All lunches, welcome drinks on Monday and a team dinner on Thursday are included in the price.

Published by  Centre for Applied Research Technology 2 December 2019