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原文传递 Pilot Examination of a Joint Railroad Management-Labor Approach to Root Cause Analysis of Accidents, Incidents, and Close Calls in a Diesel and Car Repair Shop Environment.

题名：	Pilot Examination of a Joint Railroad Management-Labor Approach to Root Cause Analysis of Accidents, Incidents, and Close Calls in a Diesel and Car Repair Shop Environment.
作者：	viale, a. reinach, s.
关键词：	accident investigations, incident investigations, human error, diesel shops, car repair shops, railroad safety
摘要：	This report presents findings from a 1-year pilot study investigating the feasibility and practicality of a joint railroad management labor approach to root cause analysis (RCA) of accidents, incidents, and close calls in a diesel and car repair shop environment. The primary objective of the study was to evaluate the value and utility of a joint railroad management-labor RCA process. Participating labor and management representatives identified seven RCA opportunities during the study period; however, only one was investigated. Participants identified a number of barriers that made it difficult for the project to succeed in its current form. Key barriers included a lack of study leadership; poor interaction and communication between labor and management participants and between participants and the employees involved in the accidents, incidents, and close calls; challenges with employee participation; perceived minimal opportunity to conduct RCA; and complexity of the RCA tools and process. Suggestions for future implementation addressed these barriers. The report discusses additional lessons learned and recommendations for any future implementation of a joint labor-management RCA process. The joint management-labor RCA process and tools should experience greater success once these barriers are addressed. / NOTE: Final rept. Jun 03-Nov 05. / Supplementary Notes: Sponsored by Federal Railroad Administration, Washington, DC. Office of Research and Development. /
报告类型：	科技报告