A socio-technical systems approach of the accident analysis in Indonesian multiple train accident cases: An application of AcciMap methodology.

Q3 Medicine Journal of Emergency Management Pub Date : 2024-03-01 DOI:10.5055/jem.0830
Tubagus Dwika Yuantoko, Zulkifli Djunaidi, Mufti Wirawan
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Abstract

The number of cases of train accidents in Indonesia continues to be large in the past few years. This paper analyzes train accident cases in Indonesia using a socio-technical system approach accident model called AcciMap, developed by Jens Rasmussen. The source of data comes from train accident investigation reports from 2015 to 2021 published by the National Transportation Safety Committee. This study uses a qualitative approach with thematic analysis to identify contributing factors and their interactions within the reports. Based on the socio-technical system approach, there are roles and contributions from the five levels of the socio-technical railway transportation system in Indonesia that interact with each other in the occurrence of accidents, including the railway regulatory bodies; other organizations; management of railway service company; processes and physical actions by staff; and condition of equipment and environment. This study has shown that the AcciMap methodology can provide a comprehensive view of the problems and their interactions across the socio-technical levels that influence each other in the occurrence of train accidents in Indonesia. The results also suggest that the socio-technical system approach is expected to be applied in the accident investigation process for the related industry to get more comprehensive insights into the accident.

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印度尼西亚多起列车事故案例中的事故分析社会技术系统方法:AcciMap 方法的应用。
在过去几年中,印度尼西亚的火车事故数量持续上升。本文利用延斯-拉斯穆森(Jens Rasmussen)开发的名为 "AcciMap "的社会技术系统方法事故模型,对印尼的火车事故案例进行了分析。数据来源于国家运输安全委员会发布的 2015 年至 2021 年火车事故调查报告。本研究采用主题分析的定性方法来识别报告中的诱因及其相互作用。根据社会技术系统方法,印尼铁路运输社会技术系统的五个层面在事故发生中相互影响,包括铁路监管机构、其他组织、铁路服务公司管理层、员工的流程和实际行动以及设备和环境状况。研究结果表明,AcciMap 方法可以全面反映印尼火车事故发生过程中相互影响的社会技术层面的问题及其相互作用。研究结果还表明,社会-技术系统方法有望应用于相关行业的事故调查过程中,以更全面地了解事故。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Emergency Management
Journal of Emergency Management Medicine-Emergency Medicine
CiteScore
1.20
自引率
0.00%
发文量
67
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