9990 · 4.4.3
Health and safety
**Health and safety** (4.4.3) completes 4.4. **Reason's Swiss cheese model** explains accident causation — never blame individuals in isolation.
Need to know
What you need to know
- Heinrich's Domino Theory suggests a simple, linear cause-and-effect chain for accidents.
- Reason's Swiss Cheese Model provides a systems framework, viewing accidents as a result of multiple, interacting failures.
- Latent failures are hidden weaknesses in an organisation's defences (e.g., poor design, inadequate training).
- Active failures are the unsafe acts committed by front-line personnel (e.g., slips, mistakes).
Explanation
Health and safety
- Heinrich's Domino Theory suggests a simple, linear cause-and-effect chain for accidents.
- Reason's Swiss Cheese Model provides a systems framework, viewing accidents as a result of multiple, interacting failures.
- Latent failures are hidden weaknesses in an organisation's defences (e.g., poor design, inadequate training).
- Active failures are the unsafe acts committed by front-line personnel (e.g., slips, mistakes).