Activity-based accident analysis: from blame attribution to organizational learning

This paper proposes Activity-Based Accident Analysis (ABAA) as a methodological framework that integrates organisational accident analysis with the reconstruction of situated work activity. While systemic approaches have advanced the understanding of organisational accidents, they often provide limited methodological guidance for analysing activity in context. The study draws on an in-depth retrospective case of a process industry accident, combining documentary analysis, interviews, field observations, and technical process data. The analysis illustrates how ABAA can contribute to a more detailed understanding of accident dynamics by reconstructing the temporal sequence of events and identifying organisational and design-related conditions that were not highlighted in the official investigation. The findings suggest that integrating activity-based analysis with organisational perspectives may offer a promising avenue for enhancing accident investigation practices and supporting organisational learning.

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Publication Details

Journal
Ergonomics
Published
2026-08-27
DOI
https://doi.org/10.1080/00140139.2026.2723532
Primary Topic
Occupational Health and Safety Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Activity-based accident analysis: from blame attribution to organizational learning

Francisco de Paula Antunes Lima, Raoni Rocha, Francisco Duarte
Ergonomics
Occupational Health and Safety Research
article

Activity-based accident analysis: from blame attribution to organizational learning

Francisco de Paula Antunes Lima, Raoni Rocha, Francisco Duarte
article en

Abstract

This paper proposes Activity-Based Accident Analysis (ABAA) as a methodological framework that integrates organisational accident analysis with the reconstruction of situated work activity. While systemic approaches have advanced the understanding of organisational accidents, they often provide limited methodological guidance for analysing activity in context. The study draws on an in-depth retrospective case of a process industry accident, combining documentary analysis, interviews, field observations, and technical process data. The analysis illustrates how ABAA can contribute to a more detailed understanding of accident dynamics by reconstructing the temporal sequence of events and identifying organisational and design-related conditions that were not highlighted in the official investigation. The findings suggest that integrating activity-based analysis with organisational perspectives may offer a promising avenue for enhancing accident investigation practices and supporting organisational learning.

Ergonomics
Universidade Federal de Ouro Preto (BR), Universidade Federal de Minas Gerais (BR), Universidade Federal do Rio de Janeiro (BR)
Petrobras
Openalex Percentile: Top 10%
Occupational Health and Safety Research
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Activity-based accident analysis: from blame attribution to organizational learning — Francisco de Paula Antunes Lima, Raoni Rocha, et al. · Ergonomics (2026) | TGRS Research Map | TGRS