The AcciMap analysis process

The AcciMap analysis process involves a systematic approach to identify and understand the
causes and contributing factors leading to incidents and accidents. The process can be
summarized as follows:

Data Collection: Gather information related to the incident or accident through interviews,
report analysis, and observation recordings.

Identifying Failures: Identify failures at all six levels of the AcciMap structure:

a. Equipment and surroundings

b. Actors and physical processes

c. Technical and operational management

d. Local area government/company management

e. Regulatory bodies and associations

f. Government policy and budgeting

Identifying Factors: Determine the specific factors related to the incident at each of the six
AcciMap levels.

Determining Causal Factors: Analyze the identified factors to establish causal relationships and
consequences. Create a preliminary diagram.

Constructing the AcciMap Diagram: Use the data and causal relationships to create the
AcciMap diagram, visually representing cause-and-effect chains.

Review and Refinement: Review the constructed AcciMap diagram, making adjustments and
refinements as needed through iterative iterations.

When applying the AcciMap approach to severe outcomes or near-misses, follow these
additional steps:

Creating AcciMap Format: Prepare a standardized AcciMap format to organize contributing

factors.
Identifying Adverse Outcome: Clearly define the adverse outcome resulting from the incident
or near-miss.

Determining Contributing Factors: Identify the factors contributing to the adverse outcome
based on incident reports and data.

Placing Factors in AcciMap Levels: Assign each contributing factor to the appropriate level in
the AcciMap structure.

Inserting Causal Links: Establish cause-and-effect relationships between contributing factors

using causal links.

Filling Missing Gaps: Address any missing information in the causal chain to ensure a
comprehensive analysis.

Assessing Causal Logic: Verify the logical sequence of events leading to the adverse outcome.

Generating Safety Recommendations: Develop practical and feasible safety recommendations

based on the AcciMap analysis.