Abstract
Analysis and Prevention of Accidents’ Model (MAPA) was structured with the objective of replacing old practices that condemn work accidents on the victim. Applied to different activities, MAPA was able to explain accidents as a product of multiple interacting factors. However, a few changes have been implemented on underlying conditions. Overall, the agency was limited to the teams carrying out the analysis. In order to address this limitation, an interdisciplinary group participated in three workshops intended to reconstruct and improve the MAPA by using the principles of the Change Laboratory (CL). This chapter aims to present a new model of activity system of analysis and prevention of work accidents. The text aims to answer the question: what are the new dimensions brought in from MAPA’s development? We will present the stages and challenges of the new model.
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Notes
- 1.
CIPA is an Internal Commission for the Prevention of Accidents, composed by representatives from the company and the workers and mandatory in every Brazilian company.
References
Almeida, I. M., & Vilela, R. A. G. (2010). Modelo de Análise e Prevenção de Acidentes de Trabalho – MAPA. Piracicaba: CEREST.
Almeida, I. M., Vilela, R. A. G., Silva, A. J. N., & Beltran, S. L. (2014). Modelo de Análise e Prevenção de Acidentes – MAPA: ferramenta para a vigilância em Saúde do trabalhador. Ciênc Saúde Colet, 19(12), 4679–4688. https://doi.org/10.1590/1413-812320141912.12982014.
Binder, M. C. P., & Almeida, I. M. (1997). Estudo de caso de dois acidentes do trabalho investigados com o método de árvore de causas. Cad Saúde Pública, 13(4), 749–760.
Cedergren, A. (2013). Implementing recommendations from accident investigations: A case study of inter-organisational challenges. Accident Analysis and Prevention, 53, 133–141. https://doi.org/10.1016/j.aap.2013.01.010.
Clot, Y. (1999). La fonction psychologique du travail. Paris: PUF.
Dien, Y., Dechy, N., & Guillaume, E. (2012). Accident investigation: From searching direct causes to finding in-depth causes - problem of analysis or/and of analyst? Safety Science, 50(6), 1398–1407. https://doi.org/10.1016/j.ssci.2011.12.010.
Engeström, Y. (2001). Expansive learning at work: Toward an activity theoretical reconceptualization. Journal of Education and Work, 14(1), 133–156. https://doi.org/10.1080/13639080020028747.
Engeström, Y. (2015). Learning by expanding: An activity-theoretical approach to developmental research. New York: Cambridge Press.
Engeström, Y., Virkkunen, J., Helle, M., Pihlaja, J., & Poikela, R. (1996). The Change Laboratory as a tool for transforming work. Lifelong Learning in Europe, 1(2), 10–17.
Engeström, Y. (1987). Learning by expanding: An activity-theoretical approach to developmental research. Helsinki: Orienta-Konsultit.
Ferreira, L. L. (2015). Análise coletiva do trabalho: quer ver? Escuta. Revista Ciências do Trabalho, 4, 125–137.
Guérin, F., Laville, A., Daniellou, F., Duraffourg, J., & Kerguelen, A. (1997). Comprendre le travail pour le transformer – La pratique de l’ergonomie. Lyon: ANACT.
Hale, A. R., Ale, B. J. M., Goossens, L. H. J., Heijer, T., Bellamy, L. J., Mud, M. L., et al. (2007). Modeling accidents for prioritizing prevention. Reliability Engineering and System Safety, 92(12), 1701–1715. https://doi.org/10.1016/j.ress.2006.09.025.
Hollnagel, E. (2008). Risk + barriers = safety? Safety Science, 46(2), 221–229. https://doi.org/10.1016/j.ssci.2007.06.028.
Leplat, J. R. (1984). Analysis of human errors in industrial incidents and accidents for improvement of work safety. Accident Analysis and Prevention, 16(2), 77–88.
Levitt, B., & March, J. G. (1988). Organizational learning. Annual Review of Sociology, 14, 319–338. https://doi.org/10.1146/annurev.so.14.080188.001535.
Lindberg, A. K., Hansson, S. O., & Rollenhagen, C. (2010). Learning from accidents – What more do we need to know? Safety Science, 48(6), 714–721. https://doi.org/10.1016/j.ssci.2010.02.004.
Llory, M., & Montmayeul, R. (2010). L’accident et l’organisation. Bordeaux: Préventique.
Ministério da Saúde (BR). (2009). Portaria n° 3.252, de 22 dezembro 2009. Aprova as diretrizes para execução e financiamento das ações de Vigilância em Saúde pela União, Estados, Distrito Federal e Municípios e dá outras providências. Diário Oficial da União. 22 dez 2009. Seção 1, pp. 45–50.
Norros, L. (2004). Acting under uncertainty. The core-task analysis in ecological study of work. Espoo: VTT publications.
Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768–770. https://doi.org/10.1136/bmj.320.7237.768.
Revuelta, R. (2004). Operational experience feedback in the World Association of Nuclear Operators (WANO). Journal of Hazardous Materials, 111(1–3), 67–71. https://doi.org/10.1016/j.jhazmat.2004.02.025.
Sewell, J. R., & William, H. (1996). Historical events as transformation of structures: Inventing revolution at the bastille. Theory and Society, 25, 841–881. https://doi.org/10.1007/BF00159818.
Suchman, L. (1987). Plans and situated actions: The problem of human/machine communication. Cambridge: Cambridge University Press.
Vilela, R. A. G., Iguti, A. M., & Almeida, I. M. (2004). Culpa da vítima: Um modelo para perpetuar a impunidade nos acidentes do trabalho. Cadernos de Saúde Pública. 20(2), 570–579. https://doi.org/10.1590/S0102-311X2004000200026.
Virkkunen, J., & Newnham, D. S. (2013). The Change Laboratory: A tool for collaborative development of work and education. Rotterdam: Sense Publishers.
Wisner, A. (1995). Réflexions sur l’ergonomie (1962–1995). Toulouse: Octarès.
Yoon, Y. S., Ham, D. H., & Yoon, W. C. (2016). Application of activity theory to analysis of human-related accidents: Method and case studies. Reliability Engineering and System Safety, 150, 22–34. https://doi.org/10.1016/j.ress.2016.01.013.
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Hurtado, S.L.B. et al. (2020). Contributions from the Change Laboratory to the Analysis and Prevention of Accidents’ Model. In: Vilela, R., Pereira Querol, M., Beltran Hurtado, S., Cerveny, G., Lopes, M. (eds) Collaborative Development for the Prevention of Occupational Accidents and Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-24420-0_14
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