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Barrier analysis and Hollnagel's functional resonance accident model

Starting from presentation of accident analysis proposals based on systemic and non-linear model of accidents called functional resonance, developed by Erik Hollnagel, this paper discusses criticism of deterministic accident conceptions and linear models representing these events. Aspects of Functional Resonance Accident Model are used as an axis to define an agenda for discussions to be developed by those interested in the accident analysis subject, specifically: a) the need to cease using the idea of accident causes in favor of explaining these events; b) presenting the concepts of performance variability and local adaptations and their utilization as bases to identify patterns of accidents. Finally, it discusses the need to include these concepts in the debate on new practices for accident analysis and prevention in Brazil.

accident investigation; accident models; accident prevention; performance variability; functional resonance accident model


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