The usual suspects? A novel extension to AcciMap using accident causation model tenets

Previous examination of the most widely used systems based accident causation models identified a series of core accident causation tenets. It is believed that these core tenets, referred to as 'systems thinking tenets', are the first step to a proactive approach to system safety. The article examines the Kimberly Ultramarathon fire and the extent that the systems thinking tenets can be applied using Rasmussen's AcciMap technique. The findings suggest that indeed the tenets can be identified and further expose the specific system vulnerabilities that led to the Kimberly Ultramarathon accident. The tenets are a beneficial addition to the AcciMap technique providing the analyst a means to classify system properties leading to accidents. Implications for practice and future research steps are discussed.