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N9053 - Learning From Unintended Outcomes: FLA Workshop


Course Description:

The Facilitated Learning Analysis(FLA) and Coordinated Response Protocol(CRP) are group learning approaches to review a broad spectrum of unintended outcomes or close calls ranging from fatalities and escaped fires to vehicle accidents. Through lectures, case studies, and interaction between participants and faculty, the course will:


• Illustrate concepts, technologies and methods to actively engage the FLA and CRP processes. 

• Examine case studies that describe a paradigm shift from blame to learning in the wake of an accident. 

• Demonstrate the use of storytelling to exploit accidents and other unintended outcomes as learning events. 

• Underline the concept of sense-making to enable FLA and CRP team members to overcome hindsight bias. 

• Move organizations towards a learning culture. The workshop is limited to 56 participants


Prepare participants to serve as FLA and CRP team members.

Target Group:

Personnel interested and available to participate on review teams analyzing all types of accidents and near-misses. The Workshop participation is not limited to Fire and Aviation Management employees.

Total Hours: 40


None, However preference will be given to individuals with experience in risk management, safety management and accident investigations.