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Glossary of Data Variables for Fatal and accident causation ... - ERSO

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Manual For SafetyNet <strong>accident</strong> <strong>causation</strong> system (SNACS)<br />

an intersection. In Kalle’s <strong>accident</strong> however, as he has already seen the<br />

intersection <strong>and</strong> “knows” that it is green, he also knows that he has the right <strong>of</strong><br />

way <strong>and</strong> that there is no reason not to drive into the intersection. Timing<br />

there<strong>for</strong>e is a better explanation <strong>of</strong> the physics <strong>of</strong> the situation.<br />

Next, we look at Appendix B <strong>and</strong> locate “Timing: No action” among the<br />

phenotypes, to see which the possible genotypes that are linked to this<br />

phenotype are. The table looks like this:<br />

PHENOTYPES (A)<br />

ANTECEDENTS<br />

(REASONS/CAUSES)<br />

GENERAL Genotypes<br />

Observation missed (B1)<br />

Faulty diagnosis (C1)<br />

Decision error (C3)<br />

Inadequate plan (D1)<br />

Inattention (E6)<br />

Communication failure -<br />

between drivers (J1)<br />

Communication failure -<br />

between driver <strong>and</strong><br />

environment (J2)<br />

GENERAL<br />

Phenotypes<br />

(Critical events)<br />

with definitions<br />

Timing (A1)<br />

The regulation <strong>of</strong><br />

time <strong>for</strong> actions to<br />

occur.<br />

CONSEQUENTS (RESULTS/EFFECTS)<br />

SPECIFIC<br />

Phenotypes (with<br />

definitions)<br />

Premature action<br />

(A1.1)<br />

An action started<br />

too early, be<strong>for</strong>e a<br />

signal was given or<br />

the required<br />

conditions had<br />

been established.<br />

Late action (A1.2)<br />

An action started<br />

too late.<br />

No action (A1.3)<br />

An action that was<br />

not done at all<br />

(within the time<br />

interval allowed).<br />

Examples <strong>for</strong><br />

SPECIFIC<br />

Phenotypes<br />

Per<strong>for</strong>ming an<br />

overtake be<strong>for</strong>e there<br />

is good visibility.<br />

Starting/stopping too<br />

early at traffic lights.<br />

Dip the lights too early<br />

when driving in the<br />

dark.<br />

Not changing lanes in<br />

time.<br />

Starting an overtake<br />

too late.<br />

Dip the lights too late<br />

when driving in the<br />

dark.<br />

Figure 9: Extract <strong>of</strong> the phenotype row Timing (A1) from the PHENOTYPES table<br />

in appendix B<br />

To the right in the table is the resulting phenotype (the consequent), <strong>and</strong> to the<br />

left are the possible genotypes (causes/reasons) that can generate the<br />

phenotype. In other words; if we can establish that any <strong>of</strong> the genotypes on the<br />

left has taken place, then it is legitimate to infer from this in<strong>for</strong>mation that the<br />

phenotype Timing (A1) can take place. In the case with Kalle, we know from the<br />

interview that he never saw the traffic light turn red. From this in<strong>for</strong>mation, we<br />

feel confident saying that the genotype “Observation missed (B1)” has<br />

contributed to the phenotype “Timing: No action” (A1.3). This gives us the start<br />

<strong>for</strong> a chain <strong>of</strong> analysis, looking like this:<br />

Page 136 <strong>of</strong> 215

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