
Pyramids for Safety?
๐๐ข๐ฅ๐ฅ ๐ฉ๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐ง๐ ๐ฆ๐ข๐ง๐จ๐ซ ๐ข๐ง๐ฃ๐ฎ๐ซ๐ข๐๐ฌ ๐๐ฅ๐ฌ๐จ ๐ฉ๐ซ๐๐ฏ๐๐ง๐ญ ๐ฆ๐๐ฃ๐จ๐ซ ๐๐๐๐ข๐๐๐ง๐ญ๐ฌ?
Many believe so.
The longstanding belief that major and minor accidents share similar causes originates from Heinrich’s 1931 accident triangle. Based on insurance claim reviews, Heinrich proposed a ratio suggesting that many minor incidents and near misses precede a major accident. Bird repeated the idea with a new study based on reported incidents and added a level to the triangle, while Salminen presented national statistics in pyramid form. The frequency of minor events was seen as economically significant and potentially useful for illustrating the scale of risk exposure.
But, in 2002, Andrew Hale argued that the belief in shared causes between minor and major accidents is an urban myth. What’s important here is that Heinrich himself did not claim identical causes. He noted variability and randomness in accident outcomes. Subsequent empirical studies and accident statistics show significant differences between minor and major incidents in terms of energy involved, activities, locations, and causal patterns. For instance, in the chemical industry, most lost-time injuries come from mundane activities like walking, which have little relevance to preventing disasters like chemical leaks or explosions.
Hale conceptualized accidents as processes with multiple points for potential recovery. Not all deviations escalate into accidents, and not all minor incidents are precursors to major ones. Therefore, the focus should be on understanding specific accident scenarios, instead of comparing outcomes by severity. For this reason, Hale drew a step pyramid like the one in Djoser instead of the smooth pyramid of Khufu in Giza. See my simple reproduction below.
So, while management systems may look similar at a high level, their detailed application must be tailored to the potential severity and nature of specific hazards. Prevention strategies, therefore, should be based on clearly defined, scenario-specific risks. In the meantime, though, we’re still often doing broad management audits and using prevention systems that do not differentiate between control mechanisms for minor and major hazards…
Thanks to Ben Ale for providing this reference, and SWOV for handing me a copy.
Source:
Hale, A. (2002), "Conditions of occurrence of major and minor accidents - Urban myths, deviations and accident scenario's", in: ๐๐ช๐ซ๐ฅ๐ด๐ค๐ฉ๐ณ๐ช๐ง๐ต ๐ท๐ฐ๐ฐ๐ณ ๐ต๐ฐ๐ฆ๐จ๐ฆ๐ฑ๐ข๐ด๐ต๐ฆ ๐๐ณ๐ฃ๐ฐ๐ธ๐ฆ๐ต๐ฆ๐ฏ๐ด๐ค๐ฉ๐ข๐ฑ 15 (2002) nr 3, pp. 34-41.