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Serious Accident Investigation Support

Willow Creek

When the rappel accident fatality occurred at Willow Creek (2010), the accident investigation team found they could not explain why the events happened and turned to Human Factors & Risk Management (HFRM) for answers. We provided an in-depth synthesis of relevant psychological and safety science in accordance with the emerging paradigm shifts that are taking place in this arena. The report has been widely acclaimed at all levels of the organization (...the best human factors section I have ever seen in a wildland fire accident report. Kudos to everyone involved...Wildfire Today), leading to multiple invited presentations focused on improving decisions for field level leaders.

View the report.

Presentations and Briefings

  • Rocky Basin Interagency Hotshot Crews Meeting
  • Aviation Safety Workshop
  • R2 Fuels and Burn Boss Refresher Workshop
  • R4 Fire Management Officers Meeting
  • R5 Helicopter Managers Meeting
  • R5 Engine Captains Meeting
  • R6 Fire Operations Safety Conference
  • R6 Helicopter Managers Meeting
  • Bureau of Land Management National Fire Management Meeting on High Reliability Organizations
  • Accident Prevention Analysis and Facilitated Learning Analysis Workshop

Albert Pike

HFRM developed a draft analysis of the Albert Pike flash flood incident on the Ouachita National Forest (2010) to demonstrate what an analysis focused on learning would look like. The draft document has been praised and is currently being revised.

Coal Canyon

HFRM provided human factors specialist support for the serious accident fatality investigations for the state of South Dakota engine captain on the Coal Canyon fire, Black Hills National Forest (2011).

View the report.

Diamond Fire

HFRM provided human factors specialist support for the serious accident fatality investigations Fort Apache hotshot crewmember on the Diamond fire (2011).

View the report.