Preventing slips, overruns, and cancellations: Application of system accident investigations and theory to the understanding and prevention of engineering project failures.

Organizations that develop or operate complex engineering systems are plagued by systems engineering failures like schedule overruns, budget exceedances, and project cancellations. Unfortunately, there is not much actionable guidance on why these failures happen or how to prevent them. Our approach contains two novel aspects. First, we argue that system accidents and other failures in systems engineering are manifestations of similar underlying problems. Therefore, we can leverage the literature on accident causation and the many publicly available accident investigation reports to better understand how and why failures in systems engineering occur, and to identify ways of preventing them. Second, to address the lack of concrete guidance on identifying and preventing incipient failures, we provide specific examples of each type of failure cause and of the recommendations for preventing these causes. We analyzed a set of 30 accidents and 33 project failures, spanning a range of industries, and found 23 different failure causes, most of which appear in both accidents and other project failures, suggesting that accidents and project failures do happen in similar was. We also identified 16 different recommended remedial actions. We link these causes and recommendations in a cause-recommendation network, and associate over 900 specific examples of how these causes manifested in failures, and over 600 specific examples of the associated recommended remedial actions, with each cause or recommendation.
Competing Interests: DA currently works for Dynetics, an engineering company based in Huntsville, Alabama. None of the cases we discussed in this paper are related to Dynetics, nor was Dynetics involved in the selection of cases. This does not alter our adherence to PLOS ONE policies on sharing data and materials. There are no patents, products in development or marketed products to declare.