Professional Documents
Culture Documents
Accident / Incident
Investigation
Explain the need for Accident Investigations
Explain the benefits of Accident
Investigations
Provide the information necessary to properly
complete Accident Investigations
Provide the tools necessary to properly
complete Accident Investigations
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Process to determine the underlying causes
of accidents
Causal information used to identify and take
preventive action
Basic component of loss prevention
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Group Discussion
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Prevention of Future, Similar losses
Contribution to bottom line.
Reduction of human suffering.
Continuous improvement process.
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Group Discussion
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Lack of time to complete
Lack of motivation to complete.
Lack of Accountability.
Lack of skill and Knowledge.
Investigation stopped short and did’t reveal
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Manager
Safety Management.
Supervisor.
Task Force / committee
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Accident/Incident
Frequency/Severity
Exposure/Control
Illness/Injury
Property Damage
Near Miss
Root Causes
Contributory Causes
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Clearly defines roles and responsibilities
Training of key staff members
Communication established
Standard procedures established
Necessary equipment and forms on hand
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Injury
Illness
Property Damage
Near Miss
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Injury
Illness
Property Damage
Near Miss
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Collect Information
Analyses all Causes
Assess future Accident Potential
Develop corrective Action
Report data and recommendation
Take corrective action and monitor
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On Site :
Securing the Scene
Investigating at the scene
Recording key information
Equipment is needed….
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Camera
Measuring Tape
Barricading Tape
Plastic Vials and Caps
Graph Paper
Accident Investigation Form
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Off Site :
Interview key people
Assess past accident history
Review pertinent records
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Put the person on ease, explain purpose
Fact finding process, don't assess blame
Ask open ended question
Investigating accident vs. disciplining the
employee
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Standard work practices
Job safety analysis
Material safety data sheet
Employee Personal Record
Maintenance logs
Past accident history
Inspection records.
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The root cause is the most fundamental or
direct cause of an accident / Incident
There may one or more contributory causes,
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Can be classified as :
Employee Behavior.
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Workplace Factors example :
1. Improper tools and equipment
2. Inadequate Maintenance
3. Lack of job procedures
4. Poor workstation setup
5. Poor Housekeeping
6. Lack of job supervision
7. Lack of Job Training
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Employee Factors: Example
1. Failure to apply training
2. Task exceeds physical, mental capabilities
3. Risk taking behavior
4. Fitness for duty (substance abuse, fatigue,
effect of meditation, emotional distress)
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After answering Who, What, Where, When and
How initially, this step answers Why and
“complete the puzzle.”
Don’t stop short
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Assess Severity
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A condition or practice likely to cause
permanent disability, loss of life, body part
and/or extensive property loss or damage.
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A condition or cause likely to cause serious
injury or illness (resulting in permanent
disability) or property damage that is
disruptive, but less severe than class A.
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A condition or cause likely to cause minor
(non-disabling) injury illness or non-
disruptive property damage.
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Control must directly address each cause
identified.
Consider short term controls if long term
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Eliminate the hazard.
Substitute the less hazardous material
Use engineering control
Use administrative control
Personal protective eqipment
Training of employee
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Documents facts only
Determine corrective action more than one
employee, more than one job function, more
than one shift etc.
Priotorise corrective action based on future
accident potential.
Submit both long term and short term
solutions if necessary
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Ensure the long term solutions don’t get
lost in the shuffle.
Evaluate the effectiveness of implemented
controls:
1. Interview People
2. Job safety Analysis
3. Accident and Incident Experience
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No time to complete
No motivation to complete
Lack of Accountability
Lack of skill and knowledge
Investigation stopped short and didn’t reveal
the root causes of the Accident
Which of these would be obstacle to
you………!
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Remember! Safety is our Attitude
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