Accident Reporting, Investigation and Analysis

„ Those who cannot remember the past are condemned to repeat it‟

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Accident Reporting, Investigation and Analysis

Presentation Contents
 Introduction
 Incident Response  Incident Investigation  Incident Analysis  Remedial Actions  Incident Report  Near Miss Reporting  Cost of incidents  Incident Statistics  Summary of Responsibilities

Types of incident(as %) reported to HSA(>3days lost) 2002

Injured while handling, lifting or carrying Slips, trips or falls on same level Injured by hand tools

Injured by falling objects

0.4 0.4 2.1 2.4 3 3.9 2 1.5

0.3 0.1 10.9 32.2

Fall from height Contact with moving machinery parts Injured by a person – malicious Transport (excluding road traffic accidents)

4.6 5.3 5.3 6.3 19.4

Exposure/contact with harmful substance Road traffic accidents Injured by a person – non-malicious Struck by something collapsing/overturning Contact with electricity Injured by an animal Fire or explosion Drowning or asphyxiation Miscellaneous or not otherwise classified

Introduction

Why report and investigate accidents?
‘PREVENT A RECURRENCE OF THE SAME ACCIDENT’

It is worth doing it well!
           Learn from what went wrong Determine the causes Prevent recurrence Improve the work environment Meet regulatory requirements Cost of incidents Moral Obligation Define trends Provision of information in case of litigation Reduction of operating costs by control of accidental losses Expression of concern by management

Introduction

Incident Definitions
 ACCIDENT - an undesired event that results in personal injury or property damage.  INCIDENT - an unplanned, undesired event that adversely affects completion of a task.  NEAR MISS - incidents where no property was damaged and no personal injury sustained, but where, given a slight shift in time or position, damage and/or injury easily could have occurred.  Lost Time Accident – an accident resulting in time off work  Dangerous Occurrence - escape of flammable substance, explosion,
fire, collapse of load bearing apparatus, pipeline ruptures, pressure vessel ruptures, transport incidents, bursting of reveolving wheel, O/H electric line contact, building collapse(1993 Safety Health & Welfare at Work( General Application
)Regulations )

 Reportable Incident –

injured cannot return to work within 3 days of incident(1993 Safety Health & Welfare at Work( General Application )Regulations Form to be submitted to HSA( downloadable at www.hsa.ie )

Level 3 . The supervisor will contact the necessary emergency services and necessary personnel as per the site emergency plan. such incidents are reported to the Supervisor and formally logged on a Near Miss Report. Examples: injury (person is likely to be out of work for more than one day but less than three days). the supervisor will contact the necessary emergency services and officials as per the emergency plan. this will permit assessment of the incident particularly with regard to the possibility of reoccurrence and the potential for a more serious event. containable fire.   .Minor Incident: a level one incident can typically be dealt with by the person identifying the problem. serious fire. containable environmental damage. threat to the safety of personnel. fatality.Serious Incident: immediate action should be taken where possible by the person identifying the incident. Thereafter.Severe Incident: immediate action should be taken where possible by the person identifying the incident. The supervisor should be immediately informed and should assess the situation. minor first aid injury(less than one day off work) Level 2 . Examples:persons trapped. The supervisor should be immediately informed and should assess the situation. Level 1 . serious injury( person likely to be out of work > 3days).Introduction Incident Classification for Reporting   Near Miss Incident: a near miss incident where there is no loss be it injury or property damage however it could have resulted in personal harm/damage under slightly different circumstances. The supervisor should be informed and the incident formally logged on an Incident Report. Examples: minor localised fire. serious environmental damage.

Immediately after personnel and area are safe Head of Department * Front line supervisor * Worker(s)/Witnesses involved * Area Safety Representative * Head of Department * Safety Manager Supervisor -Immediately after personnel and area are safe Head of Department Supervisor .000 Less than 3 hours 3 hours to one day 1 day or more Product requires work to meet customer standards Product will not meet customer standards Loss of Customer Major customer dissatisfaction Personnel involved in investigation Investigation Report Responsibility Responsibility for Remedial Actions * Front line supervisor * Worker(s) /Witnesses involved * Area Safety Representative * Front line Supervisor * Worker(s) /Witnesses involved * Area Safety Representative * Safety Manager Supervisor .000 Up to E100.000 Injury Severity Damage Severity Production Loss Customer Impact Up to E30.Level of Incident and Investigation involved RISK Level 1 Low First Aid Medical Aid (<1 day off work) Level 2 Moderate Medical Aid (1<days off<3) Level 3 High Fatality Lost Time Accident (>3 days) Serious Incident Reportable to HSA Disabling injury Over E200.Within the same shift Head of Department .

Accident or Incident Occurs Initial response Supervisor actions as per emergency plan Safety Manager Contact insurance Contact hsa if required Medical Aid Prevent secondary accidents Notify emergency services Is the Incident Level 1? First Aid Medical Aid (<1 day off work) Damage < E30. what should have happened and why? Yes Analyse causes Safety Manager Safety Manager add to incident database Include in incident analysis Issue incident information add to incident database Review at next safety committee meeting Include in incident analysis Report findings and actions Incident Investigation Flowchart Develop Remedial Actions inc.000<Damage<E200. timescales and responsibilities .000 Production Loss < 1 day Loss of Customer or major customer dissatisfaction Yes Yes Yes Accident Team Investigates Front line supervisor Worker(s)/Witnesses involved Area Safety Representative Accident Team Investigates Front line supervisor Worker(s) /Witnesses involved Area Safety Representative Safety Manager Accident Team Investigates Front line supervisor Worker(s) /Witnesses involved Area Safety Representative Safety Manager Head of Department Incident Report Supervisor Responsible for completion and forward to Safety Manager within 24 Hours Management Actions Head of Department track remedial actions Managing Director Management Actions Interview witnesses Photographs Sketches. site maps Relative positions Examine equipment & machinery Failed parts Examine Materials Examine records Collect Evidence Response and loss limiting actions Immediate causes (Substandard acts and conditions) Basic causes (personal & job factors) Program management (standards and compliance) Analyse review at next management meeting No Collect more evidence and re-analyse Head of Department track remedial actions Does analyses show what happened.000 1 day >Production Loss > 3 hours Product will not meet customer standards Is the Incident Level 3? No Fatality Serious Injury . survey.000 Production Loss < 3 hours Product requires work to meet customer standards Is the Incident Level 2? No Medical Aid(1<days off<3) E30.Lost Time(>3 days) Serious Incident Reportable to HSA Damage>E200.

Investigation and Analysis  Introduction Incident Response  Incident Investigation  Incident Analysis  Remedial Actions  Incident Report  Near Miss Reporting  Cost of incidents  Incident Statistics  Summary of Responsibilities .Accident Reporting.

Introduction Reporting Incidents  Employee must report to Supervisor   Supervisor responsible for initiating reporting procedure Supervisor responsible for complete of incident report for near-miss. Level 1 and Level 2 incidents involves Safety Manager and Area Safety Representative  Supervisor in conjunction with relevant Head of Department responsible for completion of Level 3 incident reports and also involves Safety Manager and Area Safety Representative  Head of Department responsible for completion of corrective actions Reports to Senior Manager and Safety Manager  .

taking witness statements and completion of the investigation. If a Level 3 incident the Supervisor immediately after attending to any victim and minimisation of property damage ensures the accident scene is secured. If a Level 2 incident immediately after attending to any victim and minimisation of property damage the Supervisor ensures the accident scene is secured. taking witness statements and completion of the investigation. prevents access by unauthorised persons and calls the Safety Manager and the area Safety Representative who will assist the Supervisor in completing the Incident Report Form. If a Level 1 incident the Supervisor in conjunction with the area Safety Representative completes the Incident Report Form and forwards to Safety Manager within 24 hours. who will assist the Supervisor in completing the Incident Report Form. prevents access by unauthorised persons and calls the Safety Manager.   . the area Safety Representative and the relevant Head of Department.Initial Response Typical Procedure All incidents must be reported immediately by the employee concerned to their Supervisor:   If a Near Miss incident the Supervisor shall ensure a Near Miss Report is completed immediately.

chemical spill .Initial Response The Supervisor Takes control of the scene Calls first aid and emergency services Controls secondary incidents Identifies sources of evidence Preserves evidence from alteration or removal  Determines the loss potential  Notifies appropriate management      Discuss you company‟s emergency response procedures in the event of fire. injury.

Investigation and Analysis  Introduction  Incident Response  Incident Investigation        Incident Analysis Remedial Actions Incident Report Near Miss Reporting Cost of incidents Incident Statistics Summary of Responsibilities .Accident Reporting.

Incident Investigation and Analysis Tips for investigation and analysis            Encourage a no-blame reporting culture Focus must be to improve working conditions and methods Approach with an open and objective mind All facts learnt corrective action taken Fact finding not fault finding An opportunity for employees and management to work together to correct an unacceptable situation An incident will happen again if underlying causes are not corrected Delve deep to establish underlying causes do not accept all answers given at face value Be prepared to look beyong the injured person. his co-workers. supervisor. manager Consider communication skills and language barriers Get as much factual information as possible to get the complete picture .

Incident Investigation Effective Incident Investigation  Establish the facts: Who? What? When? Where? The size?  Analyse the facts isolating contributary factors:  Who or what was involved  What hazards were present?  What controls failed?  Identify actions to prevent a recurrence  Implement the corrective actions .

In all cases it is recommended that the Supervisor involves the safety professional on his/her site to assist in the investigation . why? of those involved  They have a personal interest  They know the people and conditions  They know how best and where to get the information needed  They will initiate or take any remedial action  They benefit from investigating Where there is major loss or loss potential or where multiple supervisors are involved it is beneficial that the investigation also involves the Head of Department for the area.Incident Investigation Who should lead investigation? The Supervisor( ).

photos. valve alignment. area rules. codes of practice. use sketches maps. interview separately Parts evidence – machinery. equipment records( maintenance. Accident sequence. servicing). permits. pre-start checklists. Post-accident conditions  Position evidence – people(witnesses). procedures. signs) People evidence – statements from all involved and witnesses. tools labels. equipment. tools and other equipment that could have contributed to the incident Paper evidence – all relevant records such as training records. materials & environment. standards Consider reconstructing incident from above information    .Incident Investigation Collecting evidence and information Record: Pre-accident conditions. MSDS. video (Consider plant line up.

immediately following the incident the Supervisor shall ensure the following:  Photographs of the scene are taken  If there is a possibility that the accident could become a fatality the scene must remain undisturbed until viewed by HSA Inspector and Gardai where required. maintenance and training records  Analyse condition of equipment materials with specalist input where necessary  Prepare a report detailing the circumstances of the accident within 24 hours and submit to the Safety Manager.  A sectional view (if necessary). basic causes and lack of control.  Take evidence from witnesses at the scene and make note of any piece of evidence. The report will include the Incident Report Form and witness incident analysis forms which provides for systematically identifying immediate causes.  Check relevant equipment.Initial Response Typical Procedure In the event of a Level 2 or Level 3 incident. equipment.  Detailed plan of view showing details after the accident and include such things as: Equipment used in rescue operations. Position from where photographs were taken. involved in the accident. . and other relevant information. Any sections made are to be marked on the detailed plan. etc. These are to include the following :  Locality Plan & details of accident site. Position of persons involved in the accident.  Arrange for survey plans of the site to be prepared. ladders. Position of materials.

date & name of photographer . time. medium. close-up sequence  Accompany with good notes and sketches  Identify by number.Incident Investigation Accident Photography  Photograph the scene from all sides  Use long.

Incident Investigation Interviewing Witnesses              Calm. impartial. use a tape recorder only with witness permission If significant conflict follow up interviews may be necessary Assure them the information is being used for accident prevention not to apportion blame Get the individuals version Use open questions (cannot be answered with a simple yes or no) Do not express an opinion or argue Record critical information quickly If not at the site of the accident use visual aids. End on a positive note and keep the line open Review completed statement with witness and have it signed Helpful Interview Questions What were you doing? Where were you working? How were you injured? How do you think the accident occurred? What is the safety procedure for the job? How were you trained for the job? Have you fully described the circumstances of the accident as you know them? Take a look at the Witness Incident Analysis form recommended for Level 2/3 incidents . search for facts not opinions Do not interrogate/cross examine As soon as possible( theorising increases as memory decreases) Interview separately and privately. sketches etc. open mind. objective.

tools and other equipment that could have contributed to the incident       Proper item for task Damage .type. markings . signs. misuse Wear Safeguards – machine guards. pattern Previous damage – defects.Incident Investigation Parts Examination Parts – machinery. extent. emergency cut-offs Labels.

Accident Reporting. Investigation and Analysis  Introduction  Incident Response  Incident Investigation  Incident Analysis       Remedial Actions Incident Report Near Miss Reporting Cost of incidents Incident Statistics Summary of Responsibilities .

Incident analysis What’s involved?  Determine what happened –immediate cause – unsafe practices/conditions ( ask the question would the accidnet have happened if this particular factor was not present?)  Determine why it happened basic causes – personal/job factors  Cover deficiencies in the management system WOULD THE ACCIDENT HAVE HAPPENED IF THIS PARTICULAR FACTOR WAS NOT PRESENT?  Determine appropriate remedial action based on the immediate and basic causes  Apportion responsibility to implement corrective actions  Report findings to senior management  Follow-up and monitor corrective actions .

 Unsafe Act  Unsafe Condition Unplanned Event Which Disrupts Work Activity Death  Injury  Property damage  Lost Time  Lost Productivity .Plan  Direct  Organize  Control Lack Of: Training Resources Belief Undesired. Lack of Control Basic Cause Immediate Cause Accident Loss Organizational Failure to: .Incident Analysis THE DOMINO SEQUENCE How Accidents Happen The domino described below is a model that will help you see how accidents happen.

Tools. Failure to DIRECT means: Personnel involved in the job. at one or more levels. and/or in safe operating condition. Materials.Incident Analysis Lack of Control Organisational failure means that the organisation.    Failure to CONTROL means: Failure to ensure that the job or task was actually conducted as planned. did not effectively/properly plan. Equipment. . task or operation were not instructed and trained as to the potential hazards involved and means to eliminate or control those hazards. organized and directed. proper. its resources Resources are: Time. direct. control or combination thereof. Manpower  Failure to PLAN means: All aspects of the job. task or operation were not planned effectively so that an unexpected accident was not eliminated. Failure to ORGANIZE means: All resources that were needed to do the job safely were not present. organize.

work practices. manpower) necessary to do the job safely are not provided Resources not proper (skills. Lack of belief is almost always caused by past experience. equipment. materials.Incident Analysis Personal and job factors .Lack of Belief There is a belief that a negative consequence will not result because of their action.lead a person to commit an unsafe condition or act  Basic Cause of Resources Job factor . tools.Lack of Training/ Lack  No training at all Training that was incomplete or inadequate or not understood Training that was not repeated frequently enough Resources (time. size. abilities. procedures. type) Resources not in safe operating condition Inadequate supervision Inadequate work standards. Factors that can contribute to it are:  Poor morale/low motivation/stress  Peer pressure  Productivity pressures  Inadequate resources Inadequate capability . maintenance  Personal factor .

unsafe conditions account for 14% of accidents. we can say that 97% of all accidents are caused directly or indirectly by an unsafe act.  Therefore. 85% of the unsafe conditions were caused by an unsafe act.Incident Analysis Immediate Cause Immediate causes are the unsafe acts and/or conditions that lead directly to the accident.  Unsafe acts account for 85% of accidents.  However. .

. undesirable event which disrupts work activity”  An accident always results in a loss.Incident Analysis Accident  An accident is: “An unplanned.

for example: Death Injury Lost Time Damaged Morale Damaged Tools Damaged Equipment Lost Materials Lost Productivity Civil Penalties Replacement Costs Economic Loss Loss of Client Goodwill Lost Competitiveness .Incident Analysis Loss  The loss is the result of an accident. (Disruption of work activity).  Approximately 30 different losses have been identified as potential results of accidents.

Human Element of Accident Causation Organisational Process Local Working Conditions Active Failures Defences Latent Failures Latent Failures Latent Failures Active Failures Active & Latent Fallible Decisions Training & Skills Work Atmosphere Line Management Deficiencies Planning Supervision Psychological Precursors of Unsafe Acts Communication Job Factor Team Work Unsafe Acts Communication Person Factor Inadequate Defences Tools & Equipment Senior Management Line Management Frontline Supervisor Operators Maintenance Crews Safety Equipment Casual Sequence Human Elements of Accident Causation (Reason 1990) .

incident event. immediate. . basic causes and relevant lack of controls under each heading in list form as per the Incident Report Form This makes it possible to identify the causes and relevant corrective actions to prevent a reoccurrence.Incident analysis Loss Causation Model Lack of Control Inadequate •Systems •Standards Basic Causes Immediate Causes Substandard Acts/practices Substandard Conditions Incident Loss Unintended Personal Factors Job/system factors Event Contact with energy or surface harm or damage •People •Property •Processes •Compliance Problem Solving Model In an incident analysis situation use this model and write down the loss.

dust etc.)  Noise exposures  Radiation exposure  High or low temperature exposures  Inadequate or excess illumination Inadequate ventilation  Defective PPE .Incident Form: Immediate Causes Immediate Causes (What sub standard actions & Conditions caused the event): Tick all applicable below and explain here: SUBSTANDARD ACTIONS  Operating equipment without authority  Failure to warn  Failure to secure  Operating at improper speed  Making safety devices inoperable  Removing safety devices  Using defective equipment  Using equipment improperly  Failure to use PPE properly  Improper loading  Improper placement  Improper lifting  Improper position for task  Servicing equipment in operation  Horseplay  Under influence of alcohol or drugs  Working in dangerous situation  Non-adherence to rules/standards SUBSTANDARD CONDITIONS  Inadequate guards or barriers  Inadequate or improper protective equipment  Defective tools equipment or materials  Congested or restricted action  Inadequate warning system  Fire and explosion hazard  Poor housekeeping disorder  Hazardous environmental conditions(gas.

Incident Form: Basic Causes Basic Causes (What personal factors & job factors caused the event): Tick all applicable below and explain here: Personal factors  Inadequate capability Lack of knowledge  Lack of skill  Stress  Improper motivation Job Factors  Inadequate Leadership  Inadequate engineering  Inadequate purchasing  Inadequate maintenance  Inadequate tools & equipment  Inadequate work standards  Wear & Tear  Abuse or misuse .

Accident Reporting. Investigation and Analysis     Introduction Incident Response Incident Investigation Incident Analysis Incident Report Near Miss Reporting Cost of incidents Incident Statistics Summary of Responsibilities  Remedial Actions      .

Incident analysis Remedial Actions  Temporary Actions – correct substandard actions and conditions  Permanent Actions – remedy personal factors and job factors Remedial Actions must be:  Communicated clearly  Responsible person identified and timescale established for their completion  Follow-up conducted by Investigation Team  Department Manager responsible to ensure completion .

Accident Reporting. Investigation and Analysis      Introduction Incident Response Incident Investigation Incident Analysis Remedial Actions Near Miss Reporting Cost of incidents Incident Statistics Summary of Responsibilities  Incident Report     .

Incident Report Typical Contents        Title. best reports are written promptly  Accident reports are usually ‘discoverable’ this means they can be used by parties to an action for damages or criminal charges . haz.) & indirect causes(unsafe acts and conditions) & basic causes (personal/environmental factors) Lack of control(management policies) Remedial actions temporary & permanent Management review Other     Note:  Timeliness of report is critical. materials etc. date and time Location of the accident Type of injury or damage/who and what was involved Cost of losses Description of what happened including emergency response sequence How the accident occurred/extent of damage Immediate(direct(energy sources.

Incident Report Where to?   Incident reports forwarded to the Safety Manager are processed as follows : All incident reports are analysed and the summary information is presented at the next monthly management meeting and safety committee meeting All Level 2 and Level 3 incidents are reviewed at the next weekly management meeting. Any lessons learned are communicated to management and employees from information distributed to all Supervisors(for inclusion in tool box talk ) and on Company Notice Boards Incident reports are copied to the relevant Head of Department and General Manager in the case of Level 2 and Level 3 incidents  .

Accident Reporting. Investigation and Analysis       Introduction Incident Response Incident Investigation Incident Analysis Remedial Actions Incident Report  Near Miss Reporting  Cost of incidents  Incident Statistics  Summary of Responsibilities .

this is the basis of any proactive safety management system High potential incidents should be analysed thoroughly .Near Miss Reporting Reporting of Near Miss Incidents is critical 1 Accident Ratio Study Serious or Major Injury 10 Minor Injuries 30 Property Damage 600 Incidents with no visible injury or damage Near miss    Near misses provide a much larger base for more effective control of accidental loss Eliminate the causes of near misses. reduce the potential for more serious accidents.

Accident Reporting. Investigation and Analysis        Introduction Incident Response Incident Investigation Incident Analysis Remedial Actions Incident Report Near Miss Reporting  Cost of incidents  Incident Statistics  Summary of Responsibilities .

Analysis of costs Consider the following:  Cost of dealing with incident( such as first aid. emergency supplies. consultants time)  Cost of getting back to business( such as rescheduling. clean-up. replacement salary. staff downtime)  Costs of incident investigation( such as staff time. lost orders)  UK HSE useful incident cost calculator template – next slide . hire of equipment)  Business Costs( such as cost of injured persons salary.

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Investigation and Analysis         Introduction Incident Response Incident Investigation Incident Analysis Remedial Actions Incident Report Near Miss Reporting Cost of incidents  Incident Statistics  Summary of Responsibilities .Accident Reporting.

Accident Statistics Analysis  Accident data base should be established  Identify trends and focus systems where they can produce the greatest return on invested time and energy  Accident analysis statistics should be:     produced regularly by the Safety Department reviewed at regular management and safety committee meetings summary available to all employees Identify repetitive or signifcant items .

lost time incidents. property damage. work section.000  Costs  Cause and control analysis Type of accidents by department.Accident Statistics Analysis  Statistics may include:  Number of near-miss. occupation Equipment/substances involved Activity at time of injury Age of person/length of service Time of day Immediate causes(substandard acts and conditions) Basic causes( Personal and job factors) Lack of control(inadequate programme standards or compliance with standards) Remedial action completion by department Problem solving project teams to address critical problems identified . fire. medical aid. first aid.000 Lost Time Incident Severity Rate(LTIFR)=(Total hours lost/Total Hours Worked) x 100. environmental events  Lost time injury frequency rates and severity rates Lost Time Incident Frequency Rate(LTIFR)=(Total Lost Time Incidents/Total Hours Worked) x 100.

Investigation and Analysis          Introduction Incident Response Incident Investigation Incident Analysis Remedial Actions Incident Report Near Miss Reporting Cost of incidents Incident Statistics  Summary of Responsibilities .Accident Reporting.

The Safety Manager will be responsible for providing technical support to the Supervisor in the course of the incident investigation. producing the incident statistics and presentation to monthly management and safety committee meeting The Safety Manager will ensure that management. submits the completed statutory report form and coordinates any subsequent investigation with the Inspector. the Safety Manager contacts the relevant Inspector.Incidents Summary of Responsibilities     All Employees must report all incidents to their Supervisor All Supervisors responsible for initiaiting accident investigations All Heads of Department are responsible for taking appropriate action on the conclusions and results of any incident investigation within their Department. All Heads of Departments are responsible to ensure that the supervisors in their department are fully aware of. employees and their representatives are adequately consulted and informed on the incident investigation policy and provision of training as regards implementation of the policy In the event that a Level 2 or Level 3 incident meets the requirement of reporting to the Health & Safety Authority. issuing incident information for communication to all employees. understand and initiate the Incident Reporting and Investigation Policy and attend relevant training.     . The Safety Manager is responsible for reporting Level 2 & 3 incidents to the Company Loss Adjuster and Company Insurance Co-ordinator and coordinating any subsequent follow-up investigation.

site maps Relative positions Examine equipment & machinery Failed parts Examine Materials Examine records Collect Evidence Response and loss limiting actions Immediate causes (Substandard acts and conditions) Basic causes (personal & job factors) Program management (standards and compliance) Analyse review at next management meeting No Collect more evidence and re-analyse Head of Department track remedial actions Does analyses show what happened.000 Production Loss < 3 hours Product requires work to meet customer standards Is the Incident Level 2? No Medical Aid(1<days off<3) E30.000 1 day >Production Loss > 3 hours Product will not meet customer standards Is the Incident Level 3? No Fatality Serious Injury .000<Damage<E200.Lost Time(>3 days) Serious Incident Reportable to HSA Damage>E200. survey. what should have happened and why? Yes Analyse causes Safety Manager Safety Manager add to incident database Include in incident analysis Issue incident information add to incident database Review at next safety committee meeting Include in incident analysis Report findings and actions Incident Investigation Flowchart Develop Remedial Actions inc. timescales and responsibilities .Accident or Incident Occurs Initial response Supervisor actions as per emergency plan Safety Manager Contact insurance Contact hsa if required Medical Aid Prevent secondary accidents Notify emergency services Is the Incident Level 1? First Aid Medical Aid (<1 day off work) Damage < E30.000 Production Loss < 1 day Loss of Customer or major customer dissatisfaction Yes Yes Yes Accident Team Investigates Front line supervisor Worker(s)/Witnesses involved Area Safety Representative Accident Team Investigates Front line supervisor Worker(s) /Witnesses involved Area Safety Representative Safety Manager Accident Team Investigates Front line supervisor Worker(s) /Witnesses involved Area Safety Representative Safety Manager Head of Department Incident Report Supervisor Responsible for completion and forward to Safety Manager within 24 Hours Management Actions Head of Department track remedial actions Managing Director Management Actions Interview witnesses Photographs Sketches.

They taught me all I knew. Their names are What and Why and How and Where and When and Who .Accident Investigation Case Study  Form teams for the investigating and reporting  Analyse the facts  Identify the immediate and basic causes  Recommend remedial actions  Complete Incident Report  Present findings Remember Rudyard Kipling's I keep six honest serving men.

ITS ACTIONS REAFFIRM ITS COMMITMENT TO THE SAFETY AND WELLBEING OF ITS EMPLOYEES .Accident Reporting. Investigation and Analysis Conclusion WHEN AN ORGANIZATION REACTS SWIFTLY AND POSTIVELY TO ACCIDENTS AND INJURIES.

safety pays software and fatal facts information CHEMSAFETY.The Social and Economic Consequences of Workplace Injury and Illness Investigation Process Research Library .gov is the US Chemical Safety and Hazard Investigation Board's site.Accident Reporting & Investigation Further information(click to follow link):               Irish HSA Accident Notification information and accident statistics UK IChemE comprehensive information source on major incidents UK HSE Report on Accident Investigation UK guidance on use of digital images as evidence EU research on work related accidents US site on injury research and control The Investigation Process Research Library US based OSHA accident investigation information. Links to OSHA reports of fatality/catastrophe investigations United States Chemical Safety & Hazard Investigation Board Australian guidance on learning from accidents Canadian based information on reporting and investigating accidents New Zealand information on Aftermath . it investigates major chemical accidents US based OSHA Studies of Occupational Fatalities.

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