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Pencatatan dan Pelaporan

Kecelakaan dan Studi


Kasus
David Kusmawan
http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-
coronavirus-2019-ncov-technical-guidance/coronavirus-disease-covid-19-outbreak-technical-guidance-
europe/mental-health-and-covid-19
Accident
Multiple Causation and the Accident Weed
Strains Injury or
1. Direct Cause of Injury
Burns
Illness
Cuts
 Always the harmful transfer of energy.
 Kinetic, thermal, chemical, etc.
 Contact with, exposure too, etc.
2. Indirect (Surface) Cause of Injury

Primary Surface Cause


 Produces the accident
Fails to enforce  Unique hazardous condition/unsafe

L a c k o f v Ni s oi o mn i s s i o n s t a t e m e n t
Lack of time

behavior
Inadequate training
 Exists/Occurs close to the injury event
No recognition

No discipline procedures
 Involves the victim, possibly others
No orientation process

Inadequate training plan No recognition plan Contributing Surface Cause


No accountability policy No inspection policy
 Contributes to the accident
 Unique hazardous condition
 Inappropriate/unsafe behavior
 Exists/occurs more distant from the
accident
 Exists/occurs anytime, anywhere by anyone
The six-step process

The first two steps in the procedure help you gather


accurate information about the accident.
Incident investigation reports

The employer shall ensure that an incident


investigation report is prepared containing:
(a) the place, date and time of the incident
(b) the names and job titles of persons injured
(c) the names of witnesses
(d) a brief description of the incident
Incident investigation reports
(e) a statement of the sequence of events which
preceded the incident,
(f) identification of any unsafe conditions, acts or
procedures which contributed in any manner to the
incident,
(g) recommended corrective actions to prevent
similar incidents,
(h) the names of the persons who investigated the
incident.
Distribution of reports
Copies of incident investigation reports shall be
forwarded without undue delay to the OH&S
Committee and to the nearest board office.
Follow-up action and report
• Every employer shall initiate corrective action without undue delay to
prevent recurrence of similar incidents
• prepare a report of the action taken to the Joint Health & Safety
Committee, or where there is no such committee, shall post the
report for reference by workers.
Step : Write the report

• The primary reason accident investigations fail to help


eliminate similar accidents is that some report forms
unfortunately address only correcting surface causes.

• Root causes are often ignored. Let's take a look at one format
for ensuring an effective report.
Step 6: Write the report

SECTION I. BACKGROUND

SECTION II. DESCRIPTION OF


ACCIDENT

SECTION III. FINDINGS

SECTION IV. RECOMMENDATIONS

SECTION V: SUMMARY

SECTION VI: FOLLOW-UP: ACTIONS

SECTION VII: COMMENTS/ATTACHMENTS:


The report is an open document until all actions are
complete!

When the accident investigator completes the report, he


or she will give it to someone who must do something
with it. That’s the job of the decision-maker.

For accident investigation to be effective, management


must consider the findings and develop an action plan for
taking corrective action and making system improvements.
Finally, periodic evaluation of the quality of accident
investigation and report is critical to maintaining an
effective program.
Accident Investigation
EXERCISE
Pertemuan ke 10
The Accident case

Carilah contoh sebuah kasus kejadian


kecelakaan, kemudian buatlah report
investigasi berdasarkan format yang sudah
dipelajari.
Thank You
That's it!
Be safe

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