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Accident / Incident

Investigation

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After completing this session, participants will
be able to perform an Accident Investigation
for his/her company in accordance with the
Occupational Safety and Health Standards.

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a. Swift Investigation is a must.
b. Understand what you are up to.
c. Eliminating the root cause of accident.

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It is usually the result of a contact
of a body with a source of energy
(i.e. kinetic, electrical, chemical,
thermal, etc.) above the threshold
limit of the body or structure.

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IS AN UNDESIRED EVENT, WHICH, UNDER
SLIGHT DIFFERENT CIRCUMSTANCES,
COULD HAVE RESULTED IN HARM TO
PEOPLE, DAMAGE TO PROPERTY OR LOSS
TO PROCESS.

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Is also an event that may or may not
result into a loss.

Incidents with no visible injury and/or


property damage.

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1. IDENTIFY THE HAZARD.
2. UNDERSTAND THE DEFENSE.
3. ACT-IN-TIME

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Operating without authority
Improper lifting
Operating at improper speed
Taking improper position
Making safety devices inoperable
Servicing equipment in motion…

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Inadequate guards or protection
Gases, dusts, fumes, vapors
Excessive noise
Radiation exposures
Fire and explosion hazards
Inadequate illumination or ventilation…

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Physical Harm ( Injury or illness)
Minor Disabling (Major)
Serious Death
Reportable Catastrophic

Property Damage
Minor
Serious
Major
Catastropic

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Humane Aspects
• Sorrow associated with loss of parents, children,
loved ones, and friends
• Unexpected and undesired hardship and
inconveniences
• Physical pain and discomfort from injury
• Psychological problems that accompany
disfigurement or permanent disability

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Reasons for failure to report
accidents.

Fear
Record
Reputation
Red Tape
Ignorance
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THAT NEEDS TO BE

 WORK INJURY
 OCCUPATIONAL ILLNESS
 ENVIRONMENTAL DAMAGE
 PROPERTY DAMAGE
 NEAR-MISS

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When is the “right time”?
- as soon as possible. Any experience supervisor
knows that the less time intervening between an
accident and an investigation, the more accurate
the information that can be obtained.

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Why are incidents investigated?
- is to prevent or control a future recurrence on a
similar incident. This purpose is exactly what many
investigations destroys, because they are blame-
fixing, fault-finding, witch-hunting exercises, and
factual information is withheld.

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WHO SHOULD INVESTIGATE

• The immediate supervisor

• Safety Engineer

• Safety Committee

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BEST INVESTIGATOR

1. He has a personal interest to


protect.
2. He knows the most about people
and condition.
3. He knows best how to get
information.
4. He will take action anyway.

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CONDUCTING AN ACCIDENT/INCIDENT
INVESTIGATION

 Gather as much information as


possible about the accident
 Analyze the facts to determine
what causes were;
 Make recommendation for
corrective measures to prevent
future accidents

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GATHERING INFORMATION

SOURCES OF INFORMATION
 Witness
 Physical Evidence at the Scene
 Existing Records

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Interview separately.

Interview at an appropriate place.

Put the person at ease.

Get the individual’s version.

Ask the necessary question at the right time.

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Incident/Accident re-enactment
should only be used under the
following circumstances:

• When the information cannot be gained in


another way
• When it is vital to the development of
remedial action.
• When it is necessary to verify key facts given
by a witness or victim of an accident.

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GATHERING INFORMATION

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Training Records
Maintenance Logs/Records
Schedules
Job Procedures and Practices
Previous Accident Reports

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Case Analysis: (example)

Mhar Vinay, a maintenance mechanic, was


performing routine service on a forktruck in his
service bay workstation. At one point in the
operation, Vinay dropped a container of engine
oil on the floor, spilling a small amount of the
oil onto the floor. The spill was small, so Vinay
decided to clean it up after he finished the
service work on the forktruck.

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Continuation:

While Vinay continued his work, Jojo Rojas,


another maintenance mechanic, decided to
take a short-cut through Vinay’s service bay
on his way back to his own work station.
Rojas, who was carrying a large, heavy box of
parts, stepped into the oil spill, lost his footing
and injured his back while attempting to
maintain his balance.

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Application:

Proper Procedures Differences:


- Floors must be kept clear. - Oil existed on shop floor.
- Spills must be cleaned up - Shields did not…
immediately.
- Heavy or bulky objects
must be transported by - Libby hand carried heavy,
two-wheeled dolly. bulky parts.

- Pedestrian traffic is - Libby was not within the


restricted to designated designated pedestrian.
paths.

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FOR

Recommendation must
state what specific action
will be taken, by whom
and when; and how the
supervisor will assure that
it is carried out correctly.

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Taking Remedial
Actions

 Temporary Actions

 Permanent Actions

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Temporary Actions

Correct the symptoms of accidents:

Substandard Acts

Substandard Conditions

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Permanent Actions

Remedy or treat:

Personal and job factors

Oversights and omissions in


programs, standards and
compliance.

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ACCIDENT/INCIDENT INVESTIGATION
REPORT

 General Information
 A Summary
 An Analysis
 Recommendations

lcm-npc (case-incinv2)
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lcm-npc (case-incinv2)
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