Incident Investigation, Reporting and Prevention

Accidents in the workplace, no matter how serious or minor, should be investigated. Investigations can determine how and why these failures occur and can offer suggestions on how to mitigate them in the future. By using the information gathered during the investigation, employers can identify the health and safety hazards and how to eliminate them, preventing similar accidents from occurring.

Proper accident investigation and reporting is all about learning from experience in order to significantly reduce the risks of accidents happening again. Investigations should be conducted with prevention in mind as opposed to trying to place blame. The focus of the investigation should be on the cause and finding the solution for future prevention. Accidents are complex and most often adversely affect the completion of a task. Accidents may have several events occur that can be considered the cause. Despite their complexity, most accidents are preventable by eliminating the cause.

Investigations determine not only what happened, but how and why. Investigations will reveal a sequence of events that led to the accident and offer suggestions as to how to change the sequence to prevent a reoccurrence. It is critical to determine the ROOT CAUSE of an incident to see if similar circumstances exist elsewhere in the workplace. These must be eliminated. An accident investigation process should be defined: How will the notification process occur? What types of accidents will be investigated? Who is responsible and included in the investigation? How will corrective actions be tracked? How will the process be documented?

By attending this 2 days program, you will walk away with powerful skills and techniques to:

• Gain a practical insight into why accidents occur
• Find out the investigation and analysis techniques
• Identify the underlying "root" causes of incidents and accidents
• Implement correction actions to prevent the occurrence of similar future events
• Grasp the goals of an accident investigation
• Secure an incident or accident scene
• Understand the importance of investigation interviews
• Assist in an accident investigation
• Gain a practical insight into why accidents occur or re-occur
• Learn the proven investigation and analysis techniques
• Look out for the importance of warning signs in accident prevention
• Implement correction actions to prevent the occurrence of similar future events

Course Commences

• Introduction
• Review of agenda and participants' expectations and key questions

The Principles of Incident Investigation

• Why an organization needs to be aware of the nature/definition of incident
  • What is an incident
  • Separating event and outcome
  • The "near miss"
• The reasons for investigating incidents from various aspects
• The causes of incidents
  • Interacting factors in incident causation
  • The complexity of incident causation
  • Unsafe conditions or practices in the workplace should be identified before someone gets hurt
  • Incident investigations is method to remove risk from the workplace
• The relationship between risk assessment and incident investigation

Managing Accidents and Investigation Techniques

• Immediate post - accident action
• Emergency services
• Notifying the authorities and others
• Reporting and recording incidents
• Collecting physical evidence
• Identifying and interviewing witnesses
• Obtaining evidence from other sources
• Resolving conflicts in evidence

Conducting Interview Exercise

Human Factors in Incident Investigation

• The HSE's definition of human factors
• Human behaviour as one of the essential factors in the lead up to an accident
• Human Error and types of violation
• Case Studies involving human error
• Team Exercise: Selection of Interview

Open forum on Day 1 Topics

• Open forum and review of participants' expectations and key questions

Incident Causation Theories

• Heinrich's Sequence
  • The Domino Model
  • Bird's Accident Model
• Fault Tree Analysis (FTA)

Tripod Beta and Bow-Ties

Case Study/ Exercise/Discussion

What Went Wrong

• Bhopal
• Herald of Free Enterprise
• King's Cross

The Accident Report

• The objectives of the accident investigation report
• The purpose of an accident investigation report
  • Internal Purposes
  • External Purposes
• Who should prepare the accident investigation report?
• Analyzing and presenting the data
• Common errors in report writing
• Recommendations in reports

Open forum on Day 2 Topics

• Open forum and review of participants' expectations and key questions.

+6 (082) 287 737

kevin@cia-global.com

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