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Introduction To
Accident / IncidentInvestigation
Brainwave ConsultantsBrainwave Consultants
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` Explain the need for Accident Investigations
` Explain the benefits of Accident Investigations
` Provide the information necessary to properlycomplete Accident
Investigations
` Provide the tools necessary to properly completeAccident
Investigations
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` Process to determine the underlying causes of
accidents
` Causal information used to identify and takepreventive
action
` Basic component ofloss prevention
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Group Discussion
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` Prevention of Future, Similarlosses
` 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 didt reveal all
causes of accident.
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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
` NearMiss
`
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
` NearMiss
Record your Answer !
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` Injury
` Illness
` Property Damage
` NearMiss
Answer : All of the Above !
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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 theemployee
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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, in
addition to the root cause
` Accident investigation is ineffective unless all
causes are determined and corrected
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Can be classified as :
` Work Place Factors-Largely a function ofManagement
Practices.
` Employee Factor- Largely a function ofEmployee
Behavior.
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` Workplace Factors example :1. Improper tools and equipment2.
Inadequate Maintenance
3. Lack of job procedures4. Poor workstation setup5. Poor
Housekeeping6. Lack of job supervision7. 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 behavior4. 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.` Dont stop short
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` Assess Severity
Class A hazard (Major)
Class B hazard (Serious) Class C hazard (Minor)
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` A condition orpractice likely to cause permanent
disability, loss oflife, 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 severethan 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 iflong term controls
are not readily available.
` More than one control needed.
`
Use the control Hit list to make sure that the bestcontrol has
been found.
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` Eliminate the hazard.
` Substitute the less hazardous material
` Use engineering control` Use administrative control
` Personalprotective eqipment
` Training of employee
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` Documents facts only
` Determine corrective action more than oneemployee, more than
one job function, more thanone shift etc.
` Priotorise corrective action based on futureaccident
potential.
` Submit both long term and short term solutions ifnecessary
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` Ensure the long term solutions dont get lost in
the shuffle.
` Eva
luate the effectiveness of im
plementedcontrols:
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 didnt reveal theroot causes of
the Accident
Which of these would be obstacle to you!
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Remember! Safety is our Attitude
