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School Safety Conference Safety Systems: Safety Doesn’t Happen By Accident! 9-10 September 2013. Incident Reporting and Investigation. Presented by Jessica Urquhart. Version 1.0 Issue date September 2013. Proactive WHS and Reactive WHS. OPPORTUNITIES FOR IMPROVEMENT. REACTIVE. - PowerPoint PPT Presentation
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Incident Reporting and Investigation
Presented by
Jessica Urquhart
Version 1.0Issue date September 2013
School Safety ConferenceSafety Systems: Safety Doesn’t Happen By Accident!
9-10 September 2013
Proactive WHSand
Reactive WHS
2
3
INC
IDE
NT
/ A
CC
IDE
NT
/ N
EA
R M
ISS
(la
g)
PROACTIVE (lead)
Hazard Reporting
Workplace Inspections
Task Observations
Effectiveness Audits
REACTIVE
Initial Response
IncidentInvestigation
Learning
Action Management
CommunicationRisk Assessment
WHS Rep /WHS Committee
Meetings
Reporting
Evaluation
OP
PO
RT
UN
ITIE
S F
OR
IM
PR
OV
EM
EN
T
Initial Response
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Incidents require varied responses i.e. injury, fire, environmental
Incident Responses Need to Be; Documented Practiced Competent Personnel Capable Personnel Serviceable Equipment Adequate Facilities
Reporting Requirements
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Reporting Requirements
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Reporting Requirements
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Obligations of Duty Holders
Obligations
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Obligations
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Investigation Process
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Incident Investigation
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OrganisationalFactors
Task / Environmental
Factors
Individual / Team Actions
Absent / Failed Defences
Root Cause
Investigation Process
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Fact FindingWhat Actually Happened?
Compile Evidence- Photographs
- Witness Statements- Records
- Training Files- Procedures
- Risk Assessments
Establish Causal FactorsWhat was the Direct Cause of the Incident?
What Else Contributed to the Incident?
What’s Next?
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Put Actions Into Place to Prevent Recurrence
Communicate Incident Findings to Workgroups
Monitor and Evaluate the Effectiveness of Actions
Some Documentation You Will Need
Incident Reporting and Investigation Procedure Incident Register Incident Notification and Report Form WHSQ Incident Report Form (notifiable incidents) Incident Investigation Tool Witness Statement Form PowerPoint Presentation e.g. Present Learnings Acknowledgement of Communication Form Change Management Procedures;
Are changes required to documentation, forms, training, PPE, induction, procedures, checklists, registers?
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More Information
• DRA Safety Specialists – drasafety.com.au
• WorkSafe QLD - worksafe.qld.gov.au
• Workplace Health and Safety Infoline – 1300 369 915
• Safe Work Australia - www.safeworkaustralia.gov.au
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Questions?
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