Incident
Investigation -- Tips, Techniques & Trivia
I’ve
had a few calls about running my two day Intermediate Investigation
session in Calgary again and will do so in December if there’s
enough interest shown. See below.
Jeff
Investigation Best Practices
A few years ago the British Health & Safety
Executive commissioned a survey on Accident Investigation in preparation
for legislative changes to accident reporting. Over the next few
months I’ll share some of the highlights with you as I feel
they hold true for North America as well.
The majority of British companies were found
to be using a traditional approach to investigation in that investigations
focused primarily on the actions of the individual and ignored
other potential contributing factors. The minority used a systems
based approach that considered the concept of multiple causation,
system issues that impacted worker performance and both immediate
and underlying causes.
The report concludes that a successful incident
investigation process should incorporate the following basic requirements.
- A causal model that represents a systems-based
approach to incident investigation
- The involvement of relevant individuals within
the investigation
- Procedures or protocols to structure and support
the investigation
- The identification of both immediate and underlying
causes
- The development of recommendations that address
both immediate and underlying causes
- The implementation of these recommendations
and the updating of relevant risk assessments
- Follow up to ensure that actions taken are
successful in reducing the risk of further incidents
- Feedback to relevant parties to share immediate
learning
- The development of an accessible database
In my experience it is # 5, 6 & 7 that are
most often missing from investigation programs. What's yours?
Highway Safety
If your safety program involves safe driving programs
you may find some helpful ideas at this Government of Canada Highway
Safety site.
To
view site. . .
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