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This Accident Investigation Course provides participants with the tools and knowledge to understand the importance of investigation, root cause analysis, and follow-up in preventing accidents. Learn how to effectively investigate and report incidents to prevent recurrence.
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Accident Investigation Learning from our Mistakes
Accident Investigation Course Introduction Instructor Schedule Participants Materials Objectives Incident Investigation
Accident Investigation Course Objectives Understand the critical importance of investigation and reporting Use tools presented in the course to arrive at the root causes of accidents Understand the importance of follow-up
Accident Investigation Why Investigate? To determine root causes and prevent recurrence of similar accidents To demonstrate to employees that management cares
Accident Investigation What to Investigate? Everything SeriousInjuries 1 Minor Injuries 29 300 Non-injury Incidents 350,000 Chances
Accident Investigation Why don’t employees report everything? I said report EVERYTHING!!
Accident Investigation What Happened? Resources to find out include: • People • Accident Scene • Records “PAR for the course”
Accident Accident Investigation Accident Sequence Immediate Causes Basic Causes Safety System
System Failures Basic Causes Accident Investigation Causes Immediate Causes The Work System The Employee
Accident Investigation Workshop Case #1 - How do you spell relief? Case #2 – Back to the Grind Danger - High Pressure
Accident Investigation Follow-Up The Report The Repair The Review
Accident Investigation Summary Understand the critical importance of investigation and reporting Use tools presented in the course to arrive at the root causes of accidents Understand the importance of follow-up
Accident Investigation Summary We investigate to show we care and prevent recurrence We investigate everything a little to see where we need to investigate a lot We use people, the accident scene and records (PAR) to find out what happened We use the Accident Analysis Flow Chart and ask “Why” to help find out why the accident occurred and realize it’s almost always rooted in the management system We report, repair and review to make sure that the actions necessary to prevent recurrence are completed
Accident Investigation Closing