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What is an Accident?. Why Investigate?. Iceberg Analogy Accident Cost. Direct Costs. Medical Payments Compensation. Breaking in substitute. Temporary workers. Poor efficiency due to break-up of crew. Indirect or Hidden Costs. Loss of good will. Supervisor time to investigate.
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Iceberg Analogy Accident Cost Direct Costs • Medical Payments • Compensation Breaking in substitute Temporary workers Poor efficiency due to break-up of crew Indirect or Hidden Costs Loss of good will Supervisor time to investigate Damaged equipment Overtime by employees Administrative costs Lost time by fellow workers Change in WC rating
Causal Factors (1) Task (2) Material (3) Environment (4) Human Factor ( Personal) (5) Management/Process Failure Accident Investigation Page # 42
(1) Task • Ergonomics • Safety work procedures • Condition changes • Process • Materials • Workers • Appropriate tools/materials • Safety devices (including lockout)
(2) Material • Equipment failure • Machinery design/guarding • Hazardous substances • Substandard material
(3) Environment • Weather conditions • Housekeeping • Temperature • Lighting • Air contaminants • Personal Protective Equipment
(4) Human Factor (Personal) • Level of experience • Level of Training • Physical capability • Health • Fatigue • Stress
(5) Management/Process Failure • Visible Active senior management support for safety • Safety policies • Enforcement of safety policies • Adequate supervision • Knowledge of hazards • Hazard corrective action • Preventive maintenance • Regular audits
Investigation Priorities • 1st - Medical attention • 2nd – Investigation • 3rd – Analyze & Conclude Accident Investigation Page # 41
Investigation • Photographs • Preserve Area • Collect Statements • Take Measurements • Gather Samples • Complete Accident Report
Accident Investigation Kit • Camera, extra film, flash attachment • Clipboard, paper, pencils • Graph paper (for diagram) • Ruler and tape measure • Identification tags (for parts) • Interview comment sheet (blank paper) • Personal protective clothing or equipment • Containers (for material samples) • Barrier tape or cord (to rope off areas)
Accident Investigation Kit (cont) • Diagram of a person and list of all body parts involved in the accident. To be completed by injured employee and person conducting the investigation. • JSA • Safety Rules • Phone numbers: injured employee home (current) , EMS, police, sheriff, county disaster services, OSHA, BWC.
Witnesses • Keep Witnesses Apart • Interview in a non-threatening location • Put witness at ease (not to point blame) • Ask open ended questions • Document
Analysis & Conclusions • Accident Investigation Forms • Bad Report • Better Report • Accident Tree Accident Investigation Pages #43 - 53 BWC