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Accidents: Review & Investigation Basics. It is important that you check with your Comprehensive Loss Control Coordinator, Human Resources, and Supervisor to clarify the specific roles and responsibilities you may have in any accident review or investigation. . Program Goal.
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It is important that you check with your Comprehensive Loss Control Coordinator, Human Resources, and Supervisor to clarify the specific roles and responsibilities you may have in any accident review or investigation.
Program Goal Improve workplace safety by reducing the number of workplace accidents.
Objectives You will be able to; • Define “accident” • Goal of an accident review or investigation • Describe 4 categories of Causes • Identify components of a good review & investigation • Identify pitfalls to avoid • How to report review/investigation results
What is an Accident? Unplanned event that results in injury to an individual or property damage.
Reviews & Investigations Purpose of accident reviews & investigations • Identify why & how failures occurred • Examine possible corrective actions • Protect personnel & equipment • Prevent future accidents • NOT point blame to anyone To identify potential preventative practices or measures that can be implemented to prevent future accidents.
What went wrong? Not who is to blame!
Definitions • Injury – to an individual as result of event • Near accident/near miss – unplanned event that almost resulted in an injury. • Accident review – process of determining the cause of accidents, near misses, to prevent future occurrences.
Procedure Causal Categories • Written procedures • Policy/procedures • Operator manuals • Guides • Industry standard/common practices • Example: Keep machine guards in place while motor is running
Causal Categories • Proper tool chosen for a task • Did the tool fail? • Tools adequate for the task(s) • Examples: using a hammer to remove a glass pane Tools
Causal Categories • Work area • Crowded, access impeded • Hot, cold • Weather conditions a factor • Visibility obstructed/limited • Example: Steps and walkways were glazed with ice Environment
Causal Categories • Proper technique being used • Appropriate application of methods to situation • Proper understanding of method • Example: Lifting boxes improperly Method
Review vs. Investigation Review/investigations should be completed quickly
Components of a Good Review Supervisor immediately, promptly debriefs employee
Components of a Good Review If relevant, verifies personal protective equipment was adequate and being worn properly
Components of a Good Review Supervisor identifies cause and initiates preventative action
Components of a Good Review Supervisor shares information with employees as soon as possible
Components of a Good Review Reviews often take only minutes to complete Prevention techniques learned from a review are promptly shared w/other employees
Accident Investigation Investigations are conducted when the cause is not clear; severe injury or damage occurs
Accident Investigation View the scene as soon as possible after the incident • Gather all related documentation: • Maintenance records • Training records • Procedures
Accident Investigation Interview employees and witnesses. Note: Witnesses may include maintenance personnel and others that were not on the scene
Review & Investigation “DO’s” Identify the specific cause(s) which resulted in the injury, or damage. Acknowledge adherence to proper procedures/policies
Avoid “Pitfalls” Jumping to conclusions about the cause, procedures or overall accident Assigning or appearing to assign blame Not sharing preventative actions learned promptly
Review/Investigation Determination Every review & investigation should result in a determination: “preventable” or “not preventable”
Review/Investigation Determination PREVENTABLE: Accident could have been avoided if proper procedures, methods, tasks had been followed.
Review/Investigation Determination Not Preventable: Reasonable safety precautions were used, procedures followed, or methods were properly applied, or the cause could not have been easily foreseen by the employee.
Review/Investigation Determination As a result of a review or investigation it may be learned that employees were completing tasks in an unsafe manner such as ‘horseplaying’ or other unsafe acts. This information should be shared with the employees supervisor to be handled as a disciplinary matter.
Conclusion Identify and implement preventative measures to improve workplace safety by reducing future accidents. What is an accident? Identify two causal categories? Every review/investigation results in a determination of _______________
