accident investigations.ppt

8/14/2019 Accident Investigations.ppt

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Accident Investigation


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Session ObjectivesYou will be able to:

Understand your role in the investigation

process Gather facts

Talk to witnesses

Determine causal factors

Identify corrective actions


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Why Investigate

Accidents? Determine the root cause

Identify corrective actions

Prevent the accident from happening again Document the accident

Complete OSHA-required reporting


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OSHA Wants to Know Employee fatalitynotify OSHA in 8 hours

Three employees hospitalizednotify

OSHA Document each injury

Record injuries on OSHA 300 Log

Post OSHA 300 Log


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You Have Key Roles Report any accident or near-miss

immediately

As a witness, describe what you observed Provide your knowledge of normal operating

practices in the situation

Suggest corrective actions


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Accident Investigation

Team Employees trained to

investigate accidents

Safety committeemember

Supervisor

Safety manager

Production manager

Plant manager


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Investigators

Qualifications Understand important role of accident

investigation

Have authority and accountability

Have skills to evaluate the incident

Communicate details


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Why Investigate and Your

RoleAny QuestionsAny questions about

why we need toinvestigate accidents

or your role in theinvestigation process?


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Investigate All Accidents Workplace fatality

Lost time from the jobor days away fromwork

Restricted ability towork

Medical treatment

First aid Near-miss incidents


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When to Investigate? Immediately after

incident

Interview witnessesbefore memories fade

Assess the scenebefore clues aremoved

Finish investigationquickly


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Accident Investigation Is

Like a Police Investigation Check the scene

before anything hasbeen moved

Assemble evidence

Interview the witnesses

Not looking for acriminal; not trying to

place blame on anyone Find what, why, and

how


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The Accident Occurs Employee immediately reports the accident

to a supervisor

Supervisor treats the injury or assessesneed for outside medical treatment

Accident scene is left intact

Supervisor contacts the accident

investigation team If able, injured employee completes incident

form


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Beginning the Investigation Get the investigation kit

Team reports to thescene

Look at the bigpicture

Record initialobservations

Take pictures


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Investigation Kit Camera

Report forms,clipboard, pens

Barricade tape

Flashlight

Tape measure

Tape recorder

Work gloves


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Any Questions?Any questions about

what and when toinvestigate or the

investigation kit?


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Questions that Need

Answers What happened?

When did it happen?

Where did it happen?

Who was involved?

How did it happen?

Why did it happen?

How can we keep itfrom happening again?


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Fact Gathering Name of injured and

involved employees

Name of witnesses

Date and time of theincident

Work shift information


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Fact Gathering (cont.) General location of the incident

Specific location of involved employees

Normal job duties and training Type of injury and body part injured


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Fact Gathering (cont.) Machines, tools, or

equipment

Chemicals involved

Environmentalconditions

Production schedule


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Interviewing Witnesses Interview witnesses one at a time

Convey your desire to prevent accidents

Encourage witness to describe the accidentin his or her own words

Discuss what happened leading up to andafter the accident

Use open-ended questions


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Sequence of Events Events leading up to

the incident

Describe events of the

incident Events that happened

immediately after theincident

Draw a chart of theevents


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Incident Description Details so reader can

clearly picture theincident

Specific body partsaffected

Specific motions ofinjured employee just

before, during, andafter incident


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Any Questions?Any questions about

gathering facts,interviewing witnesses,

or describing theincident?


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Causal Factors Try not to accept single cause theory

Identify underlying causes

Primary cause Secondary causes


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Corrective Actions Immediate corrective actions

Recommended corrective actions

Employee trainingPreventive maintenance activities

Better job procedures

Hazard recognition

Engineering or administrative changes


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Completed Report Signed by investigation

team members

Signed by injured

employee Forwarded to

management


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Causes and Corrective

ActionsAny Questions?Any questions about

finding causal factorsor implementing

corrective actions?


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Key Points to RememberAccident investigations prevent other

accidents

Investigate accidents immediately Gather all the facts

Interview witnesses one at a time

Record detailed description

Determine causal factors

Conduct corrective actions

accident investigations.ppt

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