root cause analysis and accident investigation

ROOT CAUSE ANALYSIS AND ACCIDENT INVESTIGATION

Presented ByPresented By

Peter ZaidelKPA Product Managerpzaidel@kpaonline.com

303-228-2397

QuestionsQuestions

• If you have questions during the presentation, please submit them using the “Questions” feature

• Questions will be answered at the end of the webinar

KPA – Company ProfileKPA – Company Profile

• Nationwide compliance expert on Safety, Environmental, HR

• Colorado Headquarters• 23 Years Experience • 3000 + Clients

– Dealerships, Service, Repair

• 20 Offices Serving 41 States

• Compliance products and services

– OSHA– DOT– EPA– Workers’ Comp– Background checking– Onboarding– Harassment – Red Flags– Onsite inspections– Online and onsite training

and tracking– And many more…

Training ObjectivesTraining Objectives

• Accident Statistics and Costs

• Accident Investigation

• Root Cause Analysis Basics

Do your employees adopt your safety culture?

Do your employees adopt your safety culture?

Is your workplace free from accidents?Is your workplace free from accidents?

Year Annual Daily2003 5575 152004 5764 162005 5734 162006 5840 162007 5657 152008 5071 14

At Work Injury and Fatality RatesAt Work Injury and Fatality Rates

Year Annual Daily2003 4365.2 11.92004 4257.3 11.62005 4214.2 11.52006 4085.4 11.22007 4002.7 11.02008 3696.1 10.1

Recordable Injuries

Fatalities

(Thousands)

Don’t let your business become a statistic!

True Cost of an AccidentTrue Cost of an Accident

Hidden Costs

• Damaged to lot, autos or equipment

• Unhappy customers• Clean-up time• Schedule delays• Training new

employees• Overhead costs• Damage to

reputation in community

• Lost time by other employees

Direct Costs• Insurance costs

• Claim costs

• Lost time

• Medical bills

• Legal fees 4

1

SAFETY PAYSSAFETY PAYS

Revenue required to Pay for an Accident…

Accident Cost

Business Profit Margin

1% 2% 3% 4% 5%

$1,000 $100,000 $50,000 $33,333 $25,000 $20,000

$5,000 $500,000 $250,000 $166,667 $125,000 $100,000

$10,000 $1,000,000 $500,000 $333,333 $250,000 $200,000

$25,000 $2,500,000 $1,250,000 $833,333 $625,000 $500,000

$100,000 $10,000,000 $5,000,000 $3,333,333 $2,500,000 $2,000,000

Accident PyramidAccident Pyramid29 Minor Accidents

300 Near Misses

The SolutionThe Solution

Incident

Medical Attention Beyond First

Aid?

Equipment Damaged?

No

No

Yes

Yes

Complete Accident

Investigation Form

Complete Incident

Investigation Form

Three Forms

Root Cause AnalysisRoot Cause Analysis

• Complex Systems• People make mistakes

Goals of RCAGoals of RCA

• To prevent reoccurrence• As a process of continuous improvement• To find underlying physical and procedural problems• To guide organizational change• To promote safety culture

Phases of Root Cause AnalysisPhases of Root Cause Analysis

DecisionInvestigation Analysis

The InvestigationThe Investigation

• Beware of the Bias Trap• Timely Investigation• Pictures• Service Records

AnalysisAnalysis

What is Root Cause Analysis?

It is whatever YOU make it!

Should focus on….

People!

FocusFocus

An evidence-based endeavor designed to help people discover how their behavior contributed to an incident...

To such an extent that their behavior will change in the future.

TrapsTraps

Human Bias

3 Causes1.Physical2.Human3.Latent

Must be based on Evidence

Blame Game

EvidenceEvidence

Physical

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2005 2006 2007 2008

Number of Claims By Month

Physical

EvidenceEvidence

PeoplePhysical Paper

EvidenceEvidence

The Tools of Root Cause Analysis

The 5 WhysThe 5 Whys

The technician fell down

He slipped on a coolant spill

The spill was not cleaned up

The technician was busy

The technician makes money servicing cars, not cleaning up spills

This is the pay structure at the dealership

Direct Cause

Indirect (human) Cause

Indirect (human) Cause

Indirect (human) Cause

Personal Root Cause

Organizational Root Cause

“That’s Not My Job!”

Latent CausesLatent Causes

“I have to do this fast!”

“What is influencing these thoughts?”

Personal Root Cause

Organizational Root Cause

Fishbone AnalysisFishbone Analysis

People Policies

Procedures Plant

In a hurry

Slippery Floors

Pay Structure

Grit is worn out

DecisionDecision

• Issue Tracking System– Deadlines– Feedback Loops

• Safety Committee Participation– Management Involvement

• Written Policies and Procedures• Positive Reinforcement• Getting Started

KPA’S COMPLIANCE SYSTEMSKPA’S COMPLIANCE SYSTEMS

FACILITY COMPLIANCE & SAFETY EVALUATIONFACILITY COMPLIANCE & SAFETY EVALUATION

Evaluation By KPA• Written Programs

• Training Records

• Compliance Issues

• Shop Issues

90 Minutes

Formal Report• Summarizing Areas of Opportunity

QUESTIONS?

FREE CONSULTING TIME!!!

Contact UsContact Uswww.kpaonline.com

info@kpaonline.com

866-356-1735

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