What is an Accident?

Why Investigate?

Iceberg AnalogyAccident Cost •Medical Payments

•Compensation

Direct Costs

Breaking in substitute

Poor efficiency due tobreak-up of crew

Supervisor time to investigate

Overtime by employees

Change in WC rating Lost time by fellow workersAdministrative costs

Loss of good will

Temporary workers

Indirect or HiddenCosts Damaged equipment

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 attention2nd – Investigation3rd – Analyze & Conclude

Accident Investigation Page # 41

Investigation

PhotographsPreserve AreaCollect StatementsTake MeasurementsGather SamplesComplete 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