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DYNAMIC INSTITUTION OF SKILL

DEVELOPMENT

NEAR MISS REPORTING

Prepared by Mohammad NaushadContact- www.dynamicskilldev.comEmail- go.dynamicskill@gmail.com

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Program Goals Provide an opportunity for site management

team to share near miss cause and experiences, which can help prevent injuries and protect the lives of others.

Collect information which can assist in formulating strategies to reducethe number of worker injuriesand fatalities.

Foster a safety-focused culture that recognizes errors as aninherent part of human behavior.

Topics3

Definition of a Near Miss

Conditions/Act

Reporting

Near miss- Management Stages

Near miss examples

Definition4

A “near miss” is an unplanned event or situation that did not result in injury, illness or damage - but had the potential to do so.

Sometimes called a “near hit” or “close call” – signals a system weakness that if not corrected could lead to significant consequences in the future.

Another “Near Miss” Definition5

Opportunity to improve safety practice based on Condition or Act with potential for serious consequence

In this definition, “act” or “condition” is anything a witness views worthy of addressing to eliminate potential to cause harm.

Using Condition/Act6

A wide variety of occurrences can be near misses:

Unsafe conditions Unsafe Act/behavior Events where injury could

have occurred but did not

What Happens?7

Human error is commonly an initiating event.

However, a faulty process or system allows or compounds the situation and should be the focus of improvement.

Incident Ratio Model – Heinrich’s Theory8

Serious Injury or Death

Minor Injury

1

29

300

3,000

Most Accident Investigations Conducted

Few InvestigationsConducted

Biggest percentage

of injurycausing

potential!

Near Miss

Unsafe Acts, Behaviors or Conditions

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Why Report?

Reporting a near miss helps to establish and continue safe practices within the workplace.

Information provided enables an employer to communicate facts, causes and corrective actions to all employees regarding near misses.

Provides valuable information to employees about how to avoid/prevent future accidents and injuries.

Provides opportunity to improve safety, health, environment and security of operation.

Why Report?10

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Who can submit a report and does it need to be a recent experience?

Any member of the site is encouraged tosubmit a report when he/she is involved in, witnesses, or is told of a near-miss event.

Regardless of when the near-miss experience occurred, all reports contain valuable information.

Near-Miss Management Stages 12

Identification Disclosure Root-cause

analysis Solution

identification Dissemination Almost!

Identification13

First stage of process

Sometimes issue is not obvious

May not be recognized as near miss

Need consistency in definition and perception

When in doubt, consider as near miss

Disclosure14

Employees need to feel comfortable reporting near misses.

Employees should not fear disciplinary action or peer pressure by reporting.

Organization’s safety culture is such that reporting a near miss is important and necessary.

Direct & Root-Cause Analysis15

• When analyzing near miss, it is necessary to: Assess the direct and underlying root

causes that contributed to an incident. Determine corrective actions or solutions

to rectify the root cause so that recurrence is less likely.

• Root-cause analysis techniques can be used during near-miss investigations.

Solution Identification16

Corrective actions need to be determined for each cause.

Ideally, corrective actions should eliminate potential for recurrence but may not always be feasible.

Desirable that solutions reduce likelihood of recurrence, or at least reduce potential impact in case of recurrence.

All solutions should be scrutinized to assess whether there are other detracting factors (e.g., expense, employee acceptance, etc.)

Broadcasting to Implementers17

Corrective actions should be sent to all persons who can benefit from information.

Should include individuals implementing corrective actions at location where near miss occurred.

May also be appropriate to provide information regarding near miss to larger audience.

Summary18

Near-miss identification and reporting is an integral part of any good safety program.

A near-miss reporting and tracking system should be developed and implemented.

Employees should be encouraged to report near misses without fear of discipline or loss of job.

Reporting and tracking near misses can provide valuable information as to where weaknesses in the safety program exist.

Thanks19

Registered Office Add:Shop No.-5, Majid Market, Beside SBI ATM,Opp: Shahganj Gali, Mahendru, Patna-6, Bihar, India.

Contaact No.- 7481978997, 9693989933mail: go.dynamicskill@gmail.com,Web site: www.dynamicskilldev.com