© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved
INCIDENT REPORTING AND
INVESTIGATION (OSHA 1904.1)
Revision: 08-20101
CAP Safety Meetings – Incident Reporting & Investigation
Revision: 08-2010
CAP Safety Meetings
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20102
This presentation is about investigation of an incident. It
explains how to carry out an investigation, including
things to look for. It also gives instructions on what
information to report. The reason of an accident
investigation is to stop injuries by finding the root cause
of the accident so it doesn’t happen again.
Employees must know that they must report any
accident or illness no matter how small it might be.
Know how and where to report any emergency.
Root Cause is the main objective. Finding out what
happened is the bottom line, not who did it.
OVERVIEW
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20103
Reporting
Definitions
What is an incident
Why do we investigate
Identify different types of
incident causes
Know the purpose of
incident investigation
OBJECTIVES
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20104
It is your responsibility to report all accidents
and/or incidents, no matter how minor they might
appear
You will not get in any trouble if you report an
accident or incident
REPORTING AN INCIDENT
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20105
Serious
First Aids
Property Damage
Near Misses
INCIDENT REPORTING
CAP Safety Meetings – Incident Reporting & Investigation
1
30
300
600
Pyramid Effect of Accident
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20106
Know the emergency alarm code
Know your escape route
Know your station bill / safe area /
muster station
Know who or where
to call
Care for injured
Preserve accident site
Report accident ASAP
INCIDENT REPORTING / RESPONSE
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20107
A Near Miss situation is one in which an
inappropriate action occurs but is detected and
corrected before an adverse effect on personnel
or equipment results.
• A tool fell from a scaffold almost
hitting worker
• A blind not installed on a
pump while being worked on
DEFINITION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20108
First Aid is defined as any one-time treatment
and any follow-up visit for the purpose of
observation of minor scratches, cuts, burns,
splinters, and so forth, which do not ordinarily
require medical care.
• Put band aid on cut finger
• Remove something from eye
DEFINITION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-20109
Recordable Injuries – All work-related cases are
recordable if they involve:
• Deaths
• Injuries - All occupational injuries resulting in any of
the following:
Restricted duty
Days away from work
Medical treatment
– Fracture of a bone
– Prescription of pain medication
DEFINITION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201010
Why must we report all injuries no matter how
small?
• Injury infection
• Documentation
• Workman’s Compensation
REPORTING INJURIES
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201011
Unplanned event which results in mishap
(personal injury or property damage)
Incidents are the result of the failure of people,
equipment, materials, or environment to react as
expected
All incidents have
consequences or
outcomes
WHAT IS AN INCIDENT
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201012
We don’t want it to happen again!
WHY DO WE INVESTIGATE?
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201013
Who participates in an investigation?
• Obviously, the person doing the investigation will participate.
• Anyone who has information, no matter how small they feel it is,
should report it to investigators.
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201014
The Big Three - reasons for not wanting to
participate in an accident investigation are:
• Don’t have time
• No big deal (no one was injured)
• Place Blame
Why do we investigate?
• We are trying to learn from
contributing factors and root causes
in order to minimize recurrence.
Purpose is not to place blame!
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201015
Purpose of Incident Investigation
• Determine the sequences of events leading to failure
– time line
• Identify the cause of the Incident
• Making event a learning
experience (how to improve)
• Fact Finding –
not Fault Finding
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201016
Consequences of Incidents
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
Direct Consequences
1. Personal injury
2. Property loss
Indirect Consequences
1. Lost income
2. Medical expenses
3. Time to retrain another
person
4. Decreased employee
morale
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201017
Why are we investigating?
• We are trying to learn from mistakes and stop
reoccurrences of incidents
• Not to place blame
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
© 2010 Copyright - PEC/Premier Safety Management, Inc. – All Rights Reserved Revision: 08-201018
Bottom line is:
Stop Injuries
INCIDENT INVESTIGATION
CAP Safety Meetings – Incident Reporting & Investigation
Revision: 08-2010
CAP Safety Meetings Incident Reporting and Investigation
STUDENT NAME:
Student Quiz QUIZ DATE:
STUDENT INSTRUCTIONS: Circle the letter representing the correct answer to each quiz question below. Sign and date this quiz sheet.
©2010 Copyright - PEC/Premier Safety Management, Inc. - All rights reserved. Page – 1
1. You do not have to report accidents and/or incidents as long as they are minor.
A. True B. False
2. The definition of a near miss is a situation in which an inappropriate action occurs but is detected and corrected before an adverse effect on personnel or equipment results.
A. True B. False
3. A first aid case may include any one time treatment and follow up visit for the purpose of observation of minor scratches, cuts, burns, splinters and so forth, which do not ordinarily require medical care.
A. True B. False
4. All work related cases are recordable if they include:
A. Death
B. Occupational injuries resulting in ay restricted duty or days away from work.
C. Medical treatment as a result of fracture of bone, prescription medication.
D. All of the above.
5. Why must all injuries, no matter how minor, be reported?
A. It can speed up the work permit process.
B. To help avoid infections, allows for proper documentation and workers compensation reporting requirements.
C. Eliminates file cabinet storage space.
D. All of the above.
6. An incident can be defined as:
A. Unplanned event which results in mishap (personal injury or property damage).
B. Situation that could have resulted in personal injury or property damage.
C. Something seen in a safety video.
D. All of the above.
7. Common reasons people do not want to participate in an accident investigation are: Don’t Have Time, No Big Deal (no one was injured) and/or the fear of placing blame.
A. True B. False
8. The key purposes of Incident Investigations are:
A. Determine the sequences of events leading to failure (time line).
B. Identifying the cause of the incident.
C. Making event a learning experience (how to improve) and fact finding not fault finding.
D. All of the above.
9. Indirect consequences can result in: Lost income, medical expenses, time to retrain another person, and decreased employee morale.
A. True B. False
10. Direct consequences can result in: Personal injury and Property loss.
A. True B. False
Revision: 08-2010
CAP Safety Meetings Incident Reporting and Investigation
STUDENT NAME:
Student Quiz QUIZ DATE:
STUDENT INSTRUCTIONS: Circle the letter representing the correct answer to each quiz question below. Sign and date this quiz sheet.
©2010 Copyright - PEC/Premier Safety Management, Inc. - All rights reserved. Page – 2
STUDENT QUIZ – ANSWER KEY Below is the answer key for the above quiz. Obviously, do not print this page when printing the quiz for the students.
1. B
2. A
3. A
4. D
5. B
6. A
7. A
8. D
9. A
10. A
Sign-In Sheet for Safe Operations Meeting
Date: Conducted By:
Means to Verify Understanding: □ Quiz □ Q & A - Group Discussion □ Hands On Demo
Safety Topic(s) Covered: Incident Reporting & Investigation
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digits of SS #
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