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8/14/2019 JHSC- Accident Investigation Slides
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Investigation of Accidents and Incidents # 1
Investigation of
Accidents & Incidents
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Investigation of Accidents and Incidents # 2
Learning Objectives
By the end of this workshop you will be able to:
Explain the legal requirements for accident
investigations and reportsApply the process for investigating accidents to:
Accurately describe the accident and analyze
the facts
Determine basic accident causes andcontributing factors
Make recommendations for corrective actions
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Investigation of Accidents and Incidents # 3
Injuries and Claims
In B.C. there were (2011):
Injuries reported 141,559
Claims accepted 103,940
Fatal claims accepted 142
Occupational disease claims 3,360
Days lost from work 2.9 M
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Investigation of Accidents and Incidents # 4
What is an Accident?
An accident is an unplanned, unwanted
event that disrupts the orderly flow of the
work process. It involves the motion ofpeople, objects or substances.
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Investigation of Accidents and Incidents # 5
What is an Incident?
An incident includes an accident or other
occurrences which resulted in or had the
potential for causing an injury or
occupational disease.
An incident relates to any undesired or
unwanted event that could (or does)
degrade the efficiency of the businessoperation. These incidents could be
accidents, quality or production problems
or even security breaches such as theft.
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Investigation of Accidents and Incidents # 6
What is an Accident /
Incident Investigation?
An accident/incident investigation is the
analysis and account of an incident based
on information gathered by a thorough
examination of ALL FACTORS involved.
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Investigation of Accidents and Incidents # 7
Immediate Notice of
Certain Accidentsa) resulted in serious injury to or the death of a
worker,
b) involved a major structural failure or collapse ofa building, bridge, tower, crane, hoist, temporary
construction support system, or excavation,
c) involved the major release of a hazardous
substance*, or
d) was an incident required to be reported
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Investigation of Accidents and Incidents # 8
Preservation of Evidence
WCA Section 172(2)
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Investigation of Accidents and Incidents # 9
Incidents that must be
InvestigatedWCA 173(1)
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Investigation of Accidents and Incidents # 10
Investigation Process
Investigators qualif ications
Intent of the investigation
Availability of witnesses
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Investigation of Accidents and Incidents # 11
Intent of the Investigation
Determine the cause or causes of the
incident,
Identify any unsafe conditions, acts orprocedures that contributed in any
manner to the incident, and
Recommend corrective action to preventsimilar incidents.
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Investigation of Accidents and Incidents # 12
Incident Investigation Report
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Investigation of Accidents and Incidents # 13
What to Investigate?
Serious and Major
Minor and Near- Miss
All accidents/incidents with the potential for
loss should be investigated
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Investigation of Accidents and Incidents # 14
What is needed in an
Accident / Incident Report?Who
Where
When
What
Why
How
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Investigation of Accidents and Incidents # 15
Incident Causation
Usually there are four or five root causesor factors that contribute to an incident.
Often there are even more, but your task is
to identify as many as possible.
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Investigation of Accidents and Incidents # 16
Investigation Procedure
Procedure Overview
1) Visit the scene, gather and record evidence.
2) Conduct interviews.
3) Evaluate evidence and draw conclusions.
4) Write report with recommendations.
5) Follow-up
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Investigation of Accidents and Incidents # 17
Basic Investigation Kit
Digital camera, with flash
tape measure
clipboard, pad of paper
straight edge
pens, pencils
accident investigation forms
investigation checklist
flashlight
DO NOT ENTER tape
A set of numbered tent cards
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Investigation of Accidents and Incidents # 18
Visit the Scene
Analyze the situation
Keep the accident
scene as undisturbedas possible
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Investigation of Accidents and Incidents # 19
Interviews
People who were at the accident sceneAnyone who can give relevant information
Supervisor
trainer
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Investigation of Accidents and Incidents # 20
Evaluation
Be objective
Chronological order
All of the contributing factorsUse a checklist
What evidence is direct, circumstantial or
hearsayDo not jump to conclusions
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Investigation of Accidents and Incidents # 21
Common Investigation
Errors & Pitfalls
Believing carelessness is a cause
Assuming contradictory evidence indicates
falsehoodCourt room interviews
Asking for signed statement
Looking for only one basic causePersonal feelings of others
Confidentiality
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Investigation of Accidents and Incidents # 22
Report Writing
Include a brief outline of the events
Chronological order
Attach diagrams, photos, mfgspecification etc.
Be specific
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Investigation of Accidents and Incidents # 23
Exercise #3
Description of the actions or condit ions,
The nature of the outcome person hunt,
property damage, process disruption etc.
Direct cause of any injur ies, propertydamage, hazard etc
Detail of any third party involvement
visitors, contractors, public etcUnderlying root cause or causes
Management response.
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Investigation of Accidents and Incidents # 24
Follow-up
Delegate the
recommendations
for corrective action
Establish a systemof fol low-up to ensure
corrective action took
place
Publicize the resultsof the investigation
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Investigation of Accidents and Incidents # 25
Follow-up (cont.)
Ensure that copies of thereport are sent through
the usual routings
Post the action taken as
well as any non-actionand the reasons
Confirm that the action
taken has cured theproblem.
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Investigation of Accidents and Incidents # 27
Summary
Go to the scene
Get the facts
Listen for clues
Study the possible
causes
Develop corrective
action or actions
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Investigation of Accidents and Incidents # 27
Interviews
Avoid questions that lead witnessesor imply answers
Review your notes to ensure
witnesses agree with your
interpretation of their story.
Ask witnesses how the accident
may have been avoided.
Encourage witnesses to contact
you if they remember anything else.
Thank individuals for their assistance.