32
ROOT CAUSE ANALYSIS AND ACCIDENT INVESTIGATION
| Date post: | 21-Jun-2015 |
| Category: |
Business |
| Upload: | kpadealerwebinars |
| View: | 417 times |
| Download: | 8 times |
ROOT CAUSE ANALYSIS AND ACCIDENT INVESTIGATION
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
Paper
0
10
20
30
40
50
60
Janu
ary
Feb
ruar
yM
arch
Apr
ilM
ayJu
neJu
lyA
ugus
tS
epte
mbe
rO
ctob
erN
ovem
ber
Dec
embe
rJa
nuar
yF
ebru
ary
Mar
chA
pril
May
June
July
Aug
ust
Sep
tem
ber
Oct
ober
Nov
embe
rD
ecem
ber
Janu
ary
Feb
ruar
yM
arch
Apr
ilM
ayJu
neJu
lyA
ugus
tS
epte
mbe
rO
ctob
erN
ovem
ber
Dec
embe
rJa
nuar
yF
ebru
ary
Mar
chA
pril
May
June
July
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
866-356-1735
32
A copy of the recorded webinar and presentation will be emailed to you today.
