Presentation on theme: "ACCIDENT INVESTIGATION AND REPORTING"— Presentation transcript:
1 ACCIDENT INVESTIGATION AND REPORTING ARDA PAMThis block of instruction is based on the requirements of AR and DA PAM , Army Accident Investigation and Reporting. The primary purpose of the safety program is accident prevention. When prevention fails, the accident investigation attempts to determine how to prevent recurrence.
2 Accident Investigation Publications ACCIDENT INVESTIGATION AND REPORTINGAccident Investigation PublicationsAR Accident Reporting and Records, Nov 94Provides policy and procedures and assigns responsibility for notification, investigation, reporting, and submission of Army accident reports.DA Pam Army Accident Investigation and Reporting , 1 Nov 94Army Accident Investigation “HOW TO” manual for aviation and ground accidents.
3 ACCIDENT INVESTIGATION AND REPORTING TERMINAL LEARNING OBJECTIVE:ACTION: Investigate / report Army accidentsCONDITIONS: As a safety NCO / unit leaderSTANDARDS: IAW AR & DA PAMOften when a serious accident occurs, unit personnel do not know what to do or who is responsible for the accident investigation. Following completion of this instruction you should be able advise the commander and unit personnel on accident investigation responsibilities, and procedures. You should be able to determine if an incident is an Army accident, determine notification requirements, identify investigation and reporting responsibilities, and take the immediate action necessary to secure the accident site. If the accident involves fatal injuries, serious injury, or high dollar loss, a more detailed, in-depth investigation is conducted to determine if unit and higher level prevention measures can be identified.As the unit safety officer/ NCO, you will advise the commander on these responsibilities. You will investigate and report accidents or participate in the investigation and reporting of unit accidents.
4 ACCIDENT INVESTIGATION AND REPORTING PURPOSE OF ACCIDENT INVESTIGATIONDEFINE ARMY ACCIDENTACCIDENT INVESTIGATION RESPONSIBILITIESCLASSIFICATION OF ACCIDENTSREPORTING AND RECORDING ARMY ACCIDENTSCATEGORIES OF INVESTIGATION REPORTSINVESTIGATION PROCEDURESACCIDENT REPORTING TERMINOLOGYDuring this block of instruction, we will discuss these 8 specific areas related to accident investigation and reporting. Following completion of this training, you should be able to answer the following questions:Why does the Army investigate accidents and what is the information used for?Is this incident an Army accident?Who has responsibility for investigating and reporting the Army accident?Is the DA 285 or AGAR required for reporting this accident?What investigation process and procedures must be followed?
5 ACCIDENT INVESTIGATION AND REPORTING WHY INVESTIGATE / REPORT ACCIDENTS?“Those who do not learn from their mistakes are doomed to repeat them.”Why do you think the Army investigates accidents?Students often say:“To determine who to hang.”“To find out who is at fault.”The RIGHT answer in to identify cause factors to prevent repeat of similar incidents. Accident investigations are for prevention purposes.
6 ACCIDENT INVESTIGATION AND REPORTING PURPOSE OF INVESTIGATION / REPORTING THE INVESTIGATION DETERMINES:WHY DID ITHAPPEN?SYSTEM INADEQUACY / ROOT CAUSEWHAT HAPPENED?CAUSE FACTORSWHAT TODO ABOUTIT?RECOMMENDATIONSHUMAN ERROR /MISTAKEMATERIELFAILUREENVIRONMENTALFACTORThe purpose of accident investigation is prevention.The objective of accident investigation is to determine what happened: the facts in the accident: who was injured, who was involved, what was the series of events, when did it occur, what equipment was involved and how much damage occurred.The accident investigation looks at 3 primary areas:Human factors, such as training, supervision, procedures, and individual capabilities and actions.Materiel factors such as equipment malfunctions or failures that caused or lead to the accident.Environmental factors, such as noise, illumination, space and weather conditions (temperature, precipitation, humidity, pressure, wind, lightning) having an adverse effect on the individual or equipment so that an accident occurs. Environment is not a factor if the condition was known and could have been avoided before the accident.Once the facts are determined, the information is analyzed to determine “why it happened”. This is to determine the root cause. Cause factors fit into one or more of 5 cause factors.The cause factors determined in block 2 are the basis for developing findings and recommendations. These may be unit level, higher level, or Army levelSUPPORTLEADERTRAININGSTDS /PROCEDURESINDIVIDUALFIXESCONTROL MEASURESCOUNTERMEASURES
7 ACCIDENT INVESTIGATION AND REPORTING PURPOSE OF INVESTIGATION/REPORTING: Identify accident cause factors and system deficienciesAssess manpower and monetary losses due to accidentsCollect accident data to develop accident prevention measuresPrevention only (not to be used for litigation, claims, disciplinary action, or adverse administrative actions)AR defines these purposes for accident investigation.Accident investigation must determine the root cause to prevent this accident from recurring in this unit and similar units and operations. Accident investigation may identify training deficiencies, inadequate equipment, poor written procedures and standards, leadership inadequacies, or support failures. Accident investigations can identify hazards or malfunctions applicable equipment systems Army-wide.Chief of Staff, Army (CSA) is briefed quarterly on Army accidents, including the number of Army accidents, accident costs, and types of accidents. This accident data is collected and analyzed at Army level by the USASC.The Army implements prevention programs based on accidents occurring Army-wide.Safety accident investigations are for prevention purposes. The accident investigation report may not be used for disciplinary or adverse action.
8 ACCIDENT INVESTIGATION AND REPORTING LEGAL / REGULATORY REQUIREMENTS: OCCUPATIONAL SAFETY AND HEALTH ACT (OSHA) PLEXECUTIVE ORDER 1219629 CFR 1960, FEDERAL OSHA PROGRAMDOD INSTRUCTIONARDA PAMAccidents are investigated to collect data for accident prevention. There is also a legal basis for accident investigation and reporting. Federal law requires that all federal agencies investigate and report accidents to determine the causes and take appropriate prevention measures.OSHA law requires federal agencies to investigate accidents, collect accident data, and develop appropriate prevention programs.EO directs federal agencies to implement a safety program including collection of accident data.DODI provides specific guidance on the classification of accidents and directs collection and analysis of accident data. DOD defines what is and is not an accident and which accidents are reportable.AR provides the specific Army policy and guidance for accident investigation and reporting.DA PAM is the the how to manual for accident investigation. The DA PAM includes notification requirements and in-depth accident investigation procedures for serious accidents investigated by an accident investigation board.
9 DEFINITION - ACCIDENTACCIDENT - an unplanned event that causes personnel injury or illness, or property damage.This is the definition of accident as published in AR The definition is pretty broad. For that reason the Army further defines Army accident.AR , TERMS
10 DEFINITION - ARMY ACCIDENT ARMY ACCIDENT - an accident that results in injury / illness to either army or non-Army personnel, and/or damage to Army or non-Army property as a result of Army operations (caused by the Army).Army accident - limits the area of concern to incidents where the Army experiences a loss (damage or injury) or where the Army may be liable for damage or loss as a result of Army operations.AR , TERMS
11 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY PERMANENT TOTAL DISABILITY - Any nonfatal injury or occupational illness that in the opinion of the competent medical authority, permanently and totally incapacitates a person to the extent that he or she cannot follow any gainful employment. The loss, or loss of use of both hands, feet, eyes, or any combination thereof as a result of a single accident.A Permanent total disability is what class of accident? Class AWhat would be an example of a permanent total disability? Fall resulting in broken back and paralysis….Blindness due to a chemical splashAR , TERMS
12 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY PERMANENT PARTIAL DISABILITY - Any injury or occupational illness that does not result in death or permanent disability but, in the opinion of the competent medical authority, results in the loss or permanent impairment of any part of the body with the following exceptions:Loss of teethLoss of fingernails or toenailsLoss of tip of finger or tip of toeHearing lossExample - finger crushed /cut off in maintenance accident….
13 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY LOST-TIME CASE- A nonfatal traumatic injury that causes any loss of time from work beyond the day or shift on which it occurred or a nonfatal non-traumatic illness / disease that causes loss of time from work or disability at any time.A lost time case results in a Class _ Accident? Class CAn example might be a soldier injured playing basketball is placed on quarters for 2 days for his strained knee.AR , TERMS
14 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY LOST-WORKDAY CASE- Cases in which an accident results in Army personnel missing one or more days of work. Days away from work are those workdays (consecutive or not) on which Army personnel would have worked but could not because of injury, occupational illness, or job-related physical deficiencies detected during medical surveillance examinations.A lost time case results in a Class _ Accident? Class CAn example might be a soldier injured playing basketball is placed on quarters for 2 days for his strained knee.AR , TERMS
15 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY NONFATAL CASE WITHOUT LOST WORKDAYS - (Light duty / restricted work activity) - cases other than lost workday cases where army military, civilian personnel, because of an injury or occupational illness, experienced one or more of the following:Permanent transfer to another job or termination.Loss of consciousnessRestricted duty (profile)AR , TERMS
16 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY INJURY- A traumatic wound or other condition of the body caused by external forces, including stress or strain. The injury is identifiable to time and place of occurrence and member or function of the body affected, and is caused by a specific event or incident or series or events or incidents within a single day or work shift.Injury involves a single event…. Fall, strain, struck by an object… etc….AR , TERMS
17 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY OCCUPATIONAL ILLNESS - Nontraumatic physiological harm or loss of capacity produced by systemic infection; continued or repeated stress or strain; exposure to toxins, poisons, fumes, etc., or other continued and repeated exposures to conditions of the work environment over a long period of time. A condition that does not meet the definition of an injury.Occupational injury is due to repeated strain … repeated exposure to a chemical….Muscle strain due to repetitious work...AR , TERMS
18 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY MEDICAL TREATMENT- Any treatment (other than first aid) administered by a physician or by registered professional medical personnel under orders of a physicianAR , TERMS
19 ACCIDENT INVESTIGATION AND REPORTING - AR 385-40 ACCIDENT REPORTING TERMINOLOGY FIRST AID - One-time medical treatment for minor scratches, cuts, burns, and similar injuries that do not ordinarily require medical attention, plus any follow-up visits for observation. Such one-time treatment and follow-up visits will be considered first aid, even if provided by a physician.AR , TERMS
20 WHAT TO INVESTIGATE / REPORT - Commanders will investigate / report: Damage to Army property.Injury (fatal or nonfatal) to military personnelInjury to on-duty civilian personnelOccupational injury or illness (fatal or nonfatal) to military personnel or Army civilian employeesInvestigation and reporting is required for the following Army accidents.Damage to Army property may be due to Army personnel actions, environmental conditions such as lightning, or as a result of the actions of non-Army personnel. The amount of damage is used to determine if investigation and reporting responsibilities.Military personnel reportable injuries may be from on-duty or off-duty activities. It does not matter whether the injury is from tactical operations and training or garrison activities such as sports and recreation injuries.Civilian personnel injuries are reportable for work-related injuries.Occupational injuries are work related injuries or illness from more than one time exposure to a hazardous condition. Examples: Hearing loss. Cancer or lung damage from long term exposure to workplace chemicals.AR , 2-3
21 WHAT TO INVESTIGATE / REPORT - Commanders will investigate / report: Injury / illness to non-Army personnel as a result of Army operations.Damage to non-Army property as a direct result of Army operations.Class E Aviation incidentFOD incidents (class F)Non-Army personnel may be injured as a result of Army operations. Example: An Army 5 ton truck runs through a stop sign and hits a civilian privately owned vehicle. The Army is liable for injury to non-Army personnel if the Army would be considered at fault or responsible for the injury. damages to the civilian vehicle and this would be an Army accident even if the Army vehicle sustained no damage or only minor damage.Non-Army property damage may occur as a result of Army operations. Example: An Army 5 ton truck runs through a stop sign and hits a civilian privately owned vehicle. The Army is liable for damages to the civilian vehicle and this would be an Army accident even if the Army vehicle sustained no damage or only minor damage.Class E aviation incident
22 OCCURRENCES - NOT AN ARMY ACCIDENT Combat lossesDirectly caused by enemy actionDue to evasive action taken to avoid enemy fireFailure to return from a combat missionMalfunction or failure of component partsOf course combat losses are not considered accidents.If the loss occurred as a result of evasive action, the loss is not considered an Army Accident.During Desert Storm several accidents occurred when aircraft were flown into the ground during low level flight. These incidents are Army accidents unless the incident occurred while engaging or evading the enemy.When a component fails and that is the only damage - it is not an Army accident. If a component fails and additional damage occurs - it is an Army accident. For example, the brakes fail on a 5 ton truck. If the truck stops without incident, it is not reported as an Army accident. If the driver loses control and wrecks the vehicle - the incident is an Army accident.AR , 2-5
23 OCCURRENCES - NOT AN ARMY ACCIDENT (CON’T) Expected damage (testing)Property damage as a result of vandalism, riot, civil disorder, felonyDeliberate damage to aircraft or equipment or to occupantsAccidents occurring during transport by commercial carrierDamage due to destructive testing of equipment is not an Army accidentCriminal acts, vandalism and sabotage are not Army accidents.Terrorist acts are not accidents.Commercial carrier losses are not considered Army accidents. Reasoning is the Army was not in control and the Army member just happened to be using the transportation system.
24 NONREPORTABLE INJURIES / ILLNESSES NONOCCUPATIONAL ILLNESS / INJURY - Injury / illness is not proximate cause. Example -excessive bleeding of hemophiliacSELF-INFLICTED INJURIES - Suicide or self-inflicted injuryCRIMINAL ASSAULT - Fist-fight or brawlPRIOR-SERVICE INJURIES - Injury prior to service entryNon occupational injury - the injury itself is not the problem - individual sensitivity. Example - death as a result of a bee sting.Self-inflicted - drunk and punched out a vending machine (broken hand) - not reportable.Criminal assault - fist-fight or brawl is not an accidentPrior-service injuries - injury prior to service entry is not reportable since the injury is not due to Army activities.AR , 2-7
25 NONREPORTABLE INJURIES / ILLNESSES INFECTIVE AND PARASITIC DISEASE - Example - respiratory disease or food-poisoningSTRAINS - Resulting from pre-existing musculoskeletal disorder (strain occurs during sneeze)HOSPITALIZATION (OBSERVATION ONLY)ESCAPE FROM CUSTODY - Injury occurring while attempting escapeINFECTIVE AND PARASITIC DISEASE - EXAMPLE - RESPIRATORY DISEASE OR FOOD-POISONINGSTRAINS - RESULTING FROM PRE-EXISTING MUSCULOSKELETAL DISORDER (STRAIN OCCURS DURING SNEEZE)HOSPITALIZATION (OBSERVATION ONLY) Individual is hospitalized for observation not treatment. If treatment occurs (other than aspirin, non-prescription, it is reportable)ESCAPE FROM CUSTODY - INJURY OCCURRING WHILE ATTEMPTING ESCAPE Auto accident during high speed chase is not reportable. Accident involves criminal involvement.
26 NONREPORTABLE INJURIES / ILLNESSES DEATH DUE TO NATURAL CAUSES - Example - heart attackADVERSE REACTION- Reaction to alcohol or drugs not administered by medical authorityPRE-EXISTING INJURIES OR ILLNESSESDEATH DUE TO NATURAL CAUSES - EXAMPLE - HEART ATTACKADVERSE REACTION- REACTION TO ALCOHOL OR DRUGS NOT ADMINISTERED BY MEDICAL AUTHORITYPRE-EXISTING INJURIES OR ILLNESSES
27 CLASSIFICATION OF ARMY ACCIDENTS Accident Type And Classification are used to determine:Notification requirements,Site security requirements,Investigation procedures and responsibilities,Required accident reportsNotification procedures and investigation procedures depend on the extent of damage and injury.Serious accidents require immediate notification and may be investigated by a board appointed by the command.Aviation and ground accident have different notification, investigation and reporting requirements.You must understand Class A - F accident definitions to determine if you must immediately notify higher levels.When an accident meets the requirements for a board instigation, the unit is responsible to secure the accident site for the investigation board to look at.NOTIFICATION REQUIREMENTS,SITE SECURITY REQUIREMENTS,INVESTIGATION PROCEDURES AND RESPONSIBILITIES,REQUIRED ACCIDENT REPORTSAR , 2-2
28 CLASSIFICATION OF ARMY ACCIDENTS CLASS A - an Army accident in which:The resulting total cost of property damage is $1,000,000 or more;An Army aircraft or missile is destroyed, missing, or abandoned; orAn injury and/or occupational illness results in a fatality or permanent total disability.Class A is the most serious Army accident class and most be investigated by an appointed board for the USASC or the command.Class A criteria can be for amount of property damage or the degree of personnel injury.Property damage is total damage - military loss and damage to civilian property.Death or permanent disability - again applies to military personnel injuries, DA civilian on-duty, or non-Army personnel as a result of Army operations. Examples:A fire in an Army paint facility resulted in $1.2 M damage.A soldier was crushed by the rocket pod while performing maintenance on an MLRS.A soldier dove off a pier in shallow water breaking his neck and damaging his spine; resulting in a permanent total disability.AR , 2-2
29 CLASSIFICATION OF ARMY ACCIDENTS CLASS B - an Army accident in which:The resulting total cost of property damage is $200,000 or more,But less than $1,000,000;An injury and/or occupational illness results in permanent partial disability, orWhen five or more personnel are inpatient hospitalized from a single occurrence.Class B is the next most serious Army accident class and must be investigated by an appointed board for the USASC or the command. Usually a local board is appointed.Class B criteria can be for amount of property damage (between $1M and $200K) or the degree of personnel injury.Property damage is total damage - military loss and damage to civilian property.Permanent partial disability - again applies to military personnel injuries, DA civilian on-duty, or non-Army personnel as a result of Army operations. Examples:Explosives detonated in an explosives press during work on an M67 grenade result in $350K damage to facility.A soldier was struck in the eye by a star cluster device fired by a nearby soldier. The accident resulted in permanent partial disability due to loss of sight in one eye.AR , 2-2
30 CLASSIFICATION OF ARMY ACCIDENTS NOTIFICATION, SECURITY, INVESTIGATION NOTE: Class A & B accident investigations are conducted by an accident investigation board (CAI or IAI Board).Immediate notification is required through chain of command to USASCIf possible, unit must secure the accident site for the accident board to see. (May not be possible for traffic accident)Class A & B accidents must be investigated by an appointed board for the USASC or the command.Notification is critical, so that a board can be appointed an arrive on site without undue delay.The supporting safety office will advise the unit on the feasibility of securing and maintaining the accident site for the board to see. Traffic accidents for example, normally can not be secured for a long period due to the traffic hazards created.AR , 3-2, 4-2
31 CLASSIFICATION OF ARMY ACCIDENTS CLASS C - an Army accident in which:The resulting total cost of property damage is $10,000 or more,But less than $200,000;A nonfatal injury that causes any loss of time from work beyond the day or shift on which it occurred;Or a nonfatal occupational illness that causes loss of time from work (e.g. 1 work day) or disability at any time (lost time case).For example, a sports injury result in 1 lost day is a Class C accident.Also property damage accidents between $10K and $2K.Class C ground accident is investigated and reported by the unit.Class C aviation is investigated by 1 or more appointed officers.Examples:A HMMWV operator lost control on a wet road and rolled the vehicle resulting in $12,000 damage, but no injury to the operator.A soldier collided with another soldier during a touch football game and received a broken collar bone. He was unable to return to work the day of the injury and had quarters the following day. (1 lost work day).AR , 2-2
32 CLASSIFICATION OF ARMY ACCIDENTS CLASS D - an Army accident in which:The resulting total cost of property damage is $2,000 or more,But less than $10,000.Example:An Army 5 ton truck backed into a parked civilian auto resulting in $2500 damage to the privately owned vehicle (as a result of Army operations).Note: An Army accident resulting in less than $ property damage and no lost time injury are reported using local procedures.Class D ground accident is investigated and reported by the unit.Class D aviation is investigated and reported by the local unit.AR , 2-2
33 CLASSIFICATION OF ARMY ACCIDENTS CLASS E aviation incident -An Army incident in which the resulting damage cost and injury severity do not meet the criteria for Class A-D accident ($2,000 or more damage; lost time/restricted activity case).A Class E aviation incident is reportable when the mission is interrupted or not completed.AR , 2-2
34 CLASSIFICATION OF ARMY ACCIDENTS FOREIGN OBJECT DAMAGE (FOD) AVIATION INCIDENT (CLASS F) -Recordable incidents are confined to aircraft turbine engine damage only as a result of internal or external FODAR , 2-2
35 ARMY ACCIDENT TYPES ARMY AIRCRAFT ACCIDENT ARMY MOTOR VEHICLE ACCIDENT (AMV)ARMY COMBAT VEHICLE (ACV)ARMY OPERATED VEHICLEOTHER ARMY VEHICLEPRIVATELY OWNED VEHICLE (POV)PERSONNEL INJURY - OTHERMARINE ACCIDENTFIRECHEMICAL AGENT ACCIDENTEXPLOSIVES ACCIDENTIONIZING AND NONIONIZING RADIATION ACDT & INCIDENTNUCLEARBIOLOGICAL DEFENSE MISHAPDRONE AIRCRAFT (RPV)FRATRICIDEThere are several types of accidents described in AR Pam Some have special reporting requirements. Such as Fire, chemical agents, and radiation incidents… check specific requirements for types of accidents.PE # 1
36 COMMAND RESPONSIBILITIES PRELIMINARY ACCIDENT SITE PROCEDURES: Initiate actions IAW unit pre-accident planContact emergency services - fire, rescue, MP, HAZMAT team, EODNotification - chain of commandFirst priority - safety of victims, personnel involved, and the general publicAs we’ve seen, notification procedures differ for the degree of damage or injury. Class A & B accident require immediate notification so a board can be appointed to investigate the accident.AR provides a step by step procedures for accident notification.ARAR , 2-9, 3-2
37 COMMAND RESPONSIBILITIES PRELININARY ACCIDENT SITE PROCEDURES: Neutralize accident site hazards:FireAmmunition cook-off / explosionFuel spill / hazardous materials.Burnt carbon fibers (composite materials).Traffic hazards / additional collisions.Electrical hazardsBloodborne pathogenAs we’ve seen, notification procedures differ for the degree of damage or injury. Class A & B accident require immediate notification so a board can be appointed to investigate the accident.AR provides a step by step procedures for accident notification.ARAR , 2-9, 3-2
38 COMMAND RESPONSIBILITIES PRELININARY ACCIDENT SITE PROCEDURES: Take action to secure / preserve the accident sceneSafeguard from bystandersControl access to siteRope off site - keep unauthorized personnel outProtect physical evidence - ground markings / scars, placement of wreckage / equipmentSAFEGUARD FROM BYSTANDERSCONTROL ACCESS TO SITEROPE OFF SITE - KEEP UNAUTHORIZED PERSONNEL OUTPROTECT PHYSICAL EVIDENCE - GROUND MARKINGS / SCARS, PLACEMENT OF WRECKAGE / EQUIPMENTAR , 2-9, 3-2
39 COMMAND RESPONSIBILITIES PRELIMINARY ACCIDENT SITE PROCEDURES: Notify the commander of personnel involvedNotify USASC, DSN /3410 (Class A & B (Avn / Gnd); & Class C Avn mishap)Notify USASC - (DA Civilian injuries - 3 or more hospitalized from a single accident - OSHA DOL notification)Provide information from Notification Worksheet DA Form 7306-RAs we’ve seen, notification procedures differ for the degree of damage or injury. Class A & B accident require immediate notification so a board can be appointed to investigate the accident.AR provides a step by step procedures for accident notification.ARAR , 2-9, 3-2
40 COMMAND RESPONSIBILITIES INVESTIGATION / REPORTING RESPONSIBILITIES: Commanders at all levels (installation level down to company or detachment) are responsible for investigating and reporting accidents.Class A & B On-duty - CAI / IAI boardClass A & B Off-duty - Unit prepares AGAR / follow MACOM /installation procedures for fatal accidents.Class C & D - unit prepares AGARAccident report submitted through chain of command / installation safety to USASCAs we’ve seen, notification procedures differ for the degree of damage or injury. Class A & B accident require immediate notification so a board can be appointed to investigate the accident.AR provides a step by step procedures for accident notification.ARAR Table E-1 / E-2
41 ACCIDENT INVESTIGATION RESPONSIBILITIES - GROUND ACDT CLASS RESPONSIBILITY REPORTCLASS A & B (NOTIFY USASC) DAON-DUTY CAI / IAI BOARD TECH RPTCLASS A & B (NOTIFY USASC) AGAROFF-DUTY MAY APPOINT IAI DAYSCLASS C & D UNIT CDR AGARON-DUTY DAYSCLASS A-D UNIT CDR AGAROFF-DUTY DAYSThis slide shows the responsibility and reporting requirements for ground accidents. This comes from the table in the back of ARThis shows the PEACETIME reporting requirementsDA CIVILIAN (CLASS A & B CA-1, CA-2ON-DUTY NOTIFY USASC) CA-6CLASS A & B CAI / IAI BOARD TECH RPTCLASS C SUPERVISOR CA-1, CA-2
42 ACCIDENT INVESTIGATION RESPONSIBILITIES - AVIATION ACDT CLASS RESPONSIBILITY REPORTCLASS A (NOTIFY USASC) DACAI / IAI BOARD TECH RPTCLASS B (NOTIFY USASC) DACAI / IAI BOARD TECH RPTCLASS C (NOTIFY USASC) AAARIAI BOARD DAYSThis slide shows the responsibility and reporting requirements for aviation accidents. This comes from the table in the back of ARCLASS D - F UNIT CDR AAAR(PE # 2) DAYS
43 REPORTING vs. RECORDING ARMY ACCIDENTS REPORTABLEACCIDENTS(ALL ACCIDENTS)LOCAL REPORTPROCEDURESREPORTED TO UNITSAFETY OFFICER ORINSTALLATION SAFETYARREPORTED ANDRECORDED IAWARMY PROCEDURESAll accidents are reportable to the unit and the installation safety office.All accidents are reportable. Minor accidents use local reporting procedures and notification.Accidents meeting the criteria in AR got Class A-F are recordable and require completion of the specific Army accident report form to report and record the accident.MINOR INJURY OR DAMAGEMEETS CRITERIA FOR RECORDABLE ACCIDENT / INCIDENT
44 REPORTING vs. RECORDING ARMY ACCIDENTS REPORTING - Report all accidents to the unit safety officer / installation safety officeLocal reporting procedures for:Property damage less than $2000Military personnel injury - no lost time / restricted duty onlyMilitary personnel injury - first aid onlySo REPORTING means - REPORT ALL ACCIDENTS TO THE UNIT SAFETY OFFICER / INSTALLATION SAFETY OFFICEUse LOCAL REPORTING PROCEDURES FOR:PROPERTY DAMAGE LESS THAN $2000MILITARY PERSONNEL INJURY - NO LOST TIME / RESTRICTED DUTY ONLYMILITARY PERSONNEL INJURY - FIRST AID ONLYThese minor accidents and near miss incidents can indicate safety hazards and problems that can be corrected before a more serious accident occurs.
45 REPORTING vs. RECORDING ARMY ACCIDENTS RECORDING - Meets AR criteria for recordable accident / incident. Investigation results are recorded on the appropriate form and forwarded to USASC for entry into Army accident database.Class A-D AccidentsClass E & FOD AviationDamage exceeds $2000Soldier injury results in 1 or more lost workdaysSo RECORDING means that an accident - MEETS AR CRITERIA FOR RECORDABLE ACCIDENT / INCIDENT. INVESTIGATION RESULTS ARE RECORDED ON THE APPROPRIATE accident investigation FORM AND FORWARDED TO USASC FOR ENTRY INTO ARMY ACCIDENT DATABASE.
46 CATEGORIES OF ACCIDENT REPORTS SAFETY ACCIDENT INVESTIGATION REPORT - Used for prevention purposes onlyLimited Use ReportGeneral Use ReportCOLLATERAL INVESTIGATION REPORT - Used to determine accountability, liability, claims, disciplinary actionCRIMINAL INVESTIGATION (MP / CID)There are 3 types of accidents investigations that may be conducted for a single accident. The investigations are for different purposes.The SAFETY ACCIDENT INVESTIGATION REPORT is the focus of this training and is - USED FOR PREVENTION PURPOSES ONLYLIMITED USE REPORTGENERAL USE REPORTCOLLATERAL INVESTIGATION REPORT - USED TO DETERMINE ACCOUNTABILITY, LIABILITY, CLAIMS, DISCIPLINARY ACTIONCRIMINAL INVESTIGATION (MP / CID)AR , 2-9, 1-7
47 SAFETY ACCIDENT INVESTIGATION REPORTS Limited Use Safety Accident Investigation Report All flight accidentsFratricide / friendly fireSelected accidents involving other complex weapons systems as determined by Cdr, USASCThe limited use report is prepared by a CAI Board from the USASC.CDR, USASC determines that a limit use report is required…The difference is in how much of the report may be released to the public under a FOIA request.AR , 1-7
48 SAFETY ACCIDENT INVESTIGATION REPORTS Limited Use Safety Accident Investigation Report Report is for accident preventionMay offer confidentiality to witnessFindings, recommendations, and witness statements not releasable to public or outside DoDPurely factual information - pictures, drawings, tests may be released / shared with collateral investigatorAll safety investigation accident reports are for prevention purposes… the information is used only to correct the problem not for disciplinary action…We will talk about the collateral report that is done for accountability in a few minutes.
49 SAFETY ACCIDENT INVESTIGATION REPORTS - AR , 1-7 General Use Safety Accident Investigation ReportUSE - To record data concerning all reportable accidents not covered by limited use reports.Used for accident preventionNot for administrative or disciplinary action within DoDNot generally releasable - need to know for the purpose of accident preventionWitness statements not exempt from disclosure in response to a request under FOIAThe general use report is still only used for accident prevention purposed within Army and DoD….The AGAR is a general use accident report. The general public can request CLASS D reports from the local JAG office/safety office.All other requests from the public / FOIA are referred to the USASC
50 COLLATERAL INVESTIGATION (NOT A SAFETY INVESTIGATION) USE - Record facts for use in litigation, claims and administrative and disciplinary actionsRequired on all on-duty Class A accidents (LOD will suffice for off-duty fatality)Public InterestSafety personnel do not conduct, review, or store collateral investigations.Accident investigation has priorityCollateral investigation covered by: AR or AR 15-6At the same time that the safety investigation is going on… there is often a second investigation going on…. Often called the 15-6 investigation.The collateral investigation is used to determine accountability… if someone should be held responsible for the accident.This investigation is not governed by AR …but you need to be aware of it.AR , 1-8
51 CRIMINAL INVESTIGATION (MP / CID) MP / CID - Investigate to determine if criminal activity is involved.Safety accident investigation board has access to MP / CID evidence, photos, witness statementsAccident investigation will halt if criminal activity is discovered. (Other than negligence, dereliction of duty or disobedience of an order)The 3d type investigation that may be conducted is the criminal investigation… this is conducted if criminal activity is suspected.Example:A fuel line or break line is cut and sabotage is suspected.AR , 4-7
52 COMPLETING THE ACCIDENT REPORT DA PAM 385-40 Investigate /ReportArmyAccidentsFor Class A or B accidents an investigation board is appointed to determine : What happened, Why it happened, and What can be done to prevent reoccurrence.The CAI is conducted by the USASC for selected class A & B accidents.The IAI is appointed by the General Court Marshall authority for Class A & B accidents not investigated by a USASC CAI board.DA 285 Army Accident ReportDA 285-AB-R Abbreviated Ground Accident Report
53 ACCIDENT INVESTIGATION AND REPORTING THE INVESTIGATION PROCESS: WHY DID ITHAPPEN?SYSTEM INADEQUACY / ROOT CAUSEWHAT HAPPENED?CAUSE FACTORSWHAT TODO ABOUTIT?RECOMMENDATIONSHUMAN ERROR /MISTAKEMATERIELFAILUREENVIRONMENTALFACTORThe investigation seeks to determine…What happenedWhy it happenedWhat to do about itSUPPORTLEADERTRAININGSTDS /PROCEDURESINDIVIDUALFIXESCONTROL MEASURESCOUNTERMEASURES
54 ACCIDENT INVESTIGATION AND REPORTING Example of a completed AGAR form,DA PAM , pagePRACTICAL EXERCISE #3The investigation seeks to determine…What happenedWhy it happenedWhat to do about it
55 ACCIDENT INVESTIGATION AND REPORTING Purpose of accident investigationDefine Army accidentAccident investigation responsibilitiesClassification of accidentsReporting and Recording Army accidentsCategories of investigation reportsReporting Procedures- AGARAccident reporting terminologyThese are the topic covered in today’s instruction.As safety officers / NCOs … you will be the ones that the commander and unit personnel turn to for advise on accident investigation and reporting
56 ACCIDENT INVESTIGATION AND REPORTING QUESTIONS??
57 ACCIDENT INVESTIGATION AND REPORTING PRACTICAL EXERCISE # 3COMPLETING THE ACCIDENT REPORT FORMHOMEWORK DUE AT START OF CLASS IN THE MORNING.
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