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Incident Reporting and Investigation Presented by Jessica Urquhart Version 1.0 Issue date September 2013 School Safety Conference Safety Systems: Safety Doesn’t Happen By Accident! 9-10 September 2013
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Proactive WHS and Reactive WHS 2
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3 INCIDENT / ACCIDENT / NEAR MISS (lag) PROACTIVE (lead) Hazard Reporting Workplace Inspections Task Observations Effectiveness Audits REACTIVE Initial Response Incident Investigation Learning Action Management Communication Risk Assessment WHS Rep / WHS Committee Meetings Reporting Evaluation OPPORTUNITIES FOR IMPROVEMENT
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Initial Response 4 Incidents require varied responses i.e. injury, fire, environmental Incident Responses Need to Be; Documented Practiced Competent Personnel Capable Personnel Serviceable Equipment Adequate Facilities
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Reporting Requirements 5
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8 Obligations of Duty Holders
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Obligations 9
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Obligations 10
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Investigation Process 11
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Incident Investigation 12 Organisational Factors Task / Environmental Factors Individual / Team Actions Absent / Failed Defences Root Cause Factor
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Investigation Process 13 Fact Finding What Actually Happened? Compile Evidence -Photographs -Witness Statements -Records -Training Files -Procedures -Risk Assessments Establish Causal Factors What was the Direct Cause of the Incident? What Else Contributed to the Incident?
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What’s Next? 14 Put Actions Into Place to Prevent Recurrence Communicate Incident Findings to Workgroups Monitor and Evaluate the Effectiveness of Actions
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Some Documentation You Will Need Incident Reporting and Investigation Procedure Incident Register Incident Notification and Report Form WHSQ Incident Report Form (notifiable incidents) Incident Investigation Tool Witness Statement Form PowerPoint Presentation e.g. Present Learnings Acknowledgement of Communication Form Change Management Procedures; Are changes required to documentation, forms, training, PPE, induction, procedures, checklists, registers? 15
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More Information DRA Safety Specialists – drasafety.com.audrasafety.com.au WorkSafe QLD - worksafe.qld.gov.auworksafe.qld.gov.au Workplace Health and Safety Infoline –1300 369 915 Safe Work Australia - www.safeworkaustralia.gov.au www.safeworkaustralia.gov.au 16
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Questions? 17
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