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Accident Investigations

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Presentation on theme: "Accident Investigations"— Presentation transcript:

1 Accident Investigations

2 The Purpose of Investigation
Determine the root cause so that steps can be taken to remove causes and prevent recurrence of similar events. Reporting Evaluating Analyzing

3 Accident Investigation
Incident – A deviation from an acceptable standard (near miss) Hazard – An incident without adequate controls Accident- When a hazard results in damage All accidents come from incidents , but not all incidents result in accidents.

4 Incident - Contact (Accident)
Contact with electricity plant & equipment noise or vibration hazardous substances radiation heat & cold animals or insects microbiological agents struck against struck by fall to below fall on same level caught on caught in caught between over exertion chemical contact

5 94% of All Accidents Result from Human Factors
Unsafe Acts Any hazard created as a result of a human action or behavior Unsafe Condition Any condition of tools, equipment, machinery, materials, products, structures , or other elements in an employees’ work environment that may cause or contribute to an accident.

6 Examples of Unsafe Acts
Lack of adequate training Poor Attitudes Lack of required protective equipment Working outside of normal operating procedures Unclear safety rules , policies and procedures Poor leadership and/or supervision

7 Benefits of a Good Accident Investigation
Demonstrates concern for fellow workers Identifies other unsafe acts or conditions Exposes inefficient procedures and practices Reduces operating costs

8 The Victim Death Pain & suffering Permanent disability
Effects on family & dependents Loss of earnings Extra expenditure Inability to resume occupation Psychological effects Feeling of uselessness Fear of further injury Social effects Loss of sports or hobby In Queensland on average one person in 20 will be seriously injured on the job every year More people DIE of accidents on the job than Stroke, Heart Attack or Cancer

9 The Supervisor loss of trained worker loss of production extra work
investigations & reports training new employee loss of prestige by: management other workers effects on promotion worry (could I have prevented it ?) Stress There is a possibility of social stresses taking part also, especially in small work groups where a cross section of levels form social groups, ie fishing trips family gatherings social outings (drinking, darts etc) There may also be the potential for other workers to identify the supervisor as ineffective or incompetent Stress takes many forms and all those factors previously mentioned will undoubtedly take an effect as psychological hazard

10 Types of Accident Causes
Immediate Cause Root (Basic) Cause

11 Immediate Causes (Symptoms)
Standard Practices operating with authority use serviceable equipment use equipment properly use of PPE where required correct lifting no drinking & drugs no horseplay secure equipment or warnings Standard Conditions effective guards & devices serviceable tools & equipment adequate warning systems good housekeeping non polluted environment noise hazardous substances good illumination & ventilation good working, storage & traveling space Not wise to talk about long lists of unsafe act or unsafe conditions Terms of standard practices and standard conditions

12 Basic Causes (The Real Problem)
Personal Factors lack of knowledge or skill improper motivation physical or mental conditions literacy or ability Job Factors physical environment sub-standard equipment abnormal usage wear & tear inadequate maintenance design & maintenance purchasing standards Supervisory Performance inadequate instructions failure of SOPs rules not enforced hazards not corrected devices not provided Management Policy & Decisions set measurable standards measure work in progress evaluate work standards correct performance This is the area where most causes can be located and where effective Quality Assurance programs are in place, may of these causes have the potential to be eradicated Organization policy and procedures should identify and outline specific safety requirements and ensure compliance

13 The Following Statements Are NOT Proper Accident Causes:
Didn’t pay attention He/She was careless Poor Housekeeping Didn’t lift case correctly Not aware of surroundings These causes are too general and do not prevent recurrence

14 A Complete Investigation Includes:
All Facts All Opinions All Statements Any Related Information

15 When to do an Investigation
Less physical evidence removed More details remembered Memories are clearer Haven’t had time to be biased by others

16 The Supervisor’s Role The supervisors attitude determines the success of the investigation and the employee’s return to work experience

17 Can Accidents be Prevented ?
Effective Management & Supervision Commitment to Accident Prevention Effective Policy & Procedures Effective Reporting & Recording Regular Consultation & “Toolbox” Meetings Risk Assessments Specific Training Culture Rewards for Good Performance Setting achievable safety goals at all levels and ensure ownership of specific safety objectives Commitment must be sought and maintained by all levels within the workplace, but the start must be made by management to ensure continued support Management must ensure sufficient resources are funded and available and encouragement provided Safety performance must be measured by using various tools, such as: workplace audits & inspections risk assessments job safety analyses frequency rates (number of injuries*1,000,000 divided by man hrs worked) duration rates (working hrs lost divided by number of injuries) Training and retraining will ensure correctness and consistency as well as a confident level of knowledge, leading to act or react in an informed manner, by recognizing hazards and controlling them before they become a problem There are a huge variety of books, codes of practice, Australian Standards and a host of other materials that may be called upon to assist, as well as pictorial assistance in the form of posters, brochures and booklets Safety Incentive Schemes is a large bone of contention in the industry but is worth discussing and evaluating on an individual basis

18 Warning Signs Increases in breaches of safety procedures
Increase in reportable incidents Technical concerns Friction or disputes Introduction of new procedures or equipment New employees Long periods of work Environmental issues

19 Investigation Questions
A Condition Why did it exist? Why wasn’t it corrected What caused it to exist Where was it? Where was its source? When did it occur? When do similar conditions occur? Who was responsible? Who can give me answers? How should it be correct? How can it be avoided? An Action Why was it being done? Why was it necessary? What was its purpose? What details need elimination? Where should it be done? Where else is it being done? Who can give me answers? Who can show me what was done? How is the best way to do it? How can it be improved?

20 Keys to Supervisor Safety Success
Create Teamwork Know Thyself Encourage New Ideas Listen to Every Complaint Develop Good Habits Show Enthusiasm “Pat on the Back” Set a Good Example

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