1. OHT - 1... a subsidiary of the Glatfelter Insurance Group Incident Investigation for Emergency Services April 24, 2015 Dave Bradley, VFIS 2015 Michigan EMS EXPO

2. OHT - 2... a subsidiary of the Glatfelter Insurance Group Program Overview Concepts of Risk Control What Should Be Investigated Investigation Process Scenarios / Case Studies Leadership & Staff Role Review

3. OHT - 3... a subsidiary of the Glatfelter Insurance Group Objectives Provide a safe and healthful workplace Identify all incident causes and develop corrective actions Aid in implementation of corrective actions Develop safety awareness to aid in prevention

4. OHT - 4... a subsidiary of the Glatfelter Insurance Group Risk Control Program Identify Hazards Evaluate & Prioritize Decide on Controls Implement Controls Monitor Results

5. OHT - 5... a subsidiary of the Glatfelter Insurance Group Concepts in Risk Risk Control Avoidance Reduction Transfer Loss Control Loss Management

6. OHT - 6... a subsidiary of the Glatfelter Insurance Group Incident Sources What Should Be Investigated Vehicles Property Liability to Others Leadership Liabilities EMS Practices Organizational Programs Operations

7. OHT - 7... a subsidiary of the Glatfelter Insurance Group Pre-Planning for Incident Investigation Written incident procedures Who is the team? Actions to take when an incident occurs What incidents must be… Reported (must include the “how”) Investigated How the investigation is to be… Initiated Conducted

8. OHT - 8... a subsidiary of the Glatfelter Insurance Group Investigation Phases (overview) Control the scene Collect information Analyze information Complete the incident report Conduct a formal investigation (if needed) Follow up on corrective actions

9. OHT - 9... a subsidiary of the Glatfelter Insurance Group Phase 1 - Control The Scene Control / Protect scene Preserve evidence from alteration or removal Form liaison with investigating agency

10. OHT - 10... a subsidiary of the Glatfelter Insurance Group Phase 2 – Collect Information… Three Components Observation Photography Interviews

11. OHT - 11... a subsidiary of the Glatfelter Insurance Group Phase 3 - Analyze Information Immediate Cause Unsafe Actions / Conditions Basic / Root Cause

12. OHT - 12... a subsidiary of the Glatfelter Insurance Group Phase 4 Complete the Incident Report Report should have a set format Report should be thoroughly completed and checked meticulously for accuracy Write for prevention, not for placing blame

13. OHT - 13... a subsidiary of the Glatfelter Insurance Group Phase 5 – Convene a Formal Incident Review Committee If necessary Conducted for all serious injury incidents Conducted for all near misses with high potential for injury or significant damage In cases of death or serious injury seek help Group effort

14. OHT - 14... a subsidiary of the Glatfelter Insurance Group Phase 6 - Follow Up on Corrective Action Take corrective action anytime… Systematic approach… Involve…

15. OHT - 15... a subsidiary of the Glatfelter Insurance Group Scenarios…

16. OHT - 16... a subsidiary of the Glatfelter Insurance Group VFIS Resources VFIS Accident Investigation http://www.vfis.com/documents/AccidentInvestigation Guidebook.pdf http://www.vfis.com/documents/AccidentInvestigation Guidebook.pdf Risk Communiques / Safety Forms http://www.vfis.com/additional-materials- downloads.htm http://www.vfis.com/additional-materials- downloads.htm Newsletter http://www.vfis.com/newsletter-archive.htm Tailboard Training http://www.vfis.com/tailboard-training.htm

17. OHT - 17... a subsidiary of the Glatfelter Insurance Group VFIS Resources Mutual Aid Self Assessment Survey The “Mutual Aid by VFIS” is a web-based self- evaluation form. Resource that allows ESOs to self-assess operations. Where a need is identified, the system points users to the appropriate resources available from VFIS. It is an easy way for ESOs to identify which VFIS resources best meets its risk control, training and education needs. Resource document can be found at www.vfis.com/mutualaid/default.aspx www.vfis.com/mutualaid/default.aspx

18. OHT - 18... a subsidiary of the Glatfelter Insurance Group VFIS Resources Mutual Aid Packet

19. OHT - 19... a subsidiary of the Glatfelter Insurance Group Leadership Role… Staff Role…

20. OHT - 20... a subsidiary of the Glatfelter Insurance Group Thank You! Dave Bradley VFIS, Director of EMS Programs 1-800-233-1957 dbradley@vfis.com www.vfis.com