ACCIDENT INVESTIGATION ACCIDENT INVESTIGATION OSHA 1994 - Regulation -SHC Section 13(1) Section 13(1) ) A safety and health committee shall inspect the ) A safety and health committee shall inspect the place of work, as soon as it is safe to do so, after any accident, dangerous occurrence, occupational i i i l di h d poisoning or occupational disease has occurred at the place of work
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A safety and health committee shall inspect theA safety and health committee shall inspect the place of work, as soon as it is safe to do so, after any accident, dangerous occurrence, occupational
i i i l di h dpoisoning or occupational disease has occurred at the place of work
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
POLICYObjective of incident investigation should notObjective of incident investigation should not
be to apportion blame or fault finding but to determine the cause(s) in order to prevent recurrence of accident
All i id t t b t d d dAll incidents must be report, recorded and investigated by competent
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
POLICYAll staff must give their full cooperation andAll staff must give their full cooperation and
assistance when requested, to the investigation team
All recommendations arising from incident i ti ti t b di d d dinvestigation must be discussed, agreed and executed by the relevant action parties
• Material/Equipment/Tool/fixtures in direct involement
jto people damage to assets or environment
• Event leading to ti l i j i
• Exact location of incident• Material/Equipment/Tool
used or handled
consequential injuries or assets/environment damage
• Parties involed including emergency respons or recovery
• Effectiveness of emergency respons or recovery
CHECKLIST TO ESTABLISHCHECKLIST TO ESTABLISH FACTS OF INCIDENTWHO
• was injured• saw incident
WHAT• is the injury• is the damaged or loss
• working with injured• assigned job to injured• else was involved• has information leading to the incident
• is the injured doing• had the injured been instruced to do• tools were being used• machine/plant/equipment was in use• has information leading to the incident • machine/plant/equipment was in use• previous similar accident or near misses
and whether action had been taken to prevent recurrencedid th i j d d it• did the injured and witnesses see
• safety rules were violated• safe system of work, permit/procedures• were the contributory causes of the
accident• communication system was in use
CHECKLIST TO ESTABLISHCHECKLIST TO ESTABLISH FACTS OF INCIDENT
WHERE
• did accident occur
HOW
• did the injury occur• did the damage occur• was the supervisor at that time• were the witnesses at that time
• was the medical response• could the accident been avoided• could better design help• could the supervisor have prevented the• could the supervisor have prevented the
accident
CHECKLIST TO ESTABLISH FACTS OF INCIDENTFACTS OF INCIDENT
WHEN• did the accident occur
WHY• did the injury occur• did the accident occur
• did the comunication fail• did the injured start the job• was hazards explained
• did the injury occur • did communication fail• was training not given• were the unsafe condition permitted
• did the supervisor last see the injured• as something observed to be wrong
• were the hazard not evaluated• was PPE not given or not worn• was there no safe system of work,
permitted or proceduresp p• were specific instructions not given• was there no safety inspection or audit• was the level of safety awareness and
commitment lowcommitment low• was there no safety program• was the injured there• was supervisor not notified when things
went wrong• was the supervisor not there at the time
Over 90% of all accident are caused by the action or inaction’s of people which are unsafe acts or unsafe conditionsR i tt f id tRecognise patterns of accident
people - any particular group or individualbehaviour - poor safety attitudetime- particular time, day, start/end week, shiftplace - particular place, type of place, indoor/outdooractivity - during a particular task, type of task, boring job, high y g p , yp , g j , gspeed, during difficult or complex tasksystem or procedures - any particular operations, system or procedurespequipment - specific type, old or new
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
1. Unsafe Actsfailure to wear PPE
i f l hiwearing unsafe clothinghorseplayimproper use of hands and other parts of the bodyimproper use of hands and other parts of the bodybypassing safety devicesunsafe position or posturep pdriving errorsunsafe operation acts
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
2. Unsafe Conditionsdefective tools and equipmentd f i d idefective designunsafe clothing or PPEunsafe workplaceunsafe workplaceinadequate layout and storageunsafe guardingg gpublic hazards
BENEFIT OF ACCIDENT INVESTIGATION
Prevent recurrenceIdentify out-moded operartion methodsI d k iImproved work environmentIncreased productivity due to upgrading of process systemsystemRaising of safety awareness and moraleLower medical costs due to fewer accidentsAvoid lawsuits or liabilities due to accidentsGreater efficiency due to no work stoppages
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
ACCIDENT REPORTING FORM(refer to handout)
DOSH - Accident Reporting Form
Company - Accident Reporting Form
Witness Interview FormWitness Interview Form
ACCIDENT INVESTIGATIONACCIDENT INVESTIGATION
PRINCIPLES OF ACCIDENT PREVENTION
The identification of hazards, risk assessment and risk
control
OSH promotion and communication to influence
behaviour and encourage safe attitudesbehaviour and encourage safe attitudes