Incident
Investigation -- Tips, Techniques & Trivia
Investigate
What?
The level of the investigation should be commensurate with the
extent to which lessons can be learned to improve safety over
the short and longer term.
In
other words, those cases with the greatest potential for leading
to improvements should be subject to the most intensive investigations;
and cases with limited potential for learning lessons should
be subject to limited investigations.
Center
for Chemical Process Safety
Jeff
Factors Often Overlooked in Investigations
Terry Ryan - OH&S Canada
This
issue and the previous one contain an article by Terry Ryan originally
published in the OHS Magazine. The following are crucial factors
that are often missed during accident investigations.
Department/company injury prevention programs:
Often an accident indicates a weakness or failure in an accident
prevention program. Each investigation is, in part, an evaluation
of that program and should result in its improvement.
Department/company
morale: Poor Morale leads to accident. If people don’t
care about their work, concentration decreases and accidents and
injuries increase.
Employee’s
age: Many young workers are assigned to jobs without
being properly trained, while many older people are now working
longer and doing jobs unsuited to their physical condition.
The
employee’s experience: Experience is often misinterpreted
in accident investigations. For example, many would consider a
mechanics experience as the length of time that person was employed
as a mechanic in a given department. It’s better to focus
on the mechanics experience doing the particular task he was performing
at the time of the accident. False assumptions can result in overrating
an employee’s experience and undervaluing the need for training.
The
employees’ home/social life: Employers must recognize
that problems at home are often brought into the workplace. A
person with drug/alcohol problems or one who is going through
a divorce, or has had a death in the family cannot be expected
to perform at par. Systems should be in place to accommodate these
possibilities.
Terry
Ryan – OH& S Canada
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