The Ins and Outs of Accident Investigation
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The Ins and Outs of Accident Investigation February 19, 2015 Amanda Rawls, District Manager
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Transcript of The Ins and Outs of Accident Investigation
The Ins and Outs of Accident Investigation
February 19, 2015
Amanda Rawls, District Manager
Moderator
Rebecca Ward
Sr. Marketing Content Specialist
(303) 219-7802
Questions?
If you have questions during the presentation, please submit them using the “Questions” feature
Questions will be answered at the end of the webinar
Accident Investigation
Accident vs. Incident
What is an accident? An undesired event that
results in personal injury or property damage
An unplanned, unwanted, but controllable event
which disrupts the work process and causes injury to
people
Also called “occurrences”
Predictable
Preventable
What is an incident?
Accident vs. Incident
An unplanned and unwanted event which disrupts the
work process
Near Miss
Incidents where no property
was damaged or personal
injury sustained, but given a
slight change in time or
position, damage and/or injury
easily could have occurred
True Cost of an Accident
Hidden Costs
• Damage to lot or equipment
• Unhappy customers
• Clean-up time
• Schedule delays
• Training new employees
• Overhead costs
• Damage to reputation in community
• Lost time by other employees
Accidents
Direct Costs
• Insurance costs
• Claim costs
• Lost time
• Medical bills
• Legal fees
Incidents
Accident Investigation
Investigate ALL accidents and incidents
Why?
• Prevent future incidents
• Identify and eliminate hazards
• Expose deficiencies in process/equipment
• Reduce injury and worker compensation costs
• Maintain worker morale
• Meet (some) State regulations that all serious
accidents are investigated
How To Investigate
Accident Investigation - Prepare
Develop a plan ahead of time
• Who to notify in the workplace?
• How to notify outside agencies?
• Who will conduct the internal investigation?
Develop
Investigation Kit
Camera Scissors
Recorder Tape
Tape Measure Flashlight
PPE
Report Forms
Who Should Investigate?
Who should investigate?
• Check your company policy
• Supervisor in charge of the area/activity
Required training? Appropriate training should be completed
• Written OSHA Injury Illness Prevention Program
• Free OSHA tools – National Safety Council
• Consulting services like KPA
Accident Investigation - Enact
Accident Medical Treatment Investigate
Begin investigations immediately!
Where to start?
• Notify individuals according to your plan
• Grab the “investigation kit”
• Approach the scene
Actions At the Scene
1. Check for danger
2. Help the injured
3. Secure the scene
4. Identify and separate witnesses
5. Gather the facts
- Take pictures and/or video
- Position of tools and equipment
- Equipment operation records
- Equipment ID numbers
- Note environmental conditions
- Note housekeeping
Interview Witnesses
1. State the purpose, there to do fact checking not
fault-finding.
2. Ask witness to recount their version of events
• Don’t interrupt
• Take notes or record their responses
3. Ask clarifying questions
4. Reflect back the factual information
5. Ask what they think could have
prevented the incident
Moving Equipment
IF: A death or probable death happens or one or more
employees are admitted to the hospital
THEN: You must not move any equipment until OSHA
concludes an onsite investigation
UNLESS: You must move the equipment to remove
victims or prevent further injury
Do not move equipment following serious injuries!
Accident Investigation - Analyze
Review evidence
Identify root causes
Determine corrective actions
Prepare report
Communicate report
Root Cause Analysis
Root Cause Analysis is systematic technique
Goals:
• To prevent reoccurrence
• As a process of continuous
improvement
• To find underlying physical and
procedural problems
• To guide organizational change
• To promote safety culture
The Five Whys
Keep asking “What caused or allowed this condition
to occur?” until you reach the root cause
A box fell off a shelf and struck a parts employee
Why? – The box was not secured and placed on the highest shelf.
Why? – Because the parts employee did not view back injury prevention
where it was emphasized to store heavy items on the middle shelf.
Why? – The employee did not know how to complete online training.
Why? – Because an online login was not created for the employee.
Why? – Because this is not part of the new hire training policy/process.
The Five Whys
Benefits of asking Why?
Simplicity - Easy and requires no tools or math
Effectiveness - Truly helps separate symptoms from causes
Comprehensiveness - Aids in determining the relationships
between various problem causes
Flexibility - Works well alone and with other techniques
Engaging - Fosters and produces teamwork
Inexpensive - Guided, team focused exercise. No costs!
Write the Report
Who was involved?
What was the sequence of events?
Where and when did the accident happen?
How were employees injured?
• List suspected causes and human actions
• Use the evidence gathered
Report needs to be based on facts!
Accident Investigation - Correct
Conclusions should answer the following:
• What should happen to prevent future accidents?
• What resources are needed?
• Who is responsible for making changes?
• Who will follow up and ensure changes are implemented?
• What will be the future long term procedures?
Barriers to Accident Investigation
What is stopping this process? Time
