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Slide1: 

What is an Accident?

Why Investigate?: 

Why Investigate?

Slide3: 

Iceberg Analogy Accident Cost Medical Payments Compensation Direct Costs Breaking in substitute Poor efficiency due to break-up of crew Supervisor time to investigate Overtime by employees Change in WC rating Lost time by fellow workers Administrative costs Loss of good will Temporary workers Indirect or Hidden Costs Damaged equipment

Slide4: 

Causal Factors (1) Task (2) Material (3) Environment (4) Human Factor ( Personal) (5) Management/Process Failure Accident Investigation Page # 42

Slide5: 

(1) Task Ergonomics Safety work procedures Condition changes Process Materials Workers Appropriate tools/materials Safety devices (including lockout)

Slide6: 

(2) Material Equipment failure Machinery design/guarding Hazardous substances Substandard material

Slide7: 

(3) Environment Weather conditions Housekeeping Temperature Lighting Air contaminants Personal Protective Equipment

Slide8: 

(4) Human Factor (Personal) Level of experience Level of Training Physical capability Health Fatigue Stress

Slide9: 

(5) Management/Process Failure Visible Active senior management support for safety Safety policies Enforcement of safety policies Adequate supervision Knowledge of hazards Hazard corrective action Preventive maintenance Regular audits

Slide10: 

Investigation Priorities 1st - Medical attention 2nd – Investigation 3rd – Analyze & Conclude Accident Investigation Page # 41

Slide11: 

Investigation Photographs Preserve Area Collect Statements Take Measurements Gather Samples Complete Accident Report

Accident Investigation Kit: 

Accident Investigation Kit Camera, extra film, flash attachment Clipboard, paper, pencils Graph paper (for diagram) Ruler and tape measure Identification tags (for parts) Interview comment sheet (blank paper) Personal protective clothing or equipment Containers (for material samples) Barrier tape or cord (to rope off areas)

Accident Investigation Kit (cont): 

Accident Investigation Kit (cont) Diagram of a person and list of all body parts involved in the accident. To be completed by injured employee and person conducting the investigation. JSA Safety Rules Phone numbers: injured employee home (current) , EMS, police, sheriff, county disaster services, OSHA, BWC.

Slide14: 

Witnesses Keep Witnesses Apart Interview in a non-threatening location Put witness at ease (not to point blame) Ask open ended questions Document

Slide15: 

Analysis & Conclusions Accident Investigation Forms Bad Report Better Report Accident Tree Accident Investigation Pages #43 - 53 BWC