logging in or signing up Incident Investigation helenacec Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 3931 Category: Entertainment License: All Rights Reserved Like it (10) Dislike it (0) Added: July 24, 2009 This Presentation is Public Favorites: 6 Presentation Description No description available. Comments Posting comment... By: joecasas (13 month(s) ago) Love your presentation. Can you please e-mail to me? Saving..... Post Reply Close Saving..... Edit Comment Close By: johntrini (13 month(s) ago) Excellent presentation! Can you email it to me? bromine7@hotmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: hussam36 (13 month(s) ago) Can you email me your nice presentation pls ... hussam36@eim.ae regards . Saving..... Post Reply Close Saving..... Edit Comment Close By: 041293 (13 month(s) ago) will you please send me a copy to tsanders@tenneco.com Thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: Cdsmaa (15 month(s) ago) Cecily, your incident investigation training is great! Please let me know how I can download it. Saving..... Post Reply Close By: 041293 (13 month(s) ago) May i download? Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript Incident Investigation Training : Incident Investigation Training Objectives : Objectives At the end of this session, participants will be able to: Conduct an incident investigation Realize the cost of incidents Identify causal factors Determine/implement corrective actions Share lessons learned Benefits of Incident Investigation : Benefits of Incident Investigation Prevent incident reoccurrence Improved employee morale – shows management cares Implement corrective actions Improve method or process Meet regulatory requirements Improved profitability What is an Incident? : What is an Incident? Any unplanned/undesired event resulting in or having the potential result: Personal injury Property damage Environmental release Including near misses or near hits What Incidents to Investigate : What Incidents to Investigate All injuries All occupational illnesses Incidents resulting in property damage Incidents (near misses) with the potential for injury and/or property damage Environmental releases Slide 6: 1 10 30 600 Serious or Disabling Injuries Minor Injuries Property Damage Incidents Incidents with no Injury or damage i.e.; Near Hit Incidents Source: Practical Loss Control Leadership, Bird & Germain, 1969 BIRD’S TRIANGLE Incident Investigation Based on The Following Facts : Incident Investigation Based on The Following Facts All can be prevented Are not isolated events Have a triggering mechanism or event (for example, a wet floor – which results in a slip/fall.) Have multiple causes Slide 8: Understanding Incident Costs Cost of Incidents : Cost of Incidents Direct Costs Medical expenses Workers compensation costs Damage to machines and equipment Insurance costs Legal Expenses Cost of Incidents : Cost of Incidents Indirect Costs Lost Time – injured worker Loss of efficiency and production Cost to train and replace worker Hardship to family Damage to the company image Loss of customers Pain and suffering Incident Causes : Incident Causes Events, situations, and conditions that result in incidents in the workplace. Contributing Factors Personal Job Root Cause Unsafe Acts Unsafe Conditions Root Causes : Root Causes Unsafe Acts Operating at unsafe speed Horseplay Nullifying safety devices or guards Unsafe Conditions Inadequate guards or devices Poor housekeeping Inadequate maintenance Responsibilities : Responsibilities Incident investigation is a front line supervisory responsibility The supervisor is responsible for ensuring an investigation is conducted The supervisor is responsible for completing the Incident Investigation Form Involved employee(s) written statement(s) Responsibilities : Responsibilities Why the Supervisor? On the scene Personal interest – “MY” Department Can communicate more effectively with those in the department Supervisors will take corrective action Trains employees Know employee strengths and limitations Knowledge of hazards associated with each task Responsibilities : Responsibilities Safety Committee Contribute safety expertise Reviews all incident reports Discover previously unrecognized causes Provide training on incident investigations Serious Incident Investigation : Serious Incident Investigation Investigator(s) For serious incidents a team approach can be used Supervisor Plant Manager Safety Committee Representative Human Resources Representative Corporate Risk Manager Incident Investigation Tools : Incident Investigation Tools Incident investigation form Digital camera Instructions, operating manuals for involved equipment Clipboard, notes PPE Key Facts in Incidents : Key Facts in Incidents Nature of Injury Type of physical injury incurred Part of Body Part of body directly affected by the injury Source of Injury The object, substance, exposure or bodily motion which directly inflicted the injury Environmental Location Substance Regulatory Agencies involved Conducting the Incident Investigation : Conducting the Incident Investigation Immediate Action : Immediate Action Primary concern is safety and health Provide emergency rescue and medical help Take steps to minimize injury & property damage Secure incident scene to make safe Preserve evidence Collect information Determine extent of damage Investigation Process : Investigation Process Interview employee(s) involved Have employee(s) demonstrate how incident occurred at the scene (use extra caution here!) Visit the incident scene Collect the facts Interview Witnesses/document statements Take photos Notes Investigation Process : Investigation Process Answer the questions: WHO WHAT WHEN WHERE WHY HOW Conducting the Incident Investigation : Conducting the Incident Investigation Interviewing the employee Put the employee at ease Keep interviews private at scene of incident Get the person’s own version Try not to interrupt Avoid “leading” questions Repeat story as you understand it Close on a positive note ...prevention Ask employee for corrective suggestions Emphasize fact finding, not fault finding Root Causes : Root Causes Once you’ve gathered the info it’s time to get to the roots! Let’s look at some root causes… Identifying Root Causes : Identifying Root Causes Equipment Defects Recognized hazard Equipment inspection procedures Correct Equipment Identifying Root Causes : Identifying Root Causes Environment Location/Position Pre-existing condition Sufficient work space Environmental conditions Identifying Root Causes : Identifying Root Causes People Employee capable of performing task Personal protective equipment Was task difficult to perform? Deviation occurred Training Identifying Root Causes : Identifying Root Causes Management Was hazard reported or anticipated Was hazard detected or corrected Procedures/policies Training Recommending Corrective Actions : Recommending Corrective Actions Must make recommendations to prevent recurrence Address immediate and long-range remedies Include target date for completion Corrective actions must be assigned Avoid the recommendation “told the employee to be more careful” Examples of Corrective Actions : Examples of Corrective Actions Unsafe Physical or Mechanical Condition Guard Housekeeping Remove from service Awareness training Unsafe Acts Instruction (check orientation) Proper placement Change procedures Awareness training Discipline Selecting Corrective Action : Selecting Corrective Action Effectiveness Feasibility Acceptance Incident Investigation Form : Incident Investigation Form Supervisor, Employee and Safety Cmte. member to complete incident investigation forms within 24-hours Identify key facts (who, when) Root Causes Corrective Actions Involved employee(s) written statement(s) Forward to manager for review and approval Communicating Investigation Results : Communicating Investigation Results All relevant facts Basic causes Lessons learned Corrective action recommendations Summary : Summary Incident investigations are the single most important component of incident prevention program because they prevent reoccurrence Unsafe acts and conditions left uncorrected are likely to result in more serious events Investigations identify processes and procedures that need modifications or improvements Quiz : Quiz 1. Accidents are: A. Preventable B. Costly C. Part of life D. Both A and B 2. If I have an accident or injury I should A. Fix what I broke B. Tell my supervisor C. Keep working and not worry about it D. Report it within a week 3. Most accidents are caused by A. Bad weather B. People C. Equipment D. Poor directions 4. I can help prevent accidents by A. Using my own equipment B. Doing only what I am trained to do C. Riding in car pools D. Helping others with their jobs Quiz : Quiz 5. Most slip and fall accidents are caused by A. Rain puddles B. Things left on floors and walkways C. Not watching where you walk D. Both B and C 6. To help prevent accidents, people who use tools must A. Be very careful B. Not wear glasses C. Be trained and authorized to use them D. Not be sleepy 7. If I am unsure how to do a job I should A. Ask my supervisor B. Try different ways of doing it C. Ask a co-worker D. Do the job slowly 8. Which of the following situations could lead to an accident A. Drinking coffee B. Not getting a good nights rest before work C. Reading on my break D. Asking a supervisor how to do a job Quiz : Quiz 9. Personal Protective Equipment such as safety shoes, glove and safety glasses A. Can be worn if I choose B. Are specifically required for some jobs C. Uncomfortable and not necessary D. Belong to me 10. Safety Signs provide A. Information about hazardous areas B. Caution information C. Warnings D. All of the above 11. If I see an accident at work, I should A. Talk to the person involved B. Ignore it because it none of my business C. Feel sorry for the person D. Tell my supervisor 12. If I see an electrical hazard I should A. Report it immediately B. Fix it on my next break C. Not use the equipment D. Both A and C Quiz - Answers : Quiz - Answers 1. Accidents are: A. Preventable B. Costly C. Part of life D. Both A and B 2. If I have an accident or injury I should A. Fix what I broke B. Tell my supervisor C. Keep working and not worry about it D. Report it within a week 3. Most accidents are caused by A. Bad weather B. People C. Equipment D. Poor directions 4. I can help prevent accidents by A. Using my own equipment B. Doing only what I am trained to do C. Riding in car pools D. Helping others with their jobs Quiz - Answers : Quiz - Answers 5. Most slip and fall accidents are caused by A. Rain puddles B. Things left on floors and walkways C. Not watching where you walk D. Both B and C 6. To help prevent accidents, people who use tools must A. Be very careful B. Not wear glasses C. Be trained and authorized to use them D. Not be sleepy 7. If I am unsure how to do a job I should A. Ask my supervisor B. Try different ways of doing it C. Ask a co-worker D. Do the job slowly 8. Which of the following situations could lead to an accident A. Drinking coffee B. Not getting a good nights rest before work C. Reading on my break D. Asking a supervisor how to do a job Quiz - Answers : Quiz - Answers 9. Personal Protective Equipment such as safety shoes, glove and safety glasses A. Can be worn if I choose B. Are specifically required for some jobs C. Uncomfortable and not necessary D. Belong to me 10. Safety Signs provide A. Information about hazardous areas B. Caution information C. Warnings D. All of the above 11. If I see an accident at work, I should A. Talk to the person involved B. Ignore it because it none of my business C. Feel sorry for the person D. Tell my supervisor 12. If I see an electrical hazard I should A. Report it immediately B. Fix it on my next break C. Not use the equipment D. Both A and C You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Incident Investigation helenacec Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 3931 Category: Entertainment License: All Rights Reserved Like it (10) Dislike it (0) Added: July 24, 2009 This Presentation is Public Favorites: 6 Presentation Description No description available. Comments Posting comment... By: joecasas (13 month(s) ago) Love your presentation. Can you please e-mail to me? Saving..... Post Reply Close Saving..... Edit Comment Close By: johntrini (13 month(s) ago) Excellent presentation! Can you email it to me? bromine7@hotmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: hussam36 (13 month(s) ago) Can you email me your nice presentation pls ... hussam36@eim.ae regards . Saving..... Post Reply Close Saving..... Edit Comment Close By: 041293 (13 month(s) ago) will you please send me a copy to tsanders@tenneco.com Thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: Cdsmaa (15 month(s) ago) Cecily, your incident investigation training is great! Please let me know how I can download it. Saving..... Post Reply Close By: 041293 (13 month(s) ago) May i download? Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript Incident Investigation Training : Incident Investigation Training Objectives : Objectives At the end of this session, participants will be able to: Conduct an incident investigation Realize the cost of incidents Identify causal factors Determine/implement corrective actions Share lessons learned Benefits of Incident Investigation : Benefits of Incident Investigation Prevent incident reoccurrence Improved employee morale – shows management cares Implement corrective actions Improve method or process Meet regulatory requirements Improved profitability What is an Incident? : What is an Incident? Any unplanned/undesired event resulting in or having the potential result: Personal injury Property damage Environmental release Including near misses or near hits What Incidents to Investigate : What Incidents to Investigate All injuries All occupational illnesses Incidents resulting in property damage Incidents (near misses) with the potential for injury and/or property damage Environmental releases Slide 6: 1 10 30 600 Serious or Disabling Injuries Minor Injuries Property Damage Incidents Incidents with no Injury or damage i.e.; Near Hit Incidents Source: Practical Loss Control Leadership, Bird & Germain, 1969 BIRD’S TRIANGLE Incident Investigation Based on The Following Facts : Incident Investigation Based on The Following Facts All can be prevented Are not isolated events Have a triggering mechanism or event (for example, a wet floor – which results in a slip/fall.) Have multiple causes Slide 8: Understanding Incident Costs Cost of Incidents : Cost of Incidents Direct Costs Medical expenses Workers compensation costs Damage to machines and equipment Insurance costs Legal Expenses Cost of Incidents : Cost of Incidents Indirect Costs Lost Time – injured worker Loss of efficiency and production Cost to train and replace worker Hardship to family Damage to the company image Loss of customers Pain and suffering Incident Causes : Incident Causes Events, situations, and conditions that result in incidents in the workplace. Contributing Factors Personal Job Root Cause Unsafe Acts Unsafe Conditions Root Causes : Root Causes Unsafe Acts Operating at unsafe speed Horseplay Nullifying safety devices or guards Unsafe Conditions Inadequate guards or devices Poor housekeeping Inadequate maintenance Responsibilities : Responsibilities Incident investigation is a front line supervisory responsibility The supervisor is responsible for ensuring an investigation is conducted The supervisor is responsible for completing the Incident Investigation Form Involved employee(s) written statement(s) Responsibilities : Responsibilities Why the Supervisor? On the scene Personal interest – “MY” Department Can communicate more effectively with those in the department Supervisors will take corrective action Trains employees Know employee strengths and limitations Knowledge of hazards associated with each task Responsibilities : Responsibilities Safety Committee Contribute safety expertise Reviews all incident reports Discover previously unrecognized causes Provide training on incident investigations Serious Incident Investigation : Serious Incident Investigation Investigator(s) For serious incidents a team approach can be used Supervisor Plant Manager Safety Committee Representative Human Resources Representative Corporate Risk Manager Incident Investigation Tools : Incident Investigation Tools Incident investigation form Digital camera Instructions, operating manuals for involved equipment Clipboard, notes PPE Key Facts in Incidents : Key Facts in Incidents Nature of Injury Type of physical injury incurred Part of Body Part of body directly affected by the injury Source of Injury The object, substance, exposure or bodily motion which directly inflicted the injury Environmental Location Substance Regulatory Agencies involved Conducting the Incident Investigation : Conducting the Incident Investigation Immediate Action : Immediate Action Primary concern is safety and health Provide emergency rescue and medical help Take steps to minimize injury & property damage Secure incident scene to make safe Preserve evidence Collect information Determine extent of damage Investigation Process : Investigation Process Interview employee(s) involved Have employee(s) demonstrate how incident occurred at the scene (use extra caution here!) Visit the incident scene Collect the facts Interview Witnesses/document statements Take photos Notes Investigation Process : Investigation Process Answer the questions: WHO WHAT WHEN WHERE WHY HOW Conducting the Incident Investigation : Conducting the Incident Investigation Interviewing the employee Put the employee at ease Keep interviews private at scene of incident Get the person’s own version Try not to interrupt Avoid “leading” questions Repeat story as you understand it Close on a positive note ...prevention Ask employee for corrective suggestions Emphasize fact finding, not fault finding Root Causes : Root Causes Once you’ve gathered the info it’s time to get to the roots! Let’s look at some root causes… Identifying Root Causes : Identifying Root Causes Equipment Defects Recognized hazard Equipment inspection procedures Correct Equipment Identifying Root Causes : Identifying Root Causes Environment Location/Position Pre-existing condition Sufficient work space Environmental conditions Identifying Root Causes : Identifying Root Causes People Employee capable of performing task Personal protective equipment Was task difficult to perform? Deviation occurred Training Identifying Root Causes : Identifying Root Causes Management Was hazard reported or anticipated Was hazard detected or corrected Procedures/policies Training Recommending Corrective Actions : Recommending Corrective Actions Must make recommendations to prevent recurrence Address immediate and long-range remedies Include target date for completion Corrective actions must be assigned Avoid the recommendation “told the employee to be more careful” Examples of Corrective Actions : Examples of Corrective Actions Unsafe Physical or Mechanical Condition Guard Housekeeping Remove from service Awareness training Unsafe Acts Instruction (check orientation) Proper placement Change procedures Awareness training Discipline Selecting Corrective Action : Selecting Corrective Action Effectiveness Feasibility Acceptance Incident Investigation Form : Incident Investigation Form Supervisor, Employee and Safety Cmte. member to complete incident investigation forms within 24-hours Identify key facts (who, when) Root Causes Corrective Actions Involved employee(s) written statement(s) Forward to manager for review and approval Communicating Investigation Results : Communicating Investigation Results All relevant facts Basic causes Lessons learned Corrective action recommendations Summary : Summary Incident investigations are the single most important component of incident prevention program because they prevent reoccurrence Unsafe acts and conditions left uncorrected are likely to result in more serious events Investigations identify processes and procedures that need modifications or improvements Quiz : Quiz 1. Accidents are: A. Preventable B. Costly C. Part of life D. Both A and B 2. If I have an accident or injury I should A. Fix what I broke B. Tell my supervisor C. Keep working and not worry about it D. Report it within a week 3. Most accidents are caused by A. Bad weather B. People C. Equipment D. Poor directions 4. I can help prevent accidents by A. Using my own equipment B. Doing only what I am trained to do C. Riding in car pools D. Helping others with their jobs Quiz : Quiz 5. Most slip and fall accidents are caused by A. Rain puddles B. Things left on floors and walkways C. Not watching where you walk D. Both B and C 6. To help prevent accidents, people who use tools must A. Be very careful B. Not wear glasses C. Be trained and authorized to use them D. Not be sleepy 7. If I am unsure how to do a job I should A. Ask my supervisor B. Try different ways of doing it C. Ask a co-worker D. Do the job slowly 8. Which of the following situations could lead to an accident A. Drinking coffee B. Not getting a good nights rest before work C. Reading on my break D. Asking a supervisor how to do a job Quiz : Quiz 9. Personal Protective Equipment such as safety shoes, glove and safety glasses A. Can be worn if I choose B. Are specifically required for some jobs C. Uncomfortable and not necessary D. Belong to me 10. Safety Signs provide A. Information about hazardous areas B. Caution information C. Warnings D. All of the above 11. If I see an accident at work, I should A. Talk to the person involved B. Ignore it because it none of my business C. Feel sorry for the person D. Tell my supervisor 12. If I see an electrical hazard I should A. Report it immediately B. Fix it on my next break C. Not use the equipment D. Both A and C Quiz - Answers : Quiz - Answers 1. Accidents are: A. Preventable B. Costly C. Part of life D. Both A and B 2. If I have an accident or injury I should A. Fix what I broke B. Tell my supervisor C. Keep working and not worry about it D. Report it within a week 3. Most accidents are caused by A. Bad weather B. People C. Equipment D. Poor directions 4. I can help prevent accidents by A. Using my own equipment B. Doing only what I am trained to do C. Riding in car pools D. Helping others with their jobs Quiz - Answers : Quiz - Answers 5. Most slip and fall accidents are caused by A. Rain puddles B. Things left on floors and walkways C. Not watching where you walk D. Both B and C 6. To help prevent accidents, people who use tools must A. Be very careful B. Not wear glasses C. Be trained and authorized to use them D. Not be sleepy 7. If I am unsure how to do a job I should A. Ask my supervisor B. Try different ways of doing it C. Ask a co-worker D. Do the job slowly 8. Which of the following situations could lead to an accident A. Drinking coffee B. Not getting a good nights rest before work C. Reading on my break D. Asking a supervisor how to do a job Quiz - Answers : Quiz - Answers 9. Personal Protective Equipment such as safety shoes, glove and safety glasses A. Can be worn if I choose B. Are specifically required for some jobs C. Uncomfortable and not necessary D. Belong to me 10. Safety Signs provide A. Information about hazardous areas B. Caution information C. Warnings D. All of the above 11. If I see an accident at work, I should A. Talk to the person involved B. Ignore it because it none of my business C. Feel sorry for the person D. Tell my supervisor 12. If I see an electrical hazard I should A. Report it immediately B. Fix it on my next break C. Not use the equipment D. Both A and C