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Get full version of ‘AccidentInvestigation and Root Cause Analysis’book and PPT presentation for 25 OnlyDOWNLOADOr visit - d By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Incident Investigation And RootCause AnalysisUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Learning OutcomeAs a step-by-step guide, it will help all organisations, to carry outtheir own health and safety investigations. Investigating accidentsand incidents explains why you need to carry out investigationsand takes you through each step of the process:Step one: Gathering the informationStep two: Analysing the informationStep three: Identifying risk control measuresStep four: The action plan and its implementationUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident StatisticsAs per HSE UKIn 2015/16Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident Statistics144 workers werekilled as a result of aworkplace accident.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident StatisticsAn estimated 621,000workers sustained anon-fatal injury atwork according to selfreports.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident StatisticsOver 2.3 million casesof ill health are causedor made worse bywork.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident Statistics“If you think safety is expensive, try anaccident”- Chairman of Easy GroupUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident StatisticsThere are good financial reasons for reducing accidentsand ill health.Costings show that for every 1 a business spends oninsurance, it can be losing between 8 and 36 inuninsured costs.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Accident / Incident StatisticsTriangle Model Of Incident Outcomes1 Serious or disablinginjury10 Minor Injury (firstaid)30 Damage Only600 Non-Damage/Near missUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is an incident?This is an unplanned, uncontrolled and undesired eventthat results in no harm, but has the potential to do so.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is near miss?However the definition of an incident is wider in that italso includes dangerous occurrences and near misses. Anear miss is an unplanned event that did not result ininjury, illness, or damage - but had the potential to doso. Only a fortunate break in the chain of eventsprevented an injury, fatality or damage.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is near miss?Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is an accident?This is an unplanned, uncontrolled and undesired eventwhich results in harm and/or property damage.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is dangerous occurrence?One of a number of specific,reportable adverse events, asdefined in the Reporting ofInjuries, Diseases and DangerousOccurrences Regulations 1995(RIDDOR).Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsWhat is hazard?The potential to cause harm,including ill health and injury;damage to property, plant,products or the environment,production losses or increasedliabilities.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsRiskThe level of risk is determined from a combination ofthe likelihood of a specific undesirable event occurringand the severity of the consequences (ie how often is itlikely to happen, how many people could be affectedand how bad would the likely injuries or ill healtheffects be?)Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsImmediate causeThe most obvious reason why anadverse event happens, eg theguard is missing; the employeeslips etc. There may be severalimmediate causes identified inany one adverse event.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsUnderlying causeThe less obvious ‘system’ or’organisational’ reason for anadverse event happening, eg prestart-up machinery checks are notcarried out by supervisors; thehazard has not been adequatelyconsidered via a suitable andsufficient risk assessment;production pressures are toogreat etc.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Some DefinitionsRoot causeAn initiating event or failing fromwhich all other causes or failingsspring. Root causes are generallymanagement, planning ororganisational failings.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Reasons for investigating accidentsIncidents should be investigated to identify thecause to prevent recurrence.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Reasons for investigating accidentsOther reason for investigating accidentsDeterminingthe cost ofaccidentsEstablish atecostsCollectstatistical dataUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsDomino theory :In 1931, the late H.W. Heinrich presented a model knownas the ‘domino theory’ as this accident sequence waslikened to a row of dominoes knocking each other downin a row.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsDomino theory :Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsDomino theory :According to W.H. Heinrich (1931), all accidents are caused:88% 10% 2%of by unsafe acts of peopleUploaded By: www.OyeTrade.com – An e-learningdevelopment companyby unsafe actionsof industrial accidents areunavoidablewww.free-safety-training.com
The causes of adverse eventsDomino theory :The sequence is: Injury, caused by an; Accident, due to an; Unsafe act and/or mechanical or physical hazard, due tothe; Fault of the Person, caused by their; Ancestry and Social Environment.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsDomino effect:Adverse events have many causes. What may appear tobe bad luck (being in the wrong place at the wrong time)can, on analysis, be seen as a chain of failures and errorsthat lead almost inevitably to the adverse event.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsDomino effect:Figure - Sequence of dominoesUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsMultiple Causation TheoryAccording to Peterson (1978),there is not only one causesbehind to accidents. There aremany factors, causes and subcauses behind every accident.Under the concept of “multiple-causation”, the factors, causes,sub-causes combine together inrandom fashion and causing toaccidents.Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsMultiple Causation TheoryUnsafeAct Failure to warn others of danger Working without authorityLeaving equipment in dangerous conditionDisconnecting safety devicesUsing defective/ wrong equipmentFailure to use or wear PPEUnsafeCondition Inadequate or missing guards Poor housekeepingFire hazardsNoiseInadequate supervisionUntrained staffHorseplay/skylarkingUploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
The causes of adverse eventsCauses can be classified as:Uploaded By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
Get full version of ‘AccidentInvestigation and Root Cause Analysis’book and PPT presentation for 25 OnlyDOWNLOADOr visit - d By: www.OyeTrade.com – An e-learningdevelopment companywww.free-safety-training.com
investigation-root-cause-analysis-ppt-pdf/ Title: Incident Investigation And Root Cause Analysis
