The Accident Investigation Program
An effective accident investigation program follows standard written procedures that are clearly stated and straightforward, allowing for easy step-by-step implementation.
Conducting Effective Investigations
Characteristics common in the most effective accident investigation programs include:
- At least two competent persons should conduct the investigation. Working in pairs is often more effective for gathering and analyzing facts about the accident.
- Accident investigators must be properly trained in investigative techniques and procedures.
- The investigation report should be written, addressing both the immediate (surface) causes and deeper (root) causes of accidents.
- Recommendations in the accident investigation report should aim to: (1) correct hazardous conditions and unsafe work practices, and (2) improve underlying Safety Management System (SMS) weaknesses.
- The goal of the accident investigation is to determine the facts, not to assign blame. Disciplinary actions should be a separate matter, handled by management/human resources, and only considered if root causes remain unidentified.
- Surface causes of accidents should be corrected promptly, with long-term systemic improvements implemented in a timely manner.
- Accident reports should be evaluated annually by competent persons for consistency and quality.
- Safety personnel should review and evaluate the investigation program each year.
- Data on accident types, locations, and trends should be analyzed to enhance future investigations and prevent accidents.
- Information about corrective actions and system improvements should be communicated to everyone. Training should be provided as necessary.
The Seven-Step Process
In the upcoming course modules, we will explore a proven seven-step process for effectively investigating accidents. The seven steps are:
- Secure the accident scene
- Document the accident scene
- Conduct interviews
- Develop the sequence of events
- Conduct surface and root cause analysis
- Determine the solutions
- Write the report
Knowledge Check Choose the best answer for the question.
1-9. Which is an important characteristic of an effective accident investigation program?
You forgot to answer the question!